Adoption Application

Partners For Pets wants to make sure you and the pet you are interested in are happy together. Please fill out this application and we will contact you to discuss the pet with you. Our staff has worked with the animals and can help to make a great match. Thank you for considering adopting from Partners For Pets. All applications are subject to approval and Partners for Pets reserves the right to refuse any application. Please note ALL adoption fees are non refundable. These fees help defray the cost of vet care, food, shelter, etc. Adopting an animal is a serious commitment please be sure you’re ready for this commitment. Please check your "junk", "spam" or "trash" email folders for a message from partners4petsadoptions@yahoo.com if you have not received a response within 48 hours.

Contact Information

First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Email*

Home Phone*

Cell Phone*

Alt Email

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Personal Information

Please verify your email address:*

What animal are you most interested in? If the animal is not listed or you are interested in more than one animal, please use the next question to indicate additional animals.

If you are interested in more than one animal, please indicate the additional animals here.

Please indicate your date of birth in the following format: 01/01/1900*

Please list your current occupation.*

Please enter your Driver's License or State ID number. Please include the two letter state abbreviation form which it was issued at the end. i.e. ###### IL*

Please list an emergency contact not living in the same household (this will be used if your animal is lost and we cannot contact you).*

Please list the primary contact number for your emergency contact.*

Please list the number of children living in your home and the ages of each child.*

Do you own or rent your home*

In what type of home do you live*

If you rent, please enter your landlord's name and phone number

If you move to a place where pets are not allowed what would you do with the pet?*

Is this pet for you and your immediate family living in the same household?*

If this pet is being given as a gift, who is it being given to and what is your relation to the recipient?*

Is everyone in the household 100% on board with getting a new pet?*

If no, who is not 100% onboard with the new animal?

Who will be responsible for caring for the pet?*

If there are any drastic changes in your lifestyle will your pet be part of the adjustment? (marriage, divorce, children, moving, etc...)*

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Please list all pets owned in past 5 years (including deceased, lost, or re-homed)

Breed of pet #1

Age of pet #1

Sex of pet #1

Is pet #1 Spayed/neutered?

Yes

Do you still own pet #1?

Yes

Where is pet #1 housed?

If you no longer own pet #1 where is it now?

Breed of pet #2

Age of pet #2

Sex of pet #2

Is pet #2 Spayed/neutered?

Yes

Do you still own pet #2

Yes

Where is pet #2 housed?

If you no longer own pet #2 where is it now?

Breed of pet #3

Age of pet #3

Sex of pet #3

Is pet #3 Spayed/neutered?

Yes

Do you still own pet #3

Yes

Where is pet #3 housed?

If you no longer own pet #3 where is it now?

Please list the following information for all other animals owned in the past 5 years: Breed Age Sex Spayed/Neutered Where this pet was housed Where this pet is now

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Animal Ownership

Have you applied with any other rescue within the past year?*

Please list the name of your last veterinarian.*

Please enter your veterinarian's phone number.

If you do not have a veterinarian, why?*

What is the brand of Heartworm and Flea preventative you use on your current or last pet? If you do not use Heartworm and Flea preventative please put none.*

Why are you interested in adopting a pet at this time*

Where will this pet be housed? Please select all that apply.

House	Garage
Basement	Tied Out
Outdoor Kennel	Fenced Yard

How many hours on a normal day will the pet be left alone?*

Where will the animal be kept when you are not home*

Where will the animal be kept when you are home*

Where will the animal sleep*

What traits are you looking for in a pet? (age, gender, temperament)*

Animals can live for 10-15 (or more years). Are you prepared for a 10-12+ year commitment?*

Are you prepared for chewing, digging, scratching, house training, and/or mischievous behavior? Please note, answering no does not prevent you from being approved. We can suggest training resources to help new pet parents with these common behaviors.*

How will you reprimand your pet?*

It may take several months for your new pet to adjust to its new home and family. How will you handle this?*

What behaviors would cause you to return the pet to Partners for Pets?*

Is your yard fenced*

What type of fence

What is the height of the fence

If no fenced yard how will you handle the dog's toilet and exercise needs?*

Do you plan to continue to crate train your new animal?*

If yes, do you own a suitable crate?*

Do you have the time, patience, love, and physical ability to exercise a pet?*

Are you planning or willing to attend dog obedience classes?*

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Reference

List at least one reference (who is not a family member) including their phone, email, and relationship to you.*

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Agreements

Do you agree to abide by all applicable state, county and municipal laws applicable to animals and their care?*

Do you agree to keep your pet up to date on all necessary vaccinations for the lifetime of the pet?*

Would you allow an in home visit before we make our final decision on this adoption?*

If, for any reason or at any time, I am unable to care for my adopted pet, I agree to return my adopted pet to Partners for Pets; I further agree never to abandon my adopted pet or deposit my adopted pet at an animal shelter or research facility; however, before returning my adopted pet to Partners for Pets, I agree to exhaust all options available to me including, but not limited to, obedience training, a behaviorist, crate training or veterinary advice to solve any physical or behavioral problem that may occur with my adopted pet or between me and my adopted pet.*

I hereby give permission for any photos taken of me with my new adopted pet to be used for promotional purposes by Partners For Pets.*

I certify that all the above information provided above is complete and correct to the best of my knowledge. I am aware that failing to answer all questions can result in my application being dismissed or slowed for approval. I am also aware that my application is subject to approval by Partners for Pets and may not be approved for this adoption.*

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