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pawprintApplication for Adoption
First Name:
Last Name:
Address:
City:
State:
Zip Code:
We will attempt to contact you on this number first.
We will call this number if we can't contact you first on your Primary Phone Number.
Email:


1) Are you at least 21 years of age?
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2) Do you own your residence?
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3) Is this pet a gift?
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4) Are you a service or veteran member of the U.S. military and have your current military ID or DD214/proof of honorable discharge?
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5) How long have you lived at your current residence?
 Years       Months
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6) Will you be moving in the near future?
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7) Will you assume full financial responsibility for your pet?
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8) Will you take your pet to the veterinarian within 30 days of adoption and regularly thereafter?
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9) Do you object to our visiting your home or calling you in the future?
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10) Why do you want a pet?
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11) How many pets have you had in the last 10 years?
 Dogs       Cats       Other
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12) If not still with you, what has happened to them?
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13) Do you presently own any pets?
 Dogs       Cats       Other
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14) Are your pets spayed/neutered?
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15) Are all your pets current on their vaccinations?
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16) Who is your Veterinarian and phone?
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17) Do you have a pet reference (someone who knows how you treat pets)?
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18) Are your pets inside or outside?
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19) What is your occupation?
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20) How many hours will your pet be left alone daily?
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21) Where will your pet stay when you are not at home (i.e., the store)?
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22) Where will your new pet sleep?
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23) Who will care for your pet if you are on vacation?
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24) Does anyone in your home have an allergy to animals?
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25) List all people in home (name, relationship, age if child):
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26) Have the children been around pets?
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27) What will you do if your new pet claws or chews your furniture or show signs of other destructive behavior?
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28) What animal behavior would you be unwilling to work with?
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29) Are you looking to adopt a dog or cat?


30) Name of animal you are interested in: (if you wish to be a foster, simply enter FOSTER in this box)
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31) How did you hear about us?
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I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND THAT ANY FALSE INFORMATION MAY RESULT IN THE NULLIFICATION OF THIS ADOPTION.
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© 2010 Paws and Prayers  -  PO Box 2864 Akron, OH 44309   -  (330) 475-8300