Please fill in ALL of the information requested. An incomplete application will be discarded. You must be over age 18 to submit this application!
Pet you are interested in:
First Name (required)
Last Name (required)
Street Address (required)
City (required)
State (required)
ZIP Code (required)
Telephone (required)
Cell Phone
Email (required)
How long have you been at your current address:
Number of Adults living in household:
Number of Children living in household:
Ages of Children living in household:
I am interested in a pet that will get along with (check all that apply): Cats Dogs Children Toddlers
Type of Housing: Apartment Condo/Townhome Single Family Multi-Family Other
Current Housing Situation: Rent/Lease Own Live with parents Other
If you rent or lease, do you have permission to have pets? Yes, I have permission I'm not sure No, I do not have permission
Landlord's name and contact number:
What other cats/dogs have you previously owned? None Dogs Cats Both Dogs and Cats
Please list each dog/cat by name and tell us what happened to each. If they are still living with you please make a note of it. Also note whether each was spayed or neutered.
Do you have a preference to the sex of the dog? Male Female Don't Care
Do you have a fenced yard? Yes, I have a fence No, I do not have a fence
How high is the fence?
If you don't have a fence, where and how will the dog be exercised and be allowed to eliminate?
What member of the family will be taking the MAJOR responsibility of caring for this pet?
Have you ever trained a dog in obedience classes? Yes, I've been to obedience school No, I have not been to obedience school
Do you plan on taking your new dog to obedience classes? Yes No If needed Will train myself
Will the pet live in the home? Yes No Part-time
Please indicate where you plan to have your pet sleep and where it will spend the day.
Are you familiar with dog crates? No, I'm not familiarHeard of them, but have not usedYes, I've used them before
If you move, what will you do with your pet?
When you go on vacation, where will your pet go and who will care for it?
Who is the veterinarian that your would use? Name, Location, Phone:
Who is the veterinarian that you used previously (if different)? Name, Location, Phone:
Do you mind if we call your Vet and ask how you take care of your animals? Yes, please call No, please don't call
Should your pet become ill and require costly medical services, will you be able to allocate sufficient resources for the health care to preserve your pet's life? Yes No Not sure
Are you willing to allow a PEOPLE FOR ANIMALS representative to periodically visit your home? Yes, OK to come by No, I'd rather you didn't
Please tell us anything else you may want us to know:
How did you hear about People for Animals?
WE RESERVE THE RIGHT TO REFUSE ANY APPLICANT
PFA clinics will be closed on Monday, May 27th for Memorial Day.
