Pets Love Vets – Pet Adoption Application Fill out the form below to contact us. We will get back to you as soon as we can. Your Name Your Email Address Your Phone Number Address: City: State: ZIP Code: Date of Birth (MM/DD/YYYY): Driver’s License / State ID Number: Occupation: Employer: Do you own or rent your home? If renting, landlord’s name and phone number: Type of residence: ☐ House ☐ Apartment ☐ Condo ☐ Mobile Home ☐ Other: ___________ How long have you lived at this address? ___________ Do all members of your household agree to this adoption? Number of adults in the home: ___ Number of children: ___ Does anyone in your household have pet allergies? Do you currently have any pets? If yes, please list: Species/Breed: Name: Age: Spayed/Neutered: Up-to-date on vaccinations: Have you had pets in the past 10 years? If yes, what happened to them? Who is your current veterinarian (if any ) Name/Clinic: Phone Number: What type of pet are you looking to adopt? Dog? Cat? Other? Preferred age: Puppy/Kitten Young Adult Senior Preferred size (for dogs): Small? Medium? Large? Reason for adopting a pet: How many hours per day will the pet be left alone? Where will the pet stay during the day? Where will the pet sleep at night? Are you financially able and willing to provide annual checkups, vaccinations, emergency medical care, and daily care for your pet? Are you prepared to care for this pet for its entire life (10–20 years)? Are you willing to work through behavior challenges, if any arise? Have you ever surrendered an animal to a shelter,If yes, please explain: shelter or rescue? All pets adopted from Pets Love Vets must be spayed or neutered. If the animal is not old enough or medically cleared for surgery at the time of adoption, you will be required to sign a Spay/Neuter Agreement and provide proof of sterilization by the date specified in the contract. Do you agree to have the pet spayed or neutered if not already done? Do you understand and agree that failing to comply may result in forfeiture of the pet? Please provide two references (non-family members): Is there anything else you’d like us to know about you, your home, or your experience with pets? By signing below, I certify that the information I have provided is accurate and complete. I understand that false or misleading statements can result in denial of the adoption. I authorize Pets Love Vets to contact my references, landlord, and veterinarian as needed. Applicant Signature: ___________________________ Date: ________________ Your Message
