Thank you for considering a rescued pet as an addition to your family. Please note that our application is brief, but is an important part of helping us match pets with families. We suggest that you have the following information available before you begin:
Our listed pets are located in the Greater New Orleans. Please note that we do NOT ship animals, and out-of-town adopters are only approved on a case-by-case basis and must provide transportation if approved.
~ Thanks! ~
First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Home Phone*
Work Phone x
Cell Phone*
Alt Email
Which dog or puppy are you interested in* Choose an animal: Aniwodi Destiny Elijah Ellie Lilac Pippy Princess Marie Roo Wishlist - Dog
Please list name of other adults residing in the home. Please note that because we consider adoptions to be family decisions, spouses/partners will be asked to sign or give verbal agreement for adoption. Enter "N/A" if not applicable.*
Year of Birth. *
Employer/Occupation: *
Are you looking for an outside or inside pet?* Choose one: Inside Only Outside Only Inside and Outside
Why are you interested in adopting a pet at this time*
If you have previously owned a pet as an adult, please tell us the breed of dog and what happened to him/her. Were your previous pets spayed or neutered?. If not, please explain.*
Please tell us about your current pet(s). Include name, breed, and age. What is the activity level of your current pet? If no current pets, enter "No current pets." *
Are your current pets spayed or neutered? If no, please explain.*
How much time will the animal spend alone during the day*
Do your current pets stay outside or inside?* Choose one: inside outside (more than 4 hours a day) doggy door N/A ( no current pets)
Where will the animal be kept when you are not home*
Do you have evacuation plans that include your pet in the event of a hurricane or other event that requires evacuation? Please explain.*
Do you have a fenced yard? Select all that apply.
What is the height of the fence? If unfenced how will you exercise and address potty issues?*
Is there a pool on your property? * Choose one: Above ground pool In ground pool No pool
In what type of home do you live* Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing
Do you own or rent your home* Choose one: Rent Own
If you rent, have you received the approval of your landlord to have an animal* Choose one: Yes No I own my home
Please provide Name and Number of Landlord. Yes, we do verify that rental is pet-friendly! Enter "N/A" if you own your home.*
Please list your Veterinarian's Name and Phone Number. If your pet(s) is listed under someone's name other than yours, please note. If you have NEVER owned a pet, please list the name and phone number of the vet you plan to use.*
What type of heartworm preventative do you/have you used? N/A if NEVER owned a pet.*
Are the members of your immediate family agreeable to adopting a pet?*
Do you or anyone in your family have known allergies to dogs or cats? *
What are the ages of the children or grandchildren that will be exposed to your pet*
What plans do you have for your pet if you should become unexpectedly ill and/or can no longer care for pet? (Is another family member or friend agreeable to assuming care for your pet?). Please explain.*
If you are applying for a dog that requires regular grooming (Yorkie, Poodle, ShihTzu, Maltese, Pomeranian, or any other medium or long-haired mix), please indicate which groomer you intend to use if you do not have a groomer at present. We can refer you to a groomer if you would like.
What traits are you looking for in a pet
Please let us know if there is anything else you are looking for in a pet that would help us find the right pet for you: breed, age, weight range, etc.
Please let us know the best time(s) to contact you and at which number(s).
I certify that the information entered on this application is true and that knowingly falsifying information will result in the denial of said application. I also understand and agree that submitting this application places me under no obligation to adopt any animal from Pet Adoption Services, Inc, nor is Pet Adoption Services, Inc obligated to approve my application or adopt any animal to me, and that the applicant(s) and/or Pet Adoption Services, Inc may discontinue or withdraw from the application process at any time. I agree that entering my name and date will serve as my signature. *
Please let help us to serve our rescued pets better by letting us know how you heard about us. If found us through the internet, please let us know through which website you were linked to us (Petfinder, Pets911, Adopt-A-Dog, etc.)
**For Office Use Only