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 Louisiana. Please note that we do NOT ship animals and out-of-town adopters 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*
Which cat or kitten are you interested in* Choose an animal: Aniwodi Destiny Elijah Lilac Pippy Princess Marie Roo Wishlist - Dog
Year of Birth. *
Are you looking for an outside or inside pet?* Choose one: Inside Only Outside Only Inside and Outside
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.*
If you currently own a cat, has he/she been tested for Feline AIDS and Feline Leukemia? Do your current cats stay inside or outside? (Check all that apply)
How much time will the animal spend alone during the day*
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.*
Why are you interested in adopting a pet at this time*
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 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.*
What are the ages of the children or grandchildren that will be exposed to your pet*
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 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