Adoption Application

Interested in a CAT or a DOG?


Please answer ALL questions. If the question does not apply to your adoption needs, please put "N/A." If any answers are left blank, the form will not successfully be submitted. Thanks!

Full Name

Street Address, City, State, Zip

Daytime Phone

Evening Phone

Cell Phone

Email Address

Please list the names of every person who lives in the home, and the ages for anyone under 20 years old.

Please list the name of current your Veterinarian/Clinic:

The Companion Animal

What is name of the particular Paw Placement companion in whom you are interested?
If you do not have a specific animal in mind, are you seeking a kitten/cat or puppy/dog?

What personality are you seeking in a Companion Animal?

Animal Care

Which person will be the primary care giver for this animal, and what will their responsibilities be?

How many hours a week is the primary caregiver at work and away from the home?

Where will the animal stay at night?

Where will the animal stay when you are home? When you are away?

Do you have a doggy door?

What type of fencing do you have in your backyard?

(For Dogs) Are you familiar with crate-training?

Your Current Pets

To help us match animal personalities, please list 1) all of the animals currently in your home, 2) how long you have had these animals, 3)and the sexes and ages of the animals.

(For cats) Are your currents cats declawed?

Previous Pets

Please list the animals you cared for in the past five years, how many years they lived with you and where they are now:

Have any of the above animals (past or present) ever been unaltered (not spayed or neutered)? If so, please explain:

Other Information

Is the animal to be a gift or surprise?

How long have you been thinking of adopting?

Have all adults in the home agreed to adopt?

What will you do if medical issues arise and how much are you willing to spend to keep your pet healthy?

If you adopt a cat with claws, for what reason would you declaw the animal?

Under what circumstances would you determine that the adoption was not going to work out?

Before returning the animal, would you consult a Paw Placement volunteer or seek the help of a behavioralist?

Have you ever surrendered an animal to the Humane Society, the Pound or Animal Care & Control? If yes, please explain?

Have you ever placed a pet with family, friend or acquaintance? If yes, please explain the circumstances:

Do you rent or own your place of residence?

Please list two references and their phone numbers:

Do you have a pool?

If so, what type of fencing around the pool do you have?

If you were to move to a place that did not accept animals what would you do?

What would you do if you work hours were to increase?

About Us

How did you hear about our organization?

Have you adopted from us before? If so, please list the full name of the adopter, if different from above:

Please note: Answering the above questions in detail will help Paw Placement determine if the cat or dog you would like to adopt is a good match for you based upon what you are looking for in a companion animal.

We know the personalities of our animals and want to set you and your new pet up for success. Filling out this application does not obligate you to adopt from Paw Placement.