Pet Connection

Adoption/Foster Application

Species:
Name: Description:
Before filling out this questionnaire, please note that Pet Connection reserves full discretion as to the placement of its animals.
Pet Connection also reserves the right to refuse an adoption/foster application for any reason.
You must:
  1. Be 21 years of age or older.
  2. Have the consent of all adults living in the household.
  3. Have identification showing your present address.
  4. Have prior consent of your landlord if you rent your residence.
  5. Be willing and able to spend the time necessary to provide proper training, medical treatment, and care for the animal.
  6. Agree that any damage done by the adopted pet is NOT the responsibility of Pet connection.
Personal Information
Name: DOB:
Address: City:
State: Zip:
Home Phone:
E-mail Address:
Driver's License State: Driver's License Number:
Employer: Work Phone:
Spouse's Name:
Spouse's Employer: Spouse's Work Number:
Who are you adopting this animal for?
Number of adults in household: Number of Children in household:
Age of Children:
Do all adults in the household consent to this adoption? Are you or your spouse a student?
Do you travel frequently? If yes, who will care for your pet?
Does anyone in your household have allergies?
Dog: Cat:
Other:
Does anyone living in your household have asthma?
Living Conditions
How long have you lived at your current address? Do you plan on moving in the next 12 months?
Do you have a fenced yard? Type of Fence:
What is the height of your fence? ft If other, what material is the fence made from?
Do you: Do you live in:
If renting:
Does your landlord allow pets?
Is there a weight limit? How much?
Is there a pet deposit required? How much?
Can proof of deposit be obtained from your landlord? If no, why not?
What is the name of the apt complex/landlord? Phone Number:
Would you object to a follow-up contact by Pet Connection?
Ownership Information
Have you ever adopted an animal from a humane group or shelter? If yes, from whom?
    If yes, when?
Have you ever given up an animal for adoption? If yes, why?
Are all pets in your home current on:  
Vaccinations? Heartworm Preventative?
What Brand of HW Preventative do you use?    
Since illnesses have an incubation period, can you keep your new pet away from your other pets for one week?
Have any pets in your home, now or in the past, been diagnosed with an infectious disease (EX: Fel Leuk, FIP, FIV, Heartworms, Distemper, Parvo)?
If yes, which diseases?
If adopting a dog, will you:      
Use a tie out/chain to keep the animal in the yard? Allow the dog to ride in the back of a truck?
Is there a camper top on the truck?    
If adopting a cat, do you plan to declaw the cat? Why?
The pet I am adopting will be kept:    
While working, I am gone hours a day
My spouse/partner/roommate is away from the home hours a day
I/We be home for lunch. While I sleep, the pet will sleep
The remainder of the petsí time will be spent
How many Pets do you currently own?
Please list all current pets as listed below:  
Pet One
Name: Sex:
Altered: If no, why not?
Breed: Age:
Where does this pet spend their day? How long has this pet lived with you?
Pet Two
Name: Sex:
Altered: If no, why not?
Breed: Age:
Where does this pet spend their day? How long has this pet lived with you?
Pet Three
Name: Sex:
Altered: If no, why not?
Breed: Age:
Where does this pet spend their day? How long has this pet lived with you?
Pet Four
Name: Sex:
Altered: If no, why not?
Breed: Age:
Where does this pet spend their day? How long has this pet lived with you?
Number of pets NOT CURRENTLY OWNED, but owned within the last 5 years
Dogs Cats
Other Species
What became of them?
Name of Vet Location of Vet
Vet's Phone Number: Do you authorize PC to verify medical status of your animals with your vet?
By choosing to submit this application, I affirm that all of the information in this application is correct and complete