Application To Be Entered on Our Pet Waiting List

Based on the following information I am submitting,
I would like my request to be added to PAWS Pet Waiting List.

I am submitting my desired pet preference, which if a pet of similar type is received, I will be notified to review this pet.

I also, submit this information, to become pre-approved, for a future adoption.

If, after you submit this application, your preference changes, or you are no longer interested, PAWS would appreciate an advise to keep our records updated.

Please Complete All Applicable Fields

Full Name:
Address:
City: State: Zip:
Work Phone: Home Phone:
Email:

Provide a description of the pet you are looking for
(breed (mix), max weight, age, color, hair length etc.).
Information on currently owned pets (dog, cat, how long, breed etc.)

Your Veterinarian Name:
Your Veterinarian Location:
Vet Phone Number:

Personal Reference (Local Preferred):
Name:
Address:
Phone(s):

Information on previously owned pets (dog, cat, how long, breed etc.)

Reason You would like this Pet:

Children in the House? Number: - Ages:

Who will be responsible for care of this pet?

Explain where and how this pet will kept:

Residence type: (house, condo, mobile etc), Status: (own, rent etc) Note: If you rent, do you have the landlord's permission to keep pets?

Yard & Fencing: Do you have a yard for exercising your pet? Is it fenced, if so description of fence type height etc.

IF YOU RENT, AND PETS ARE ALLOWED?
A VERIFICATION STATING PETS ARE ALLOWED IS REQUIRED
An "in-home" visit may be required to adopt a pet. Are you prepared to provide all necessary medical care, including a mandatory rabies vacination?

Will you obtain a license for your pet that must be renewed annually?

Will you chain the dog in Yard? If so, please explain reasons:

If not spayed/neutered, do you agree to spay/neuter your Pet?

If you have to move, what will you do with this animal?

Are you aware of how difficult it is to locate housing that will accept pets?

Explain, time you can provide to excercise and play with your pet:

*** YOU WILL BE CONTACTED IF YOUR APPLICATION HAS BEEN APPROVED! ***

If I am approved, I agree to provide food, water and shelter for any pet that I adopt from PAWS and to exercise and provide tender loving care all the days of it's life.

Comments

Your Name: Date:

P.O. Box 1757, Morehead City, NC 28557 - Phone: (252) 247-3341
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