ADOPTION APPLICATION FORM

If you have any questions regarding the application form, please call us at 610-586-PALS (610-586-7257)


 
Please indicate the pet(s) you are interested in adopting
   
 
Your First Name: Last Name:
 
Email Address:
 
Home Phone:   Work Phone:   like this: 610-123-1234
 
Postal Address: City: State: ZIP: -
 
Is this a How long have you lived at this address? years
 
Do you own this residence?   Y or N
    If no, name and phone # of landlord
 
Are you over 18 years old?   Y or N
 
Is there someone home all day?   Y or N
    If no, where will animal be kept when no one is at home?
 
Will shedding be a problem to anyone in your household?   Y or N
 
Is anyone in your household allergic to pets?   Y or N
 
Would you object to a "home visit" as part of the adoption process?   Y or N
 
List all pets you have at the present time
    Are your pets spayed/neutered?   Y or N
        If no, why not?
 
Do your pets go outside?   Y or N
    If yes, are they on a leash?   Y or N
 
Have your cats been tested for FeLV/FIV?   Y or N
    If yes, what were the results:   P for Positive or N for Negative
 
List all the pets you have had the recent past and what happened to each.
   
 
Have you ever adopted a pet from P.A.L.S. before?   Y or N
    If yes, what kinds/ages/sex
       
 
Have you ever brought an animal to P.A.L.S. for Intake?   Y or N
    If yes, please explain
       
 
Is this new pet to be a:
 
Where will this new pet be kept?   in or out
 
At night, where will this animal be kept?
 
If you are adopting a dog, will it be walked on a leash?   Y or N
 
What form of ID will you provide for your pet?
 
Have you ever been in violation of your county's Animal Control Laws
    (e.g., animals running at large, improper shelter, or cruelty of any kind) in the past?   Y or N
 
Are you prepared to meet the expenses required to maintain this pet?
    Remember, veterinary exams, vaccinations, worming, etc. are costly.)   Y or N
 
Employer Work Phone
 
Name of your Veterinarian Phone
P.A.L.S. will check vet references - please be sure to list the phone # - thank you.
    Please list two references: (No Relatives)
        1. Phone
        2. Phone
 

Please allow 7-10 business days for processing. An incomplete form will slow the process; so please scroll up to make sure that all entries are filled in before submitting the form. Thank you for your cooperation! Adoptions are by appointment only once the process has been completed.

Done? Click the box below. This will send your adoption form to us, and a new screen will appear with a confirmation and the next steps in the adoption process.