Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.1About You2Pet Ownership History3Living Situation4Vet Information5Adoption Intentions6Pet Care Plan7CertificationAnimal You're Interested in Adopting *Name *FirstLastEmail *Your phone numberplease enter a 10 digit phone numberAddress *Alternate PhonePlease enter a 10 digital alternate phone number.Your Birth Date *e.g. mm/dd/yyyyHow did you hear about us?website – pedropetpals.comgoogle searchfacebook postnextdoor postinstagram postwalk-inPetfinder.comotherNext > Pet Ownership HistoryDo you own other pets at the current time? *YesNoNo, but I plan to.List your other petse.g. petname, speciesAre all your pets spayed/neutered?YesNoNo, but will be.Are your pets current on their vaccinations?YesNoNo, but they will beHow many pets have you owned in the last 5–10 years?What happened to them?e.g. Charlie was with me from when I rescued him for several years until age got the better of him. About You < PreviousNext > Living SituationYour living situationThe living situation where you and your pet reside. will animal last Do you own or rent your home? *OwnRentOtherPlease select your current residence type. *Single-Family HomeTownhouse/RowhouseDuplex/TriplexWalk-Up CondoHigh-Rise CondoApartment in a Small Building (1–3 Stories)Apartment in a Mid-Rise Building (4–6 Stories)Apartment in a High-Rise Building (7+ Stories)Mobile Home/Manufactured HomeTiny HomeCottage/BungalowLoft in a Converted BuildingGarden Apartment (Ground-Level Unit)Co-op Housing UnitSuburban Gated Community HomeRural FarmhouseUrban Brownstone/Walk-UpAccessory Dwelling Unit (ADU)/Granny FlatStudio ApartmentLive-Work SpaceMilitary HousingStudent Dormitory/Residence HallAssisted Living FacilityRetirement Community UnitHouseboat/Floating HomeOtherPlease list the ages & relationships of household members.e.g. 38, husbandIf your pet will be indoor/outdoor, how will they come and go from your home?Pet Ownership History < PreviousNext > Vet InformationVeterinarian InformationWe like to verify your vet relationship to enhance your adoption application. Vet NameFirstLastVet PhoneVet AddressAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeVet Information < PreviousNext > Adoption IntentionsAdoption IntentionsHelp us understand your plans for this adoptionWhat is the main reason you plan to adopt a pet? *Companion for meCompanion for my childrenCompanion for another petEmotional supportTo rescue a pet in needTo teach responsibility to my childrenTo provide a loving homeImprove mental healthReduce lonelinessPromote physical activitySupport for a specific disability (e.g., service animal)Security/guard animalAs a working animal (e.g., herding, hunting)For farm-related tasksTo enhance my lifestyleInterest in training animalsTo learn about pet careFor breeding purposes (if allowed)To participate in competitions (e.g., shows, agility)Desire for a specific breedWanting a unique/exotic petTo help control overpopulationMemorializing a lost petFulfilling a lifelong dreamFor educational purposes (e.g., teaching in schools)To support local sheltersAs a gift for someone elseOtherPlease describe in detail the pet you are looking for.Vet Information < PreviousNext > Care PlanCare PlanExercise Plan *(dog) Daily walks or runs(dog) Playtime in the yard or park(dog) Fetch or frisbee games(dog) Interactive training sessions(dog) Socializing with other dogs(cat) Interactive toys (e.g., feather wands, laser pointers)(cat) Climbing cat trees or shelves(cat) Batting small toys or balls(cat) Exploring safe outdoor areas (e.g., harness walks, catio)(cat) Puzzle feeders or food-dispensing toysWhere will the animal sleep? *In a crate (e.g., in the bedroom or living room)In a pet bed (e.g., in the bedroom, kitchen, or other designated area)In bed with me (e.g., sharing the owner’s bed)On furniture (e.g., couch or favorite chair)In a specific room (e.g., laundry room, home office, or spare room)In the garage (e.g., temperature-controlled or for specific reasons)In an outdoor kennel or shelter (e.g., securely fenced and protected area)Free to roam the house (e.g., no designated sleeping spot, allowed anywhere indoors)In a fenced yard (e.g., outdoor living with shelter)OtherFor what reason(s) would you consider returning the animal? *Adoption Intentions < PreviousNext > Final Step – CertificationCertificationCertifiation *I have read the foregoing and certify the answers are true.Signature * Clear Signature Date / Time *DateTimeApply
