THE PHILIPPINE ANIMAL REHABILITATION CENTER

ADOPTION APPLICATIONDATE OF APPLICATION ______________________________________In an effort to help the process go smoothly, please be as detailed as possible with your responses. Thank you!

PERSONAL INFOName: _____________________________________ Age: __________ FB/Twittter/IG: ___________________________

Address: _________________________________________________________________________________________

Phone: ___________________________________________ Email: _________________________________________

Occupation: _____________________________________ Status: Single Married Other _____________

Alternate Contact: ______________________________ Relationship: _________________ Phone: ________________*If the applicant is a minor, a parent or guardian must be the alternate contact and co-sign the application.

1. What prompted you to adopt from PAWS? Friends Website Social Media Other _____________

2. What are you looking to adopt? Cat Dog Other ____________________

3. Have you adopted from PAWS before? Yes No If yes, when? ________________________________

4. Do you know the name of the animal you want to adopt? You may list up to 3: _________________________________

5. Describe your ideal pet, including its sex, age, appearance, temperament, etc. ________________________________

________________________________________________________________________________________________

6. For whom are you adopting a pet? For myself For someone else (as a gift) 6. For whom are you adopting a pet? For myself For someone else (as a gift)

QUESTIONNAIRE7. Are there children (below 18) in the house? Yes No If yes, how old are they? ___________________

8. Do you have other pets? Yes No If yes, tell us about them: _________________________________

_______________________________________________________________________________________________

9. Have you had pets in the past? Yes No If yes, tell us about them: ____________________________

_______________________________________________________________________________________________

10. Who else do you live with? Spouse Parents Roommate(s) Other ______________________

111. Are any members of your household allergic to animals? Yes No If yes, how will it be managed?

_______________________________________________________________________________________________

12. Who will be responsible for feeding, grooming, and generally caring for your pet? ___________________________

13. Who will be financially responsible for your pet’s needs (i.e. food, vet bills, etc.)? ____________________________

14. Who will look after your pet if you go on vacation or in case of emergency? _________________________________

15. How many hours in an average workday will your pet be left alone? ______________________________________

16. Does everyone in the family support your decision to adopt a pet? Please explain: __________________________16. Does everyone in the family support your decision to adopt a pet? Please explain: __________________________

______________________________________________________________________________________________

17. How will you introduce your new pet into your household? _____________________________________________

_______________________________________________________________________________________________

18. What type of building do you live in? House Apartment Condo Other ____________________

19. Do you rent? Yes No If yes, how long have you lived there? ________________________________

20. What happens to your pet if or when you move? _______________________________________________________

21. If renting or living in a shared building, can you provide a copy of your building's pet policy? Yes* No *Please attach to your application

22. IF ADOPTING A DOG

a. Do you have a fenced yard? Yes No

b. How much time will your dog spend in the yard?

_____________________________________________

c. Are you prepared to walk and potty train your dog?

Yes No Please explain: _________________

________________________________________________________________________________________

d. Are you prepared to manage chewing, marking,

excessive barking, etc.? Yes No

Please explain: ________________________________

____________________________________________

23. IF ADOPTING A CAT

a. Can your cat get out of the house? Yes No

b. Where will the litterbox be located? ______________

____________________________________________

c. Are you prepared for the unpleasant odor of cat feces?

Yes No Please explain: _________________

__________________________________________________________________________________________

d. Are you prepared to manage furniture scratching,

climbing, shedding, etc.? Yes No

Please explain: ________________________________

_____________________________________________

EVALUATOR’S NOTES1st interview 2nd interview

ADOPTION AGREEMENT(FILL IN ON THE DAY OF ADOPTION)

My adopted pet has been spayed/neutered and vaccinated.No guarantee of any kind can be given regarding the health of my adopted animal.My adopted pet may carry and transmit diseases that may be undetectable at the time of adoption.I am financially capable and responsible for providing my adopted pet's veterinary needs.I will inform PAWS of any situation that may affect the welfare of my adopted pet.PAWS may check on the well being of my adopted pet from time to time.Should I decide to give up my adopted pet, I am obliged to return him/her to Should I decide to give up my adopted pet, I am obliged to return him/her to PAWS.My adopted pet may exhibit potentially undesirable behaviors including, but not limited to, aggression, soiling, biting, scratching, barking, digging, mounting, and urine marking.I shall assume responsibility of preventing any damage or injury resulting from these undesirable behaviors.PAWS is not liable for any property damage or personal injury suffered by myself, members of my household or any third party that may arise from this adoption.Non-compliance with any part of this agreement shall give Non-compliance with any part of this agreement shall give PAWS the right to take back the animal, without need of any judicial action, without any need of my prior approval or that of my duly authorized representative.

I, the undersigned adopting party, agree to take care of the animal described in this document, with the utmost diligence of a good and responsible pet guardian.

______________________________/___________Signature over printed name Date

_____________________________________________Applicant’s signature over printed name

______________________________________________Parent’s signature over printed name (for minor applicant)