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Adoption Application for Purple Power Animal Welfare Society

You can also download PDF versions of our adoption application or adoption contract to mail in.

Fields marked with * are required

General Information

Subject

Contact Info (step 1 of 4)

Your Name *

Email *

Cell/Phone *

Address *

City *

State *

ZIP *

Employer *

Name of cat/dog that you want to adopt *

Ownership & Adoption Background Pagination

Pet Ownership & Background Info (step 2 of 4)

Do you have pets now? *

Please list the breed & age of each pet and if they are altered and vaccinated.

What routine vetting do you provide your pets?

Who is the responsible caretaker for pets at your home? *

What do you think are the most important responsibilities in owning a pet? *

If you are applying to adopt a cat, are you aware of our strict no declaw policy?

Describe a typical day for your newly adopted pet at your home. *

What will you do if this pet develops behavior problems? *

Living Environment Pagination

Living Environment (step 3 of 4)

Does anyone in your family have allergies to animals? *

How many people currently reside in your home? *

Any children? *

If yes to children, what are their ages? *

Do you own or rent? *

If you rent, please list the name & phone number of landlord. *

If you rent, what is the pet policy? *

Is your home: *

Do you have a fenced yard? *

Where will your pet be kept during the day? *

Where will your pet sleep at night? Where will it be kept while you are at work/absent? *

If crated, how many hours a day will the pet be crated?

Have you ever adopted a rescue pet? *

Have you ever re-homed a pet? *

What are any reasons you might re-home a pet? *

Have you ever been convicted of a crime against persons or animals? *

Tell us anything else you would like us to know while considering your application for adoption.

Veterinarian & 2 Personal References Pagination

Your Veterinarian & References (step 4 of 4)

Clinic/Vet Name *

Clinic/Vet Phone *

Personal Reference #1 *

Personal Ref. #1 Phone *

Personal Reference #2 *

Personal Ref. #2 Phone *

Pledge

By submitting this application, I am giving consent to having my landlord and veterinarian contacted for information about my pet policy and/or record of vetting my pets.

I agree to the above pledge

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