Adopt a Pawsome PalApply for Adoption by Filling Out the Pawsome Pal Application Below Applicant Information Name * First Name Last Name D.O.B. * Date of Birth MM DD YYYY Email * Spouse/Partner's Name * First Name Last Name Spouse/Partner's D.O.B. * Date of Birth MM DD YYYY Spouse/Partner's Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone Number * (###) ### #### Driver's License # * Emergency Contact * First Name Last Name Emergency Phone Number * (###) ### #### Employer Time Employed Spouse/Partner's Employer Spouse/Partner's Time Employed Veterinarian Vet Phone Number (###) ### #### Reference (1) First Name Last Name Reference (1) Phone Number (###) ### #### Reference (1) Email Reference (2) First Name Last Name Reference (2) Phone Number (###) ### #### Reference (2) Email Pet Information Pawsome Pal * Age Gender * Male Female Species * Dog Cat Breed/Color: What kind of pet are you looking for? * (Energy level, male or female, specific breed, age, etc.) Why do you want to adopt this pet? * Household Information Do you own your own home? * If no, please provide your Landlord's Contact Information Below Yes No Landlord's Name First Name Last Name Landlord's Phone Number (###) ### #### Do you have a secured, fenced yard of at least 6' or higher? * Yes No What type of fence do you have? * Please Note: If fence contains any damage (holes or gaps), they MUST be repaired before adoption. Wooden Chainlink Custom Other Any limitations on number of pets or breed? (i.e. city ordinance, housing requirements, etc.) * Please verify the allowed amount of pets that can live in your home or apartment and verify any breed restrictions that may exist. No Yes Do you plan on moving or relocationg within the coming year? * No Yes Please list all people living in the household (including name, age and relationship) * Who will be the primary caregiver? * Does everyone in the family agree this pet will be a good addition to the home? * Yes No Still Discussing Is anyone in the family (immediate or extended) allergic to pets? How much time will the Pawsome Pal be kept during the day? * Where will the Pawsome Pal be kept during the day? * How much exercise/attention will you be able to give the Pawsome Pal on a normal day? * Where will the Pawsome Pal sleep? * How often do you travel? Who will care for the Pawsome Pal? * Pawsome Pals Animal Rescue may be able to provide petsitting options for you during your vacations. Please contact Pawsome Pals if you do not have a reliable care option. Please list all pets you currently have: * Include breed, age, if spayed/neutered, if current on vaccinations, if on heartworm/flea prevention. Have any current pets shown aggression towards other animals? * Explain how you introduce new pets into a family: Have you ever, under any circumstances, surrendered or given away a pet? * If Yes, Please explain: Have you ever lost a pet? If so, from what? (i.e. old age, illness, accident, etc.) What behaviors are you unwilling or unable to work through with a new pet? Have you kept your prior pets on flea/work prevention? Heartworm prevention? * Have your prior pets been current on vaccines? Exams such as fecal? * Adoption Agreements Please Initial the Following if you Understand and Agree. I agree to keep Pawsome Pal Rescue Animal current on vaccinations and other preventive health and dental care, including but not limited to year-round heartworm and flea prevention. * (INITIAL) I understand there is no guarantee Pawsome Pal Rescue Animal is housebroken. I understand Pawsome Pal Rescue Animal may need training with love and patience to achieve this. * (INITIAL) I understand there are no guarantees on the temperament and agree to provide Pawsome Pal Rescue Animal professional obedience training if needed. * (INITIAL) I agree to keep the Pawsome Pal Rescue Animal and current pets separated when left alone until I have had an opportunity to observe their interaction. * (INITIAL) I agree the Pawsome Pal Rescue Animal is to live in a private residence as a companion animal and not be allowed outdoors without proper supervision or for an extended period of time and/or secure shelter. * (INITIAL) I agree that under no circumstances will the Pawsome Pal Rescue Animal be declawed or otherwise altered in any way unnecessary to their health or quality of life. * (INITIAL) I agree the Pawsome Pal Rescue Animal will never be given to any medical facilities whose purpose is to experiment or cosmetically alter the animal. * (INITIAL) I agree to care for the Rescue Pet in a humane manner and be a responsible guardian. This includes providing a comfortable environment, adequate food, water, shelter, safety, prompt medical care and attention and proper grooming. * (INITIAL) I agree that I and those in my household have never been charged or convicted of animal neglect, cruelty/ abuse of animals or domestic violence, and have no court orders stating that I may not adopt or care for an animal. * (INITIAL) I agree not to abandon, surrender, trade, give away, re-home, turn over to an animal shelter or sell Pawsome Pal Rescue Animal without contacting Pawsome Pals Animal Rescue. If for any reason, I can no longer care for Pawsome Pal Rescue Animal, I will contact PAWSOME PALS ANIMAL RESCUE * (INITIAL) I understand that the rehoming family/rescue makes no guarantee or warranties on regarding the health of the pet. The rehoming family/rescue shall not be held liable for the behavior of this pet or any damages that pet may cause. * (INITIAL) I enter into this binding agreement of my own free will and understand this is a binding contract, enforcible by civil law. * (INITIAL) I certify that the above is all true and correct and I agree to the terms set forth herein. Adopter Signature * First Name Last Name Date MM DD YYYY Adopter's Spouse's Signature First Name Last Name Date MM DD YYYY Rescue Volunteer's Signature First Name Last Name Date MM DD YYYY Thank you for applying for Adoption! Pawsome Pals will be in contact with you soon! Contact us.info@pawsomepals.org(214) 444-3282Serving DFW Area and Kaufman County, TexasKaufman, Texas Name * First Name Last Name Email * Thank you! If for any reason you cannot keep your pet, please contact (832) 561-5354 immediately.