Pet Savers Adoption Application

Veterinarian Information

It is REQUIRED that you have a vet before Pet Savers can adopt an animal to you.

Veterinarian First Name

Veterinarian Last Name

Name of veterinary hospital

Vet Phone

YOUR First Name

YOUR Last Name

What is the EXACT name YOU are listed under at your vet?

Are your pets current on their vaccinations?

Yes No

Are your pets on heartworm preventative?

Yes No

Please explain why heartworm preventative is important:

Briefly explain how pets get heartworms.

What brand of heartworm preventative do you use or have you used in the past?

How often do you give heartworm medication?

Statement of Understanding

Please read and acknowledge each statement

I understand that the shelter environment often induces stress in animals. If the animal has behavior problems that I am not sure how to manage, I will contact Pet Savers for information and resources or seek professional assistance. I also understand that it may take 3-6 months for a pet to completely adapt to a new home and family.

I understand the daily time commitment needed to properly care for this animal and am capable of providing such care.

I understand that if I adopt a puppy that has not already been surgically sterilized, I must have the animal surgically sterilized before the animal reaches eight months of age and ideally at 5 months of age or Pet Savers may reclaim my pet.

I understand that this is a lifetime commitment of 10-20 years and I am responsible for annual, monthly and unforeseen veterinary care, including monthly heartworm preventative.

I understand, should I not be able to provide for his or her care, that I will not surrender, sell or otherwise list my pet as available for re-homing to anyone, without first consulting and notifying Pet Savers.

Adoption Application

Personal Information

Address

Living Circumstances

Landlord Information

Pet History

Pet 1

Pet 2

Veterinarian Information

Statement of Understanding