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Adoption Form

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Dog Adoption Application

You can browse through our catalog of adoptable dogs here.  If there is a dog you are interested in, fill out the dog adoption application form below.  We will contact you as soon as possible to give you more information about the dog you are interested in. Please watch for an email from pacadogs@aol.com.

We can conduct a private meeting with any of our dogs at a place and time convenient for the foster home and interested people.  Our dog foster parents are happy to discuss their foster dogs with you to answer any questions.  Please fill out an adoption application if you are interested in a private meeting with one of our dogs.

Our adoption fee is $250 which covers all vetting needed to date such as spay/neuter, vaccinations, microchip, heart worm test and any other needed vet care each dog needs.

Please email pacadogs@aol.com with any questions.

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      Basic Information

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      Adoption Request

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      Pets Currently In Home

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      Past Pets

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      Terms & Conditions

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    Basic Information

    Basic Information

    First Name*

    Middle

    Last Name*

    Occupation of self or partner

    How long have you been employed?

    Name of Employer

    Address*

    Apt/Suite

    City*

    State*

    Zip Code*

    Type of Housing

    Do you rent or own this property?

    Renter Information

    Name of Landlord

    Landlord Phone Number

    Will you provide written permission from the landlord?

    Cell Phone*

    Home Phone

    Email*

    Preferred Method of Contact*

    Occupation

    Employer

    Number of Adults in Household:

    Number of Minors in Household:

    Would you be willing to allow a PACA/AAR representative to do a home visit prior to adoption or any time after adoption?

    Dog Adoption Request

    Name of Dog(s) Requested for Adoption*

    What attracted you to this dog?*

    Do you prefer a dog or puppy?

    This dog is for:

    Type of dog desired:

    Current Housing Situation

    Do you have a fenced or walled yard?

    Type of Fence/Wall

    How tall is your Fence/Wall?*

    Do you have a doggy door?

    How many hours a day will the dog be left alone?

    Where will the dog stay when left alone?

    How will the dog be primarily confined to your property?

    If you have a pool, how is it secured from pets?

    How will you exercise your dog?

    Do you plan to take your new dog to obedience classes?

    Are you aware pets need yearly vaccinations and veterinarian visits?

    Name and Phone Number of your current veterinarian (if applicable):

    Do any of your pets ride in an open pickup truck bed?

    Under what circumstances would you NOT keep this pet?

    Current Pets Information

    Do you have pets currently living with you at home?

    Where do your pets stay at night?

    Where do your pets stay during the day?

    Do you have any free-roaming poultry or livestock?

    Pet #1

    Type of Pet

    Age of Pet

    What breed of dog?

    Is this pet male or female?

    Is this pet spayed or neutered?

    What is the pet's energy level?

    Pet #2

    Type of Pet

    Age of Pet

    What breed of dog?

    Is this pet male or female?

    Is this pet spayed or neutered?

    What is the pet's energy level?

    List any other pets here:

    Past Pets

    Please list this information about Pet #1 (no longer living with you): Cat or Dog, Breed if Dog, How long you had pet, what happened to the pet?

    Please list this information about Pet #2 (no longer living with you): Cat or Dog, Breed if Dog, How long you had pet, what happened to the pet?

    Please list any other pets in the past five years that are no longer living with you and why.

    Terms & Conditions

    Animals going to a new home will need time to adjust to their new surroundings. Please realize it will take about 2 weeks for a new pet to start accepting everyone, especially another pet(s).

    Do you understand that pet ownership is a lifetime commitment to provide care (including veterinary care) and a permanent, safe home for the life of your new pet?

    Puppy Adoption Requirements:
    I understand that a puppy will require vaccinations and spay/neuter BEFORE the final adoption is approved by PACA. Until the adoption is finalized via signing of the adoption contract by a PACA representative, the puppy will remain property of PACA. If I fail to get the required vaccinations or spay/neuter performed at the vet of PACA's choice, or pay for these procedures at a vet of my choosing and supply PACA with required paperwork, I agree and acknowledge that PACA may reclaim their puppy. My signature below states I have read and agree to the puppy adoption requirements.

    No warranty or representation of any kind is made by PACA/AAR as to the health, disposition, or suitability of this dog as a domestic animal or, specifically as to any hazard it may present to known or unknown adults, children, or other animals or property. Should any dog on a trial period or adopted from PACA/AAR create a hazard to persons or property or cause injury to either, Applicant or Adopter agrees to hold blameless PACA/AAR, its agents, board of directors, staff, volunteers, representatives, heirs and assigns, in perpetuity. I certify the answers to this questionnaire to be true and that any false information may result in nullifying the adoption. Sign here

    Signature

    Date

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