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Adoption Application

The following information is requested so that your Adoption Counselor can assist you in the selection of a new pet. Our goal is to place animals in loving homes with compassionate people who will make lifelong commitments to them by accepting them as a member of their family. The consultation process is designed to help determine the best compatibility "match" between the pet and adopter(s) lifestyle. This also enables us to determine if the adoption is in the animal's best interest. The Administrative fee to adopt a dog is $125.00 and the fee to adopt a cat is $100.00.

Each animal taken into PIGS, A Sanctuary is given their initial vaccinations, spayed/neutered, de-wormed and given dentals when needed.  In addition, all dogs have been tested for Lyme and Heartworm disease (and if found positive, are treated) and all cats have been tested for Feline Leukemia and FIV. The average cost to PIGS is $400 per animal in the first month of care. We also treat many injured animals who arrive at PIGS and perform the necessary surgeries and treatments to bring them to their optimal health.

All donations received in additon to the administrative fees are greatly appreciated and help to offset our costs to provide the best medical care we can to these wonderful and deserving animals.

IN ORDER TO BE CONSIDERED AS AN ADOPTOR TODAY, YOU MUST:

  • Be 20 years of age or older.
  • Have identification showing your present address.
  • Have the consent of your landlord.
  • Be able and willing to spend the time and money necessary to provide training, medical treatment and proper care for a pet.
* Denotes a required field.
Date: 
* Name: 
* Email Address: 
Street: 
City, State, Zip:  ,
Location/Nearest Crossroads: 
Home Phone:  () -
Work Phone:  () -
How did you become aware of us?
How long have you lived at the above address?
Please indicate the type of dwelling that you live in?
House Townhouse Apartment/Condo Mobile Home Other
If you live in an Apartment, on what floor do you live?
Do you have a yard? Yes No Size of yard?
Is your yard fenced? Yes No Type/height?
Do you own or rent your home? Own Rent
If you are renting, does your lease allow pets? Yes No
How many adults are in your household?
How many children are in your household? Ages?
Is there anyone home during the day? Yes No
Hours at home:
Is this your first experience with a pet? Yes No
Do you currently own other pets? Yes No
If yes, are they up to date with their vaccination boosters? Yes No

PET'S NAME SPECIES BREED Gender ALTERED AGE HEALTHY
Do you have any declawed cats? Yes No
Do you have dogs with cropped ears or docked tails? Yes No
What are you interested in adopting? Puppy Dog Kitten Cat
Any specific breed or mix?   
What age range? Under 1 yr Under 2 yrs 2-5 yrs 5 yrs or older
What Size? Under 15 lbs Under 30 lbs Under 50 lbs Over 50 lbs
Other preferences(i.e., calm, active, type of coat):   
If you have any specific animal(s) in mind, please list name(s):   
Please list your reason(s) for wanting to adopt an animal:   
Where will this pet be primarily living? Inside Outside
Where will your pet sleep at night?   
Type of exercise are you planning to provide a dog?   
How often do you plan on exercising your dog?   
In addition to your current pets, please list any other animals that you have owned in the past five years and what happened to them:
PET'S NAME SPECIES BREED Gender ALTERED AGE WHAT HAPPENED? WHEN (DATE)?
REFERENCES:
Who is your veterinarian?   
Veterinarian's Phone:    () -
Please provide your landlord's Name:   
Landlord's Phone:    () -
(Please note: We require confirmation of approval from your landlord before showing animals)
Other References:   
If you adopt an animal from PIGS, will you agree to the following:
Agree to provide proper food, fresh water, weatherproof, clean shelter and humane treatment to the animal.
Yes No
Agree to keep my pet on my property or within my control at all times.
Yes No
Keep the adopted pet current on all health check-ups & vaccinations:
Yes No
Purchase a properly fitted collar and license (if required) for your specific area:
Yes No
Agree not to tie or chain the pet as a primary means of confinement:
Yes No
Give a reasonable amount of time to allow the pet to adjust to your home:
Yes No
Did you have a specific amount of time in mind for adjustment?
Do you have any other questions or concerns?
For what reasons do you feel you might need to return an animal?
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