Date*:

Full Address*:

Day Phone Number*:

Evening Phone Number:

Email*:

What type of animal are you interested in adopting?*:

Do you have a specific animal you would like to adopt? If so, what is the animal's name?:

Who is adopting the animal companion?*:

Why do you want an animal companion?*:

What traits are you looking for in an animal?*:

Have you ever shared your home with an animal before?* If yes, please provide us with detals.

Do you still have the animal?*:

If no, what happened to it?*:

If you are a current or previus animal owner, please tell us about your animal.

Was the animal adopted from a rescue group?* If yes, when/which group?*:

What type of litter will you use?*:

Who is your veterinarian?* Please provie name, address, and phone number.

Will the new pet live with other animals?* If yes, please provide us with details.

Have you owned multiple animals at the same time before?*:

How do you plan to house the animal(s)?*:

Do you currently have any other animals that the animal will interact with?* If yes, what animals?*:

How do you plan to supervise interactions?*:

How many people live in your household?* Please count adults and children seperately.

Ages of the children?*:

Do the other adults agree to the adoption?*:

Do you rent your home?* If yes, does your landlord allow pets?*:

If there are children in the household, briefly describe how they will interact with the animal*:

How do your children get along with animals?*:

Will you supervise your children with the animal?*:

How much help do you expect in caring for the animal?*:

Are you willing to do most of the work yourself?*:

What type of living arrangement do you plan to provide?*:

Tiny Paws requires all adopters to sign a contract stating the following:

1. You will provide the animal with a balanced diet as recommended by Tiny Paws.

2. You will provide veterinary care as necessary by a qualified veterinarian.

5. You will take the animal into consideration when making housing choices.

6. You will agree to be responsible for the animal for the rest of his or her life.

7. You will not breed the animal and will return it to the rescue if it is no longer wanted.

8. You will not have any animal surgically altered except for neutering.

Are you willing to sign such a contract?*: