PUTNAM PET PALS ADOPTION APPLICATION

Read our adoption policies prior to completing this application to make sure you meet our requirements to adopt.  Adoption policies are available on our website www.putnampetpals.net

Please complete the application as honestly and accurately as possible.

 When you have completed this form click the submit button at the bottom of the page

Dog’s Name that you are applying to adopt:

Adopter’s Name (s) (must be at least 18 years old to apply):

Address:      City:  State:  Zip:

Phone number/ cell phone:

E-mail address:

Vet’s Name:

Address:

Phone: 

Office hours (if known):

Whose name is the Vet Records listed under:

      You must call your vet’s office and give permission to release information to our rescue.  We WILL call for a reference from our vet.  We will ask if your current dogs are spayed/neutered, current on all vaccinations and on heartworm prevention, last time tested for heartworm, if your bill is current on payments, any medical conditions Etc. Etc.

Ages of Adults in the home:

Ages of children in the home:

Ages of children who visit you frequently (example: grandchildren):

Have you or anyone in your home been accused or convicted of a crime against animals?Yes    No

How long will the dog be home alone on an average day? Explain.

Where will the dog stay when you are not at home? 

Where will the dog stay at night?

Do you have a fenced yard?Yes  No    Type and height of fence (describe)?

Do you own or rent your home? 

If renting, does your landlord allow dogs?Yes No

Any restrictions on the breed or size of dog in your rental home? If yes, list restrictions. (We will require a copy of your contract stating you may have a dog and any restrictions prior to adoption). Yes   No

List current pets by name, age and breed:

List deceased/past pets by name and breed:

Have you ever given a pet away?  If yes, reason. Yes   No 

Are your dogs current on the following vaccinations (DHLLP and Rabies)?  If no, give reason why. Yes No

Are your current dogs on monthly heartworm prevention?  If yes, list the name of heartworm prevention that you are using and where you are getting the medication.  If no, give reason why.Yes   No

Are your other pets current on vaccinations (example-cats)?Yes   No

Are your pets spayed or neutered?  If no, give reason why they are not.Yes   No 

Will you take this dog to obedience training classes? Yes   No

Why are you interested in adopting this dog? 

Are you willing to allow a home visit?Yes   No

How did you find out about this dog? Petfinder.com  Putnampetpals.net

      Flyer posted at

     Other (please specify)

Please list 3 references, name phone and email address.

Reference 1:

Reference 2:

Reference 3:

Click the SUBMIT button when you are done.

Or email it to adoption@putnampetpals.net as either an attachment or copy/paste it into an email.  You can also send it to:

Putnam Pet Pals

P.O. Box 143

Glandorf, OH  45848

Type the following word into the box before submitting - pets