Pet Adoption Application

Click here for a list of pets at this shelter. (Opens in new window.)

COST TO ADOPT: $175.00 in Blount County AL and surrounding areas. (Higher if pet must be transported out of area)

The adoption fees include spaying/neutering on dogs 6 months or older, heartworm testing, rabies and distemper vaccinations, and initial worming. We will test them with cats and other dogs for you if requested.

If you are interested in a dog/puppy you MUST fill out the entire adoption application.  We absolutely MUST have your vet reference and your vet's phone number.  You MUST call your vet and authorize them to release vet records to us. Your application must be complete and then we will check your personal references and contact you.

Crossing Paths Animal Rescue is dedicated to placing abandoned and homeless pets into new forever loving homes. We want every applicant to understand that this is a commitment to the lifetime of the animal with enormous responsibilities and awesome rewards. Cats and dogs bond with their human companions and need to be treated as a member of the family. Please proceed with the application if you are willing to make that commitment. All fees and donations go directly to the care and adoption of all rescued animals.

This is a very long form, but you are making a very long commitment to the life of an animal!

 

 

PERSONAL INFORMATION

Name:

Home Phone:

Work Phone:

Physical Address (no PO boxes):

City:

State:

Zip:

Email:

Occupation:

Hours you are away from home, including commute time (example: 7 am - 6pm)

Approximately how many hours will your adopted pet be alone each day?

Type/Description of dog(s) you are interested in:

Name of particular cat(s) or dog(s) you are interested in:

 

 

YOUR HOUSEHOLD

Please indicate the following about your household:

Number of adults:  

Number of children:  

Ages of adults:

Genders and Ages of children:

1.  

2.  

3.  

4.  

Do you live with anyone else besides immediate family (for example: roommates, in-laws, aunt/uncle, etc.)    

Describe your family life:

Do you live in a:

Do you own or rent?

How many years at above address?  

If renting, have you received written permission for a pet from your landlord?    

Please provide the name and phone number of your landlord.    

Are there any size/breed restrictions imposed by your landlord or homeowners' association?    

If "Yes," please explain:    

Is this pet a surprise for anyone in your household?    

Does anyone in your household have allergies to pets?    

Who will be responsible for the care of your pet?

 

 

YOUR PETS

Please list those pets that are currently with you (type, age, sex, altered status, declawed, etc.):

Pet #1:         Age:       Spayed/Neutered?       (For cats) Declawed?  

Pet #2:         Age:       Spayed/Neutered?       (For cats) Declawed?  

Pet #3:         Age:       Spayed/Neutered?       (For cats) Declawed?  

Pet #4:         Age:       Spayed/Neutered?       (For cats) Declawed?  

What other pets have you owned in the last 3 years? Where are they now?:

Former Pet #1:         

Former Pet #2:         

Former Pet #3:         

Former Pet #4:         

Former Pet #5:         

Are your pets up to date on all shots?

Are your pets on monthly heartworm preventative?

Have you ever adopted a dog from a rescue or shelter before?   

If so, which shelter or rescue?   

Have you ever been denied adoption by any rescue or shelter before?   

Do you know why you were denied?   

If so, please state the reason:   

Have you ever surrendered an animal to a shelter or given a pet away?   

If so, please explain:   

Have you ever had a pet euthanized in the past?   

If yes, what were the circumstances?   

Do you believe in spaying and/or neutering your pets?   

What circumstances would make you give up your new pet and/or need to find him/her a new home?   

 

 

REFERENCES

If phone numbers are not provided, your application will not be approved. If more than one application is received for the same animal, applications will be processed and approved based on time received and completeness of the application.

Veterinarian: State below the name, address and PHONE NUMBER of the veterinarian you currently use:

Name:   

Address:   

Phone (including area code):   

Approximate date of last visit:   

Reason for last visit:   

 

If you DO NOT have a Vet reference please include 2 PROFESSIONAL references or 2 personal references that are not related to you:

(1)   

Phone (including area code):   

(2)   

Phone (including area code):   

 

Relative: Please provide the name and phone number of one relative whom we may contact.

Name   

Phone (including area code):   

 

 

YOUR HOME AND NEW PET

Why would you like to adopt a pet?   

What do you think are the most important responsibilities in owning a pet?

Do you have a fenced in yard or yard area for the dog?   

Is the fence fully enclosed?   

What is your reason for adopting a pet?   

Do you plan to crate train your new dog?   

Are you willing to housebreak/potty train this dog?   

When outside will your dog be supervised by an adult?   

During the day where will the puppy/dog be kept?

During the night where will the puppy/dog be kept?

If on an extended trip, how do you plan to have your pet taken care of?

Have you made arrangements for this care already?   

Are you financially able to afford medical costs of most health issues if they arise, either in the near future or during your dog's aging years?   

If needed, are you willing to have a home check before adoption?   

Please explain the type of dog you are looking for in terms of temperament, age preference, coat length, size and color.

 

 

TRAINING METHODS

Have you ever participated in formal obedience training classes?   

Do you plan to enroll in obedience class with your new dog/pup?   

Have you ever heard of Crate Training?   

 

 

Optional:  How did you hear about Crossing Paths Animal Rescue?

Other:

 

 

AFFIRMATION

By submitting this form I represent that the information that I have provided is the truth to the best of my knowledge and belief.

I authorize my landlord to release any and all information needed to a Crossing Paths Animal Rescue representative, and also authorize my veterinarian to release any and all information needed to a Crossing Paths Animal Rescue representative.

Electronic Signature (please type your name):