Adoption Application
Paws of Dixie Animal Rescue
Tuscaloosa, AL 35406
PDAR.info@gmail.com
Sign in to Google to save your progress. Learn more
Email *
PLEASE FILL THIS OUT COMPLETELY SO THAT WE MAY PROCESS YOUR APPLICATION
***Only fill this form out if you are applying for a CAT! If you are applying for a dog, please fill out our Dog adoption application, which can be found on the dog’s Petfinder profile. Thank you!***
It takes a lot of time and effort for our volunteers to process applications. PLEASE DO NOT APPLY TO ADOPT UNLESS YOU ARE REALLY GOING TO ADOPT A CAT, AND HAVE ALREADY DISCUSSED WITH YOUR FAMILY AND CAN PICK UP THE ANIMAL AS SOON AS IT'S AVAILABLE. WE CANNOT "HOLD" ANIMALS FOR PEOPLE. Please verify that you've read this. *
Date *
MM
/
DD
/
YYYY
Name of the pet(s) you would like to adopt *
Check the type of pet(s) you would be interested
Adopter's Name (First and Last) *
Adopter's Date of Birth *
MM
/
DD
/
YYYY
List any adults who live with you (First and Last Name, and Age)
Address: Street *
City *
State *
Zip Code *
Home Phone *
Cell Phone *
Are you on Facebook? If so, under what name? *
Home Ownership Status *
Residence Type *
If you rent, please provide your landlord's name and phone number
Is there extra security deposit for pets? If so, how much?
Whom do you live with? Please check any that live with you. *
Required
Number of children and ages
Are any family members allergic to pets? *
If anyone in your household is allergic to pets, please explain who is allergic and what is the allergy to?
Employed *
Occupation
Place of Employment: Name
Place of Employment: Address, City, State, and Work Phone (Please press enter to add a new line for each category of information requested)
Will the animal live with you? *
Current Pets: Please list Name, Type of Animal, Breed, and Age
Former Pets: Please list Name, Type, Breed, Age, What happened to them, and Year
Will this be your first cat or kitten? (Only answer if you didn't list a current or former cat above) *
If this is your first cat, do you have any prior experience with cats? Could you tell us what experience you have. (It's ok if you don't have any experience, we just would offer more support at adoption for newbies.)
Have you ever surrendered an animal? If so, what was the situation? *
Have you ever adopted an animal from us? *
Reason for wanting animal (Check all that apply) *
Required
Where will this cat spend the day? (Check all that apply) *
Required
How many hours a day will the cat or kitten be alone? *
These are rescue animals and may not be trained. If they do not have the opportunity to relieve energy or stress, they WILL have accidents! They could cause damage to your home (scratching furniture, litter box accidents, etc). Please verify that you are willing to work with this animal through easy and tough times. *
Where will the cat or kitten spend the night? (Check all that apply) *
Required
How do you plan to confine this pet to your property? *
Who will have primary care of this cat? *
Who will care for this cat when you leave for vacation? *
How do you plan to exercise this cat? *
Name, address, and phone number of current or former veterinarian. (A veterinarian's reference is the fastest way to get an approval. Please call them immediately and give them permission to speak to us.) *
What name is your animal under at the veterinarian's office?
Even if your pet passed away 5-6 years ago, most veterinarians still have your records and this is the fastest way to get an approval. Please call as soon as possible to give them permission to speak to a representative of Paws of Dixie Animal Rescue *
If you currently have a pet, is it current on all vaccinations? *
If you don't use a veterinarian currently, please submit three non-family references. (Press Enter to separate contacts: FULL Name, phone number, relation) *
Are you aware of the current related laws that pertain to owning a pet where you reside? *
Adopting a cat or kitten can be a lot of work, especially at first. There could be some sleepless nights, messes in the house, you might need to "kitty proof" your house so things don't get scratched, knocked over, etc. You won't be able to take off for the weekend spur of the moment without first making plans for your new pet. It is like having a child, but the roughest part doesn't last nearly as long as it does with human babies :) *
Often times pets coming from a shelter environment will require continued medical care to treat and/or prevent intestinal parasites. Are you prepared to provide this needed care for an adopted pet? *
Kittens under the age of four months require a series of three to four vaccines before being considered fully immunized. Adult pets will require yearly booster vaccines. Are you prepared to provide this needed care for an adopted cat? *
Cats and kittens who are in shelters have a higher risk of exposure to illness due to the amount of animals they are potentially exposed to. Paws of Dixie Animal Rescue makes every effort possible to ensure the health and well being of it's adoptable pets. Once in a while, despite best efforts, a pet will become ill post adoption. Pet insurance can help cover the cost of minor health issues, therefore we highly recommend investing in pet insurance. All of our pets adopted and traveling north undergo a thorough health evaluation from a certified veterinarian. Pets will receive a health certificate after confirmation of a good bill of health. We are not responsible for any illness or injury after these pets have left our care. As a non-profit organization, all bills you incur at your private veterinary clinic will not be repaid. Do you understand the health and treatment policies of Paws of Dixie Animal Rescue?   *
This application must be completed in its entirety. If you leave any items incomplete, your application will be denied. Please help us speed up the adoption process and ensure all items are complete before you submit the application. Many factors go into determining which applicant will be matched with a particular animal. If you are not chosen for this pet, it does not mean that you are not considered a good pet owner or that your home is not acceptable. Our goal is to place every animal in a home that will best suit its needs. I hereby swear that the answers given to me on this application are true and complete to the best of my knowledge, and I understand that regardless of approval status, Paws of Dixie Animal Rescue is not obligated to adopt a pet to me. *
Any questions regarding an animal you are interested in, or questions about your application should be sent to PDAR.info@gmail.com. Please do not call the rescue as they are busy on rescue calls and taking care of the animals. If you want someone to call you, email us with your phone number and we will call you back when we can. Do you understand the terms of communication? *
Signature (type name) *
Date *
MM
/
DD
/
YYYY
Please add any comments here that will help us make a good decision about you and your new companion.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms