ADOPTION QUESTIONNAIRE Adopt Now or Wait

ADOPTION QUESTIONNAIRE
Please complete this form and bring it to the adoption desk when you have found a pet in whom you’re interested.
• By answering these questions, our adoption counselors will guide us both toward making the best decisions possible.
• Thank you for considering the Pet Alliance of Greater Orlando as a resource for you and your future pet.
The goal of the Pet Alliance of Greater Orlando is to find loving, permanent homes for the animals sheltered with us.
• We believe a pet adoption should be a LIFETIME commitment – a match made with great care.
• We know that temporary housing in a shelter is not ideal for pets. But we also know it’s much harder on a pet to leave
our shelter only to be returned because the adoption decision didn’t take into consideration all the important factors.
PLEASE NOTE: Many apartment complexes, home rentals, mobile home parks, condo associations, and insurance companies
place restrictions on the number, size, and breed of pets that can live with you.
• In addition, these same organizations may require a pet deposit.
• We strongly suggest you check with these organizations BEFORE continuing with your adoption application.
• The Pet Alliance of Greater Orlando also reserves the right to check with them before finalizing the adoption.
Adopt Now ... or Wait
Take this “Perfect Timing” quiz as you decide if a new pet should be added to your family. Answer YES or NO to the
following questions.
YES NO
• I think pets should be kept outside for all/most of the time. • I want a pet to help teach my child responsibility. • A pet would be a terrific gift for someone I know.
• Not everyone in my family thinks that adopting a pet now is a good idea.
• One or more of my family members have allergies.
• My job requires long hours away from home.
• I travel often.
• A new baby has been/will soon be added to my family.
• Someone in my family is very sick.
• I might be changing jobs soon.
• I will be moving soon.
• Money is “tighter” than I would like at this time.
Name:
Home Phone:
Home Address:
Zip:
• I have lived here for: years
months
. Name of other adult living there:
• When adopted, the pet will live with me at this location.
• I rent
, own
, live with roommates
City:
yes,
, live with parents
no, other
, other
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2727 Conroy Road, Orlando, FL 32839 | 407-351-7722 | PetAllianceOrlando.org
• Apt/Unit #:
Name of apartment/condo/mobile home complex:
• Landlord’s Name:
• I am aware of my landlord’s policies on pets: yes
Phone Number:
, no
, other
Employer:
Work Phone:
1. In general, I want a pet:
as a companion for myself
as a guard
, my child(ren)
, for hunting
, my family
, as a gift for
, other:
2. I selected this new pet because:
3. My new pet will be alone at home:
4 hours or less/day
more than 12 hours/day
4. There are
,
5-8 hours/day
,
9 - 12 hours/day
,
, other:
other adults and
children in my household. The children’s ages are:
5. My new pet will live: inside only
,
outside only
,
inside & outside
.
,
because:
6. When I’m not at home, my new pet will spend its time sheltered (please check all that apply):
in the garage
chained
,
, in an outside doghouse
in a crate in the house
,
in the yard
on the enclosed porch
,
with free roam of the house
,
under trees in the yard
,
,
on the covered patio
confined to a specific area in the house
,
7. My yard is: not fenced in
fenced on all sides and is chain link
, ,
,
other:
, concrete
, wood/privacy
.
8. (If this is a dog adoption), when it comes to dog and owner obedience training, I think:
it’s always a good idea
,
I can provide it myself
, I will sign up for classes
9. Currently, I have:
sometimes necessary
,
not necessary
,
other:
# cats living with me.
• They are
• They are all “fixed:”
years old.
yes,
no,
10. Currently, I have:
• They are
,
other:
# dogs living with me.
years old.
• Here are their breeds:
• They are all “fixed.” yes
, no
, other:
• They are all heartworm tested and on heartworm preventive:
yes
no
other:
2727 Conroy Road, Orlando, FL 32839 | 407-351-7722 | PetAllianceOrlando.org
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11. Here is the name of my current veterinary clinic:
12. Other than the pets I’ve listed above, these are other pets I’ve had in the last 5 years:
o These pets are no longer with me because:
13. I want to discuss the following topics with the adoption counselor:
the pet’s history what to feed the new pet introducing a new pet to the current pet
crate training barking, jumping, digging getting adjusted to the new home
proper vet care obedience training “housebreaking” or litter box training
de-clawing rabies vaccination and pet licensing requirements
micro-chipping for identification other:
IMPORTANT THINGS TO READ AND UNDERSTAND:
• The Pet Alliance of Greater Orlando reserves the right to refuse any adoption which it determines not to be in the best interest
of the pet.
• The Pet Alliance of Greater Orlando may require you to purchase heartworm and/or flea preventive as a condition of adoption
based on the needs of the pet as determined by Pet Alliance staff.
• By signing this, you are telling us you read and understand the information on this questionnaire, all the information you’ve given
is true, and you understand any false information could result in the forfeiture of this animal.
• The Pet Alliance of Greater Orlando reserves the right to perform house checks and follow-up visits on adopted pets, and to
repossess the pet if there is any evidence it is not well cared for or is living in dangerous circumstances.
• You are aware you accept the pet “as is” and you assume all risks of ownership, including all financial obligations.
• Should you no longer be able to care for the adopted pet, Pet Alliance of Greater Orlando strongly encourages you to return
the pet to our shelters.
• Approval for refunds or exchanges of returned pets is at the discretion of the Pet Alliance of Greater Orlando.
• This application is the property of the Pet Alliance of Greater Orlando and will not be returned to you.
Signature:
Date:
For Office Use only:
Dog
Pet’s Name:
ID#:
Adopter ID Checked:
Cat
Orlando Shelter
Gender:
Staff Member’s Name:
Adoption Approved Adoption Denied Sanford Shelter
Age:
Breed
Comments:
Adoption Pending
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2727 Conroy Road, Orlando, FL 32839 | 407-351-7722 | PetAllianceOrlando.org