PMAR

Perfect Match Animal Adoption Application
Nobody likes more paperwork, but we do need to keep track of all the folks who are looking to give our animals wonderful homes.

Completing an application doesn’t mean that you are locked in to adopt one of our animals, however it does tell us that you are serious about considering one for adoption.

Please fill out all applicable fields, and email us at pmar.application@gmail.com if you have questions.
Name of Animal/Animal ID
Why do you want to adopt this pet?
- Tell us about you.
- Full Name
  
  First NameLast Name
- E-mail
- Please check your age category
- Phone Number
  
  Area CodePhone Number
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Your Employer
  Many animals are surrendered because owners can no longer care for them. We want to ensure we place animals in financially stable homes.
- Your occupation
- When did you start working there?
  
  MonthDayYear
- We want to know about your home and who lives there.
- I rent
- I own
- Do you have the landlord's permission to adopt an an animal?
- Name and phone number of landlord.
  eg, Pat Sullivan, 781-555-1212
- When did you move there?
  
  MonthDayYear
- How many times have you moved within the past 5 years?
- If you move, will you take your pets?
- If you move where pets are not permitted, what will you do with your pets?
- Tell us about the human household members.
- Including yourself, how many adults live in the home?
- Have you discussed this adoption with everyone in your home?
- How many children live in the home?
- What are their ages?
- Do they have experience with pets?
- If yes, please explain.
- Now tell us about the animal household members.
- Have you had other pets in the past 5 years?
- Were any of these adopted from a rescue?
- Please list any pets still living with you
- Please list any pets no longer with you in the past 5 years.
- Are your current pets spayed/neutered?
- If no, please explain why.
- Are your current pets up to date on vaccinations?
- If no, please explain why.
- Do any of your pets spend time outdoors?
- Tell us about the pets that spend time outdoors
- Please provide us the name and phone number of your veterinarian
- I am looking to adopt a
- Do you have an enclosed, fenced yard?
- Tell us what type of fence. Will it safely contain the dog?
- If no, how will the dog go outside to exercise, and relieve itself?
- What is your work schedule? How will the dog be maintained while you are at work, or away?
- Where will the dog sleep at night?
- Will you allow your cat to go outdoors?
- Do you plan to declaw your cat?
- If no, how will you handle the cat's need to sharpen it's claws?
- Where will you keep the cat's litter box?
- What would you do, if your cat stopped using it's litter box?
- Has a cat died on your premises of panleukopenia (feline distemper), leukemia, FIV, FIP, or some unknown cause, within the last three months?
- Have you ever had a pet with behavioral problems?
- If so, how did you handle it?
- If your pet is injured, develops a chronic illness, or has a serious medical problem, what will you do?
- Under what circumstances would you give up your pet?
  
  Other
- Please list any pets you have had to give up.
- Can you provide a lifetime home for this pet?
  Estimated lifetime is 15 years.
- If not, and you had to give up the pet, what would you do with it?
- Who will be the primary caregiver(s) for this pet?
- How much do you expect to pay annually for your pets care?
  This includes veterinary care, food, litter, grooming, etc.
- Are you willing to allow a local representative from Perfect Match Animal Rescue visit your home by appointment?
  We aren't looking at your housekeeping skills, but rather for a safe, loving home for one of our rescue pets.
- Please provide 2 references. Include their name and telephone numbers.
  Family members cannot be used as references.
- How did you hear about us?
- That friend's name is:
- If there is anything additional you would like us to know, or if you want to clarify any responses, please do so below.
- I agree to the following: All statements made on this application are truthful; I have made no false statement with regard to family members in household, references provided not being family members, status of my home ownership and any other statements made on this application.
- Your Signature
  
  Use your mouse to scratch out a signature.
- Should be Empty:

Perfect Match Animal Adoption Application