Adopt a Pet Adopt Foster Donate Volunteer Surrender Adoption Form Please enable JavaScript in your browser to complete this form.Please complete the form below in its entirety. Once complete, make sure to click the submit button at the bottom of the form. Note: Please be advised that due to home/yard inspections for adoption placements and the time involved, PAAW does not adopt outside of a 2 hour driving distance of Detroit Michigan, please do not submit an application to adopt if you are outside of this area. Date and Time Form Completed:DateTimeDog or Cat?DogCatName of Animal Applying for:Animal Applying for if 1st choice is not available:In the event the animal you are interested in is no longer available, would you like us to contact you in the future in regard to similar pets that become available?YesNoName: *FirstLastEmail: *Phone: *Address: *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeAre you located more than 2 hours from Detroit, MI?YesNoAre you over 18 years of age? If not, then you should not continue this application.YesNoHave you ever owned a pet before?YesNoWhat type of home do you live in?HouseApartmentTownhouseCondoMobile HomeDo you own or rent?OwnRentDoes your Association or Landlord allow pets?YesNoIf you rent, please upload a copy of your rental agreement showing you are allowed to have pets. Drag & Drop Files, Choose Files to Upload The following file types are accepted: .jpg, .png, .pdf, .doc, .docxIn the event that you are required to move in the future and cannot take the pet with you, please describe how you would handle the situation: People in Your Household How many people currently live in your household?please select...12345678910+How many adults in household?please select...12345678910+How many children in household?please select...012345678910+If there are children in the household, please list the ages of the children.Why do you plan on adopting a pet?Family CompanionCompanion for existing petOtherDoes anyone in your household have allergies? If yes, please explain.Are you aware that the cost of vet care is at least $100-$200 per year, without serious illness?YesNoWhat happened to any previous pets you may have had? (i.e., passed away, ran away, gave to someone else)Was your previous pet a...?Family Pet as a childRoommate's PetN/AOtherIf other, please explain.Where will this pet be living?InsideOutsideBothDo you have a fenced yard? If so, what type of fence?Chain Link FencePrivacy FenceKennelApproximately how many hours a day would the animal be left alone?please select..12345678910+We might have someone from the rescue calling or coming to your home to check on the animal, is that okay?YesNoPlease list three personal references, with Phone Number and relationship to you. (No direct relatives please)NOTE: APPLICATIONS THAT DO NOT INCLUDE PERSONAL REFERENCES WILL NOT BE PROCESSED. PLEASE STOP HERE IF YOU ARE UNWILLING OR UNABLE TO LIST PERSONAL REFERENCES NOT RELATED TO YOU ON THIS APPLICATION. Current Pets - Please supply information for all the pets currently living in your home. If no pets are currently living in your home, disregard this section and move to the next section. Current Pet 1 - Name:Current Pet 1 - Type (i.e., Dog, Cat):Current Pet 1 - Age:Current Pet 2 - Name: Current Pet 2 - Type (i.e., Dog, Cat):Current Pet 2 - Age: Current Pet 3 - Name: Current Pet 3 - Type (i.e., Dog, Cat): Current Pet 3 - Age: If you currently have more than 3 pets, please list them here. Show as: Name / Type / AgExample: Name / Type / Age / Year AdoptedAre the animals Spayed/Neutered?YesNoAre the animals currently on Vaccines?YesNoAre the animals Declawed?YesNoAre the animals on Heartworm Preventative?YesNoDo the animals reside inside or outside?InsideOutsideBoth Current Pets - Please provide Veterinarian Information (Note: All Vet information will be verified). City/Location:Phone:Please provide the name of the owner that the Vet records are under:Are any of your pets being treated for medical conditions? Please explain. Previous Pets - Please supply information for all the previous pets you have had for the last 10 years. Previous Pet 1 - Name:Previous Pet 1 - Type (i.e., Dog, Cat): Previous Pet 1 - Age: Previous Pet 1 - Name: Previous Pet 1 - Type (i.e., Dog, Cat):Previous Pet 1 - Age: Previous Pet 1 - Name:Previous Pet 1 - Type (i.e., Dog, Cat): Previous Pet 1 - Age: If you have had more than 3 previous pets over the last 10 years, please list here. Show as: Name / Type / AgeExample: Name / Type / AgeWere these animals Spayed/Neutered?YesNoWere these animals current on Vaccines?YesNoWere these animals declawed?YesNoWere these animals on Heartworm Preventative?YesNoDid these animals reside inside or outside?InsideOutsideBoth Previous Pets - Please provide Veterinarian Information (Note: All Vet information will be verified). Vet Name:City/Location:PhonePlease provide the name of the owner that the Vet records are under:Were any of your pets being treated for medical conditions? Please explain. I understand completion of this evaluation does not guarantee the adoption of this pet. Furthermore, falsification of information will result in immediate denial of this application. Incomplete evaluation will not be processed.YesHow did you hear about us?PAAW WebsitePetfinder.comAdopt-A-Pet.comPetco Troy Adoption CenterPetco Warren Adoption CenterPet Valu WarrenPet Valu West BloomfieldVolunteermatch.comFacebookCraigslistOtherIf approved, I would like to be contacted to set up a time to meet by:PhoneTextEmailIf there is any other information you would like to make us aware of, please do so here.Submit
