Phoenix Animal Rescue Renewing hope for homeless animals, one day at a time.

Application to Adopt An Animal

Name of the Animal you are interested in
Species
Name of Applicant
Name of Co-applicant (if applicable)
Phone Number of Applicant
Street
Suite
City
ZIP
Applicant's Home Address
I my home.
Landlord's Name:
Landlord's Phone:
How long have you lived at your current residence?
Besides you, how many people are in your household?
What are their names and ages?
Name:
Age:
Name:
Age:
Name:
Age:
Name:
Age:
Name:
Age:
Name:
Age:

In the event that PAR feels it is necessary to see where the animal will be living, would you consent to a home visit?
Do you have any current pets?
Please list the names/ages/breeds of all current pets and whether they are spayed or neutered.
Are all your current pets up to date on:

Vaccinations?

Heartworm Preventative?

Flea and Tick Preventative?

What is your current Vet's name and phone number?

Name:

Phone:

Have you owned any pets in the past 5 years?
Where are they now?
Have you ever given a pet away or taken one to a shelter?
Why are you looking to adopt?
Where will this pet be kept? Please specify in detail (indoors/outdoors etc)
What will happen to the pet if you move?
Under what/if any circumstances would you give up your pet?
How much time to adjust to their new home and family members
are you willing to give this pet?
Where are you currently employed?
Are you financially secure to care for your new pet for the remainder of his/her life, which could be up to 20yrs?

Please list the names and numbers of 2 non-family personal references
Name:
Phone:
Name:
Phone:
If for any reason you are no longer able to care for this animal, do you agree to return them to PAR?
A pet is a serious lifelong commitment. Please take the time to carefully consider this before submitting the application.
I certify I have answered all questions honestly and to the best of my ability. If any misrepresentations of facts are found, I understand I will be rejected. I also understand I can be declined for any reason. Submitting an application does not guarantee being approved. Approved applicants will be contacted by a PAR representative.