Pet Paw-see
Matchmaking Form –Dogs
Please return to: PO Box 6491, Great Falls, MT 59406Email:
Date: ______Animal’s Name:______
Personal Information:
Name: ______Home Phone: ______
Address: ______Email Address:______
City: ______State: _____ Zip Code: ______How Long at this Address: ______
If less than 2 years, please list your previous address: ______
Children in the home: Yes / No – If yes, how many? _____ & their ages: ______
If you have children, do they understand how to care for a dog, and how to treat them with kindness and patience? Yes / No
Name of Employer: ______Phone: ______
Name of Spouse’s Employer: ______Phone: ______
Does anyone in your family suffer from pet allergies? Yes / No Have you adopted from an animal shelter before? Yes / No
Residential Information:
Residence: House: _____ Apartment: _____ Condo: _____ Mobile Home: _____ Live with Parents: _____
If Renting, Landlord’s Name: ______Phone: ______
Besides your immediate family, are there other adults residing in your home? Yes / No – If yes, who? ______
Are all adults living in the household in favor of this new pet? Yes / No
Do you have fenced yard with secure gate? Yes / No – If yes, what type of fencing and how high?______
______
Adoption Information:
Have you ever owned a dog? Yes / No – If yes, how many: ______
Will your dog be: Indoor/Outdoor: Outdoor Only: Indoor Only:___ _
If the dog will spend large amounts of time outside, is there a comfortable shelter for him? Yes / No
Where will the dog be kept when you are not home?______
Will the dog be kept crated? Yes / No - If yes, for about how long at a time?______
Why do you want this particular dog, or what drew you to it? ______
______
How do you plan to keep the dog exercised? Daily Walks_____ Running/Jogging______Play in back yard____ Other______
Are you willing to attend obedience classes with your dog? Yes / No
What do you plan to do with your pet if you move? Take with you______Give Away to Good Home______Sell______
Bring to Shelter______Other______
How much do you expect to spend on your new dog in a year for regular medical care (not including major surgeries)?
______
What will you do if your new pet chews household items, dumps trash, or is otherwise full of mischief?
______
Please check all of the following that will apply to your new dog: Guard Dog: _____ Companion: _____ Family Pet: _____
Other Pet Information:
Do you have other pets? Yes / No - If yes, what kind and how many? ______
Are they spayed or neutered? Yes / No – If no, why not (please explain)? ______
______
Are your other pets current on their vaccinations? Yes / No – If no, please explain: ______
What will you do if your newly adopted pet does not get along with your other pets? ______
______
Do any of your pets have an infectious disease now, or have they in the recent past? Yes / No – If yes, please explain:
______
How often, on average, do your pets visit their vet? ______
Have any of your pets had to have major surgery? Yes / No – If yes, please explain: ______
References:
Veterinarian’s Name: ______Phone: ______
Character References:1. ______Phone: ______
2. ______Phone: ______
Please initial that you have read each of the following:
_____I certify that the information provided on this form is true and correct.
_____I am financially able to care for this animal.
_____I understand that proper food and veterinary care will be costly and am able to meet these requirements.
_____I understand that a home check will be conducted prior to my adoption approval to ensure a secure fenced yard and safe environment for the dog.
_____I understand that any false statements constitute grounds for confiscation and surrender of the animal to a
representative of the Pet Paw-see.
_____I further understand and agree that the Pet Paw-see may demand return of the animal for any violation of the terms
of this adoption agreement.
_____If this animal does not work out in my home, I will call the Pet Paw-see for help. If this adoption does not work out,
for whatever reason, I will relinquish this animal back to the Pet Paw-see for further adoption proceedings.
_____I WILL NOT take this animal to the Animal Shelter, sell, give away or abandon the dog if the adoption does not work out.
_____The Pet Paw-see accepts no responsibility for any liability or for any injury or damages to any person or property
caused by this dog, as well as any cause of action, claims, suits or demands whatsoever that may arise as a result
of such injury or damage.
** PLEASE REMEMBER TO ADOPT RESPONSIBLY! IF YOU HAVE ANY DOUBTS
WHEN SIGNING THIS FORM THAT YOUR NEW PET MAY NOT REMAIN WITH YOU THROUGHOUT ITS LIFE,
PLEASE… SLEEP ON YOUR DECISION, FOR THEIR SAKE!!
CONSIDER WHAT THESE ANIMALS HAVE ALREADY BEEN THROUGH,
AND MAKE SURE THEY ONLY RECEIVE LOVE AND AFFECTION FOR THE REST OF THEIR LIVES. **
My signature below acknowledges that I have read and understood this form. I will accept the above-described dog as part of my family and will care for it throughout its life.
Signature: ______Date: ______
** The Pet Paw-see reserves the right to refuse any adoption **
Adoption Policy
Pet Paw-see, Inc. A non-profit animal welfare rescue program
The Pet Paw-see’s (hereafter PPS) goal is to place companion animals in safe, loving, lifetime homes. To meet these goals, we must have basic requirements to help alleviate pet over-population and ensure responsible, caring pet ownership.
1.Animals must be adopted primarily as household companion animals. No dog will be placed as a guard or attack dog, and no cat as
mouser only.
2.Only healthy animals that show no aggressive tendencies or other serious behavior problems will be placed.
3.As of 10-01-97, Montana State Law requires all canines and felines adopted from a shelter or pound to be altered. This requires that all
dogs must be spayed or neutered by a licensed veterinarian within the time limits specified in our legal contract signed by the
adopter. All juveniles in the program will be sterilized prior to leaving with a new owner. Those too young will be required to be
spayed/neutered when old enough; females, 4 months old, males 6-8 months old. You may not adopt an animal too young to alter if
you have an unaltered pet of the same species at home.
4.No pet shall be given away to another home after adoption. If adopters’ circumstances change, the pet must be returned to the PPS.
5.No puppies or kitten under 8 weeks of age will be adopted. Puppies and kittens up to approximately 6 months of age will not be placed in a home with children under 6 years.
6.All adopters must be 18 years or older. Identification will be required.
7.If an adopter resides in a rental unit, we must have landlord’s name and phone number and his/her approval to a pet living on the premises.
8.Animals cannot be adopted as gifts. Animals shall not be given away or sold to another individual. They must be returned to PPS if the
adopter can no longer keep and care for the animal properly.
9.The adopter must agree to provide the pet with proper care at all times: nutritious food, fresh water, weather-tight shelter when outside,
regular exercise and veterinary care, including shots and care to relieve suffering.
10.We encourage all family members to be present at the time of adoption. All household members must want this pet.
11.No animal can be adopted strictly as an outdoor pet. Animals need human companionship and must be made part of the family’s life.
12.Continuous outdoor confinement on a chain or in a small enclosure is not acceptable. A fenced yard is ideal for all dogs. This protects the dog from roaming and owners from the liability their loose animals may cause. Chaining, except for brief periods, is not acceptable. Dogs will not be placed in homes where they will be allowed to run at large.
13.Animals will shed. They may wet on rugs, vomit, chew things, and dig in yards. If you cannot tolerate accidents, and you don’t have time to train this pet, then please reconsider this adoption.
14.Your companion dog may live 10-15 years. If you are unable to give this animal a lifetime home, DO NOT ADOPT IT!!
16.PPS has the right to repossess any animal if there is evidence that the adopter has violated any of these policies.
17.We ask that you allow at least 3 weeks for your new companion to adjust to you and its new home.
18.Any person who agrees to these adoption policies may adopt from the PPS. The PPS has the right to refuse adoption to any person,
for any reason, at any time.
I HAVE READ, UNDERSTAND, AND AGREE TO THESE ADOPTION POLICIES OF THE PET PAW-SEE, INC.
Signature ______Date______
Pet Paw-See Representative ______Date ______
Top of Form
Bottom of Form
FOR PET PAW-SEE USE ONLY:
APPROVED: YES / NO COMMENTS: ______