Electronic Pre-Adopt Form

PLEASE NOTE: This is  not an adoption contract. Completing this form does not mean that you have been approved to adopt a dog. This only means that you will be considered to be allowed to adopt. PLEASE REMEMBER THAT THE ADOPTION OF A DOG IS FOR ITS LIFETIME. THIS COULD MEAN THAT YOU WILL HAVE THIS PET FOR THE NEXT 15 OR MORE YEARS. ARE YOU READY TO MAKE SUCH A COMMITMENT?

Name *
Name
Date
Date
Address
Address
Phone
Phone
Do you want this Pet for (Click all that apply) *
These expenses may include but are not limited to the following" Vaccinations, Spay/Neuter, Food, Toys, Heartworm Protection, Worming, Felilne Leukemian/FIV test, license)
Where do you live?
Do you currently
If you rent have you verified you are able to a have a pet?
Do you have children?
Does anyone in your family suffer from allergies to Cats or Dogs?
Have you ever or do you plan to de-claw your cats?
Do you have a fenced yard?
Have you ever adopted from FOPAS before?
Do you have any animals at this time?
Were previous pets Spay or Neutered?
Were previous pets vaccinations kept up to date?
Are you aware of the dangers of Heartworm? Have you given heartworm pills to your current and/or previous pets? *
Do you still own this pet?
Have you ever owned an animal that has ended up at a shelter or pound and not reclaimed it?
Have you ever adopted from a shelter or rescue group?
Do you plan on moving in the near future?
Are you looking for
Will someone be able to let this pet out during the day? *
Do you plan on taking your dog or puppy to training class?
Do you have a crate to use for your new dog or puppy for a house training tool?
May a volunteer of FOPAS contact you for follow up information regarding this pet?
Animals are as individual as people- Are you willing to spend the time and effort helping this pet adjust to your home and lifestyle?
If the cat or dog were to disappear would you contact FOPAS within 24 hours so we could assist you in locating the animal?
If the cat or dog were to be picked up by animal control would you reclaim the pet or contact FOPAS so that we may reclaim the pet?
Name and Relationship Phone number
By submitting this application I certify that the information I have given is true and that I recognize that any misrepresentation of facts may result in my losing the privilege of adopting a pet and nullification of any contract in the future I understand that the Friends of Parkville Animal Shelter have the right to deny my request to adopt an animal and I authorize investigation of all statements in this application I understand that this application is the property of Friends of Parkville Animal Shelter
Adoption fee for Dogs is $125. Cats is $100. This includes spaying/neutering, minimum of first round of vaccinations, a heartworm check or feline leukemia/FIV check and micro-chip.