Paws-itive Partners
P.O. Box 1145
North Platte, NE 69103
phone: 650-PAWS (308-650-7297)
http://www.pphs.com
Email





If you would like additional information on our services please fill our request form or call us at (308) 532-9628
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Paws-itive Partners On-line Adoption Application
NOTICE: This adoption application is required for FOSTER pets only. It is NOT necessary to complete the application if you wish to adopt a dog or cat directly from the NP Animal Shelter.
If you accidentally hit the return key before you have completed this form and you are redirected to our Thank You page, please use your back button to view the form page to complete your request and then hit the Submit button.
Individual Name*
Street Address*
City*
State/Province*
Zip/Postal Code*
Country*
Email Address*
Phone Number      
Fax Number    
Employer    
1. Why do you want to adopt a dog/cat?

2. What type of dog/cat do you feel will best match your lifestyle?

3. For whom are you adopting the dog/cat?

4. Have you ever owned a pet before?
Yes  No
a. Please list the pets that are currently living with you (type, age, sex, altered status, vaccinations...)
b. Please list the pets that are no longer with you (type, age, sex, altered status...)

c. Please explain what happened to the pets that are no longer living with you.

d. Have you ever been investigated or charged with cruelty to animals? If yes, please explain:
5. Are there children in your household?

Yes  No
If yes, what are their ages? 
6. Does anyone in your household have allergies?

Yes  No
If yes, what are they?

7.  Do you own or rent your residence?

Own  Rent
If you rent, is it OK with your landlord to have pets? Please provide your landlord's name
 and phone number. 
  

8.  What type of home do you live in (family, condo, apartment, farm, etc.):

9.  Do you have a fenced yard? :

Yes  No
If not, how do you plan to keep the dog/cat home? 

If yes, please describe what kind of fence you have.

10.  Where will the dog/cat stay during the day (inside, outside, both?

11.  Where will your dog/cat stay during the night (inside, outside, both?

12.  How much time will your dog/cat spend outside?

13.  When no one is home, where will the dog/cat be kept?

14.  Where will the dog/cat sleep?


How much time (approx.) will the dog/cat be left alone each day?

15.  How do you feel about spaying/neutering your dog/cat?

16.  Do you plan to have your dog/cat altered and if so, when?

17  Who will be responsible for feeding, housebreaking and training the dog/cat?

18.  Please provide the name and phone number of the veterinarian for your pets:
Veterinarian's Name:
Veterinarian's Phone:
19.  Please provide the names and phone numbers of three personal references: 
Name:   Phone:
Name:   Phone:
Name:   Phone:
20.  I (we) verify that the above information is true to the best of our knowledge and authorize PPHS to contact listed references and verify information as needed. 
Applicant's Name(s):  
Date:

Thank you for taking the time to complete this application. 

PPHS and their foster parents make very high emotional investments in the pets they care for.  Because of this, they want to make certain the pet is matched to the right household and vice-versa. Upon receiving the application, a PPHS member will contact you further.

Paws-itive Partners Humane Society

 [Home] [Shelter Info] [Dogs & Puppies] [Cats & Kittens] [About Us] [Event Calendar]
[Newsletter] [Map] [Volunteer] [Contact Us] [Sponsors] [Links] [Search]