Packerland Veterinary Center Packerland Veterinary Center Packerland Veterinary Center

DOG ADOPTION FORM

Personal Information:

Own
Rent
Live with Parents
Military
Other
* Are you interested in a specific dog that is currently in our care?
Yes No
If yes, please list the dog’s name or reference #:
Why are you adopting this pet?
Companion for self
Companion for children
Gift
Companion for other pet
Protection
Other
(please specify)

You & Your Household:

* 1. Dog Experience:
First-time owner
Have had one or two dogs
Knowledgeable & experienced
* 2. Time away from home:
Home all day
Out part-time
Away 7-10 hours daily
* 3. Our dog will:
Live indoors only
Live indoors/ outdoors
Live outdoors only
Be confined in a fenced yard
* 4. Home Atmosphere:
Very busy
Some activity
Little to no activity
* 5. Where will your pet spend its time alone?
Inside
Outside
Both
Crate
Other

Pet Care

1. Current Veterinarian/ Clinic:
2. May we call your vet?
Yes No
* 3. To provide food and medical care for your pet, how much do you anticipate spending yearly?
Less than $100
$100-$200
$200-$300
$300-$400
$400-$500
$500+

Current Pets

Sex:
Male Female
Spayed/Neutered?
Yes No
Kept:
Inside Outside Both
Sex:
Male Female
Spayed/Neutered?
Yes No
Kept:
Inside Outside Both
Sex:
Male Female
Spayed/Neutered?
Yes No
Kept:
Inside Outside Both
* 1. Have you ever had to find a new home for one of your pets, or surrender a pet to a shelter or animal control?
Yes No
If yes, please explain:
* 2. What will you do with your dog when you go on vacation?
* 3. If you have to move, what would you do with your dog?
* 4. What do you think the hardest part of having a new dog will be?
* 5. What qualities would you like in a dog?
* 6. What do you NOT want in the dog that you get?
* 7. How will you exercise your dog?
How often
* 8. Have you ever taken a dog through an obedience class?
Yes No
Do you plan on taking your new dog to obedience classes?
Yes No
If no, please explain:
9. Do you understand that the Packerland Veterinary Center does not guarantee the health of its animals and that additional medical care, at your expense, may be necessary?
Yes No
10. How would you prefer to be contacted?
Phone Email
I have seriously considered all aspects of owning a pet and I am aware of the time and money involved. I am prepared to make a commitment to the pet being adopted for its lifetime. PVC has the right and responsibility to assist in helping me select a pet that is well suited to me and my lifestyle. I understand that completing this profile is not a guarantee that I will be allowed to adopt a pet.