PET ADOPTION APPLICATION

COOKIE
Name:__________________________________________________________________
Address:________________________________________________________________
City:_____________________________________State:____________Zip:___________
Home Phone:_____________________WorkPhone:____________________Age:______
Email Address: ___________________________________________________________
1.

Name of pet you are applying for: ______________________________________

2.

Description of pet you

are applying for : _______________________________________

3.

Do you want this pet for: COMPANION

OTHER__________________________

4.

This pet will be without human companionship for about ____________ hours
per day, ______________days per week.

5.

Where will your pet be kept during the day? (circle all that apply)
INDOORS
OUTDOORS
DOG PEN
CRATE
BASEMENT
OTHER______________________

5b.

During the night? INDOORS

BASEMENT
GARAGE
OTHER________________________

PROTECTION

OUTDOORS

GIFT

DOG PEN

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GARAGE

CRATE

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6.

If adopting a cat, do you plan to let it outdoors?

YES

NO

YES

NO

If yes, how often?______________________

Do you prefer a declawed cat?
7.

If adopting a pet other than a dog or cat, please describe where the pet will be kept:
_______________________________________________________________________________________
_____________________________________________

8.

Where do you live?

HOUSE APARTMENT___________ OTHER______
_________I RENT

________I OWN

________WITH MY PARENTS

Landlords name:______________________________Phone:________________
9.

Please provide the following information about your household:

Number of adults:________ Ages: _______________
Number of children:________Ages:______________

10.

Is anyone in your family allergic to animals? Which?_____________

11.

What will you do with your pets if you move in the future:__________________
_________________________________________________________________

12.

Would you be willing to allow us to visit your home

before the adoption is completed?______________________________________

13.

Have you ever given a pet up? Why? __________________________________

14. What type(s) of pets do you own or have owned in the last 10 years?
Name
Type/Bree Kept
Age
Neutered
Sex
d
Where
YES NO
YES NO
YES NO
YES NO
15.

Still
Own?
YES NO
YES NO
YES NO
YES NO

Who is (was) your veterinarian for the above animals?

Name:__________________________________________________________
Address:________________________________________________________
Phone:__________________________________________________________

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16.

Who is the veterinarian that you plan to use for your new pet? (IF THE SAME LEAVE
BLANK )
Name:__________________________________________________________
Address:________________________________________________________
Phone:__________________________________________________________

17.

It may take your new pet two or more weeks to adjust to its new home, especially
if other pets are involved. Are you prepared to allow this much time? YES NO

18.

When would you be ready to bring your new pet home if approved?
________________________________________________________________

19.

How do you plan to house train your dog/cat?____________________________

________________________________________________________________

By signing below, I certify that the information I have given is true and that I recognize that any
misrepresentation of the facts may result in me losing the privilege of adopting a pet from THE
ANIMAL CARE ASSOCIATION OF PAKISTAN. I authorize investigation of all statements on this
application. Also, I will

Signature:

NOT SELL / OR GIVE AWAY THE ANIMAL IN ANY CONDITION.

Date:_____/_____/2012

The applicant must be over 18 and he must have a CNIC.

HE / SHE have to send the adoption application via courier, only after verification the
animal will be handed over.
In case of any reason that results to abandon the animal, the applicant must contact
ACAP.
Strong action will be taken if the animal is sold.
Please attach a photocopied CNIC of the applicant.

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