Old Pre-Adopt Form

Please download the Pre-Adopt form here.

pre-adoptionquestionnaire.doc
File Size:	84 kb
File Type:	doc

Download File

You can email the completed form to corinne@gpaas.comcastbiz.net or fax to the office at

Personal Information

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

How did you hear about GPAAS *

Internet Search Advertisement Friend Other

Email *

Phone Number *

Current Pet(s) Information

Check Box if None *

None

Type of Animal *

Dog Cat

Age *

Breed *

Name *

Type of Animal *

Dog Cat

Age *

Breed *

Name *

Type of Animal *

Dog Cat

Age *

Breed *

Name *

Type of Animal *

Dog Cat

Age *

Breed *

Name *

Are you up-to-date on vaccinations? *

Yes No

Are your dogs on Heartworm Preventative? *

Yes No

Do your cats remain indoors or outdoors? *

Indoor Outdoor Outdoor sometimes

Are your cats declawed? *

Yes No

Are your pets spayed/neutered? *

Yes No

Name of your Veterinarian *

Phone Number *

Previous Pet Information

How many dogs/cats have you owned in the past 5 years?

Dogs *

Cats *

What happened to these pets? *

New Pet Information

Which pet are you interested in adopting? *

Where will your pet be kept during the day? *

Where will your pet sleep at night? *

Will anyone be at home during the day to care for your new pet? *

Are you willing to make a life-long commitment to this pet? *

Please list the ages of any children living in your home. *

Do you have a yard available for your pet? *

Is your yard fenced? *

Does everyone in your household agree that you are adopting a new pet? *

Do you plan to enroll in dog obedience classes? *

Do you plan to have your new cat declawed? *

Does anyone in your home suffer from allergies? *

Please make sure all questions are answered, then press the submit button. Thank you.

Submit