Fillable The Preston County Animal Shelter-Dog Adoption Application (Preston County Commission)

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The Preston County Animal Shelter-Dog Adoption Application (Preston County Commission)

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  • 109 other fields

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The Preston County Animal Shelter-Dog Adoption Application
278 Poor Farm Rd Kingwood, WV 26537
Phone-304-329-3461 ● Fax-304-329-3483
PCAS@PrestonCountyWV.Gov
• It is the mission of PCAS to ensure that each pet goes to a home that is aware of
the commitment of pet ownership and is capable and prepared to accept that
responsibility.
• If you or someone in your home have been charged with animal cruelty, you will
NOT be eligible to adopt.
• PCAS reserves the right to limit the number of pets adopted at one time to a
household. We may also require certain animals to be adopted together or to
have restrictions on other pets/children in the home. These requirements and
restrictions are for the safety and happiness of the pets/adopters and to give
every pet the best chance possible at succeeding in their new homes.
• You must be 18 years of age or older to adopt an animal.
• ALL dogs/puppies & cats/kittens are spayed/neutered and given age-appropriate
vaccinations before going to their new homes. This is NOT negotiable.
• If you rent or live in an apartment we MUST have written consent from your
landlord or property manager before you may take an animal home.
• Submitting an application does NOT guarantee your eligibility to adopt an animal.
PCAS reserves the right to refuse any application.
• Please fill out all pertinent questions truthfully. If the application is not completed
or we are provided with false information, your application will be rejected.
• If you have a question about the application, please feel free to ask and we will
assist you.
This application has been designed to assist both you and the shelter evaluate the type
of pet you are looking for and what would be the best fitting pet for your home and
lifestyle.
Name of Animal: ________________________________ Dog
Date: ___________
1
Name: ________________________________ Age: _________ DOB: ____________
Home Phone: ________________________ Cell Phone: _______________________
E-Mail: __________________________________________
Address: _________________________________________________________
City: ______________________ State: ________ Zip: ______________
Occupation: _______________________________
Number of Adults in the Home: ___________ Number of Children: ___________
Please list the name, age & relationship to yourself of each person currently living in
your home (ex-Mary, spouse, 35)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Does anyone in your home have any known dog allergies: □ Yes □ No
If yes, Please explain: ______________________________________________________
Do all adults in your household know you plan to adopt? □ Yes □ No □ N/A
Have your children ever been around dogs? □ Yes □ No □ N/A
Has your child ever been bitten by a dog? □ Yes □ No □ N/A
If yes- Please explain:
________________________________________________________________________
________________________________________________________________________
Your type of dwelling: □ House/Trailer □ Condo □ Townhouse □ Apartment
□ Own □ Rent Length of time at current residence: ___________________
If Renting- Landlord/Property Manager name: _______________________
Phone number: ______________________
Pet Deposit required? □ Yes □ No If yes, Cost? _________
Do you plan to move in the next 6-12 months? □ Yes □ No
2
Why do you want to adopt at this time?
□ Companion for you/ family/ another pet □ Guard Dog
□ Gift (For Whom) ________________ □ Other _____________________
Will this pet be:
□ Indoors □ Mostly Indoors □ Outdoors □ Mostly Outdoors
Where will your new pet sleep at night? _____________________________________
How many hours average per day will your new pet be left alone?
□ 0-4 □ 4-8 □ 8-12 □ 12+
Do you have a fenced yard? □ Yes □ No
Will you ever have your dog on a tie out? □ Yes □ No
If yes, do you have proper shelter for the dog? □ Yes □ No
Do you travel often? □ Yes □ No
If yes, where will your new pet be staying while you are away?
________________________________________________________________________
Which of the following situations would lead you to re-home your pet?
□Moving
□Fleas or sheds too much
□Finished school/ moving back home
□Children will no longer care for dog
□Getting a divorce or married
□Pet has grown old
□Would not give up for any reason
□ Having a baby
□ Destructive behavior
□ Too expensive
□ Allergies
□ Grew too big
□ Got a new pet
What would you do with your pet if you could not keep it for the reasons above?
________________________________________________________________________
________________________________________________________________________
Have you ever surrendered or re-homed a pet? □ Yes □ No
If yes, Why? ________________________________________________________
3
Please list current pets here:
Name
Age
Type/Breed
M/F
Spayed/Neutered
(If additional space for animals is needed, please let us know.)
Current veterinarian: ______________________________________________________
Veterinarian Address: ________________________________________________
Veterinarian Phone Number: _______________________________
Are your current pets up to date on vaccinations? □ Yes □ No
If you do not currently have pets, what veterinarian do you plan to use?
________________________________________________________________________
Are your dog’s taxes current? (Preston County Residents Only) □ Yes □ No
If you are from out of state are you aware of local dog licensing regulations and willing/
able to complete the necessary paperwork to have your dog licensed for your area?
□ Yes □ No
If you have experience with the breed of the dog you are interested in, please include
that information here:
________________________________________________________________________
________________________________________________________________________
__________________________________________________________________
4
Is there anything else you would like to tell us that you think would be important when
considering your application?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
How did you hear about this pet’s availability for adoption?
________________________________________________________________________
Please read and sign below: Many factors determine which applicant will be matched
with a particular pet. If you are not chosen for this pet, it does not mean that you are
not considered a good pet owner or that your home is not acceptable. Our goal is to
place all animals into homes that will best suit their individual needs. Please ask for
clarification if you have any questions.
□ I have completed this application truthfully and fully understand the adoption
process.
Signature: ________________________________________ Date: ______________
5
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The Preston County Animal Shelter-Dog Adoption Application (Preston County Commission)

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Completed 18 July 2020

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