Pet Adoption League
P.O. Box 206,
 Hackettstown, NJ  07840
(973) 584-0095

Dog Pre-Adoption Application 

Date  _______________ Interested In _________________________________________________

**I understand that by filling out this pre-adoption form I am not obligated to adopt a dog/cat through the Pet Adoption League nor is the Pet Adoption League obligated to adopt a dog/cat to me.  Adoptions are at the sole discretion of the Pet Adoption League.  **Your initials ___________

Name  _________________________________________________________________________

Address  ________________________________________________________________________

City     ___________________               State                   Zip                  

E-mail Address                                                                                                                                      

Home Phone   _________________________    Work Phone   ____________________       _____  

1.  Is this dog being adopted for yourself or for someone else?  Self  q Someone else q

2.  In what type of housing do you reside?  Apt/Condo  q  Townhouse  q  Single Family  q

3.  Do you Own  q  or Rent  q                          If renting, does your lease permit pets?  Yes  q  No  q

                         Is there a size or weight limitation?  Yes  q  No  q

                         Landlordís Name       _____________________   Phone Number                                

4.  Do you live on a busy street?  Yes  q  No  q

5.  Do you have a yard that is fully fenced?  Yes  q  No  q  Describe                                                         

6.  If no fence, what method will you use to take the dog outdoors?                                                             

7.  In your home, how many Adults?  ______  Children?  ______  Ages of Children?                 

8.  Are you aware of any allergies in your household?  Yes  q  No  q  Describe                                             

9.  Why do you want to adopt this dog?                                                                                                      

10.  Are you fully aware of the cost of food and veterinary care?  Yes  q  No  q

11.  Are you willing to take responsibility for this dog for the rest of its life, up to 10-15 years?  Yes  q  No  q

12.  Will this be your first pet?  Yes  q  No  q

      How many pets do you currently own?  Dog ____ Cat ____ Other ____ Type                                     

      If you currently own a dog, what type/breed of dog?  ___________________  Sex  ______      

      What pets have you owned in the past?    ______________________________________________  

      What happened to them?        _____________________________________________________    

      Were/are your pets Spayed/Neutered?  Yes  q  No  q  if no, why? 

13.  Who will have primary responsibility to care for this dog?       _____________________________       

14.  Will you take this dog to obedience training as needed?  Yes  q  No  q

15.  How many hours per day will this dog be left alone?       

16.  Where will the dog be kept during the day?    ____________            At Night? ____________________

17.  How do you plan to exercise this dog?    ___________________________________________          

18.  Do you agree to have this dog spayed/neutered?  Yes  No  q

19.  Who is your vet? (name/town) 

20.  May we check with your vet as a reference?  Yes  q  No  q  Phone     ______________________       

21.  List two personal references ( Non family):

Name  ________________________________________   Phone  _________________                     

Name  _________________________________________  Phone  _________________                     

22.  How did you hear about PAL (if newspaper, which one)?   __________________________________ 

23.  Are you interested in:  Foster care?  Yes  q  No  q  Volunteering?  Yes  q  No  q

This section for PAL Use Only:

Pet adopted __________________________     Tag Number: _____________    Date: _______________

Place: _______________________________     PAL Representative: _____________________________