NC Pet Adoption League Application

We appreciate your interest in adopting.

If your application is approved, you may adopt an animal on a 2-week trial basis. NC PAL accepts cash, VISA, MasterCard or debit cards. If, for any reason, you decide during the trial period that the animal is not right for you, you may return it to NC PAL for a full refund.

If you have any questions, please email us or phone us at (336) 272-4776. Thank you for wanting to adopt!

 



What type of companion animal are you looking to adopt?

 

Please list the animal(s) you are interested in:

Why do you want to adopt?

 

Please list your current pets' names, ages, and species:

If you have had pets in the past, what happened to them?


 

 

 

Please list all household members' names and ages

:

 

Please list your vet's name and telephone number.


 

 

Please describe in detail where your pet will be living and what type of restraint it will have:

 

Will outdoor-only animal be:
chained
in an outdoor kennel/dog run
in fenced yard
allowed to roam freely

 

Do you have a:

Screened porch
Pet Door
Fenced yard
Balcony

Do you own or rent your home?

Own Rent

You live in a

 

Are you:

Employed Student Retired Stay-at-home parent Other

Where will your new pet sleep?


If you have to move from your current residence, what provisions will you make for your cat or dog?


Do you prefer that a cat or kitten be declawed?

Yes No Not sure

 

Who will have primary responsibility for the daily care of this animal?


 


Please provide the following contact information:

Name
Street address
City
ZIP
Work Phone
Home Phone
E-mail

Special contact or other information you would like to add?