Full Name *

First Name

Last Name

Spouse/Other

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone *

(###)

###

####

Pet's Sex *

Male

Female

Date of Birth (or assumed age) *

MM

DD

YYYY

Altered Date

MM

DD

YYYY

Social Media Agreement (Optional)

By checking the box below, I, the Adoptive Parent, agree that any photos and videos (media) of the Adoptive Pet (including, but not limited to, those with other animals or people in it) I have taken and sent to The Paws Cause Rescue (hereby known as "the Rescue") or have uploaded to any social media page of the Rescue may be used at the discretion of the Rescue, including, but not limited to, uploading to this website. I, the Adoptive Parent, understand that agreeing to this is completely optional and is not required as part of filling out this contract.

I, the Adoptive Parent, agree to allow any media of the Adoptive Pet can be used by the Rescue at their discretion, including, but not limited to, uploading to this website.

Adopter's Signature *

By filling out the First Name and Last Name boxes below, I, the Adoptive Parent, agree the information contained within will be considered my binding signature to this contract. Any false information provided may null the contract.

First Name

Last Name

Date of Signing *

MM

DD

YYYY

Witness Signature *

By filling out the First Name and Last Name boxes below, I, the Witness to the Adoptive Parent, agree the information contained within will be considered my binding signature to this contract. Any false information provided may null the contract.

First Name

Last Name

Date of Signing *

MM

DD

YYYY