Adoption Application

Welcome to Paws Place Adoption Program.
We’re glad that you are interested in adopting a new pet from us. The following information is requested so that we can assist you in the selection of a new pet. The application form and consultation with a Paw’s Place representative is designed to help us determine if the adoption is in the animal’s best interest, and to assist you in finding an animal most compatible with your lifestyle. Please fill out the form below. Fields marked with an asterisk are required.

Conditions to assure a successful adoption:

– Have a vet recommendation. We will call your vet to see if the dog you had, or have has regularly been vaccinated for rabies, distemper, parvo, lepto, bordatella, and has been on heart worm and flea & tick prevention medication.

– You must be at least 21 years of age.

– Provide driver’s license at application time that matches your current address.

– Have consent of your landlord if renting, and provide verification of such consent from landlord.

– Be able and willing to spend the time and money necessary to provide training, medical treatment, and proper care for a pet

Our adoption fee is $225.00. This non-refundable fee helps to defray the costs of food, shelter, heart worm prevention, flea & tick control as well as medical care and spay/neuter for the animals. 100% of the adoption fees are used for the benefit of the animals.

Completion of this application does not guarantee adoption of a Paws Place dog.

Please do not submit an application to adopt until after you have met the dog in person.

All required fields must be completed for your application to be successfully submitted. If your application was successfully submitted you will receive an email confirmation. If you do not receive that confirmation please contact us at info@pawsplace.org

Name of dog you are interested in Adopting*

Applicant Name*
First Last

Co-Applicant (If applicable)
First Last

Who will be the primary caretaker of the dog?*
First Last

Email*

Phone*
Best number to reach you on.

Alternate Phone

Street Address

Address Line 2

City

State

Zip Code

If less than one year, how long at previous address?

Do you plan to move in the next six months?*
No
Yes

Where did you meet the dog?*
At the kennel
At an event
With Paws Place Representative

Date you met the dog.*
Applications will not be processed unless the applicant has met the dog in person. Please do not submit an application before meeting the dog you are interested in adopting.

Have all members of the household met the dog?*
Yes
No
This includes all adults, roommates and children

What characteristics in a dog are you looking for?*

Please complete this sentence. It is most important to me that my dog ....*

Would this be your first dog as an adult?*
Yes
No

Did your family have dogs when you were growing up?
Yes
No

What kind of dog(s) have you had in the past?*

Do you currently have a dog or dogs?
Yes
No

Which of these do you still have? (include name, age, sex and breed so we can call your vet)*

Do they get along with other dogs, cats, people?*
Yes
No

Please describe any issues with other dogs, cats, people that you are aware of.

Other than dogs, are there any other animals in your household?*
Yes
No
This includes, cats, rabbits, ferrets, etc.

Please describe types of animals and numbers.

Have all pets you have owned been spayed/neutered?*
Yes
No

If the pets have not been spayed/neutered, why not?*

What happened to the animals you no longer have?

Why do you want this dog?*
Personal companion
House pet
Watch dog
Guard dog
Hunting dog
Companion for another pet
Other
Please check all that apply.

If other, please explain:*

How many adults live in your household?*

Are there children in your household?*
Yes
No

Ages of the Children*

Are there children that visit regularly.
Yes
No
Grandchildren, nieces, nephews, etc.

Does anyone in your household have animal allergies?*
Yes
No

If yes, who?*

Is someone home during the day?*
Yes
No

If yes, who?*

How many hours each day will the dog be alone?*

Explain:*

Do you own or rent your home?*
Own
Rent
Other

If other, explain:*

If you rent, please provide documentation that you have the owner's permission for this dog to live in your home. (PDF files).

Drop files here or

It has been estimated that the annual cost to care for a dog is between $750 and $1000 per year. This includes food, annual vet care, vaccinations, flea and tick control and heartworm prevention. Are you financially able to provide this care?*
Yes
No

May we call your veterinarian to get a recommendation?*
Yes
No

Please provide your veterinarian(s) contact information.*
Please include practice names, locations and phone numbers of all vets you have used in the past three years and the name of the person that would be on the vet records.

If you are active military, who will guarantee long-term care of your pet until you return from duty and how?

Are you willing to have a representative of Paw's Place come to see where the pet will be living?*
Yes
No

Do you have a completely fenced yard (all 4 sides)?*
Yes
No

What type of fence?

Are there latches and/or locks on all gates?
Yes
No

Would you be able and willing to exercise the dog on a regular basis?*
Yes
No

Where will this pet be kept during the day?*

During the night?*

When you are not home where will the dog spend its time?

Do you drive a pickup?*
Yes
No

Do you (or did you previously) allow a dog to ride in the bed of the truck?*
Yes
No

Would you allow your new pet to ride in the bed of the truck?*
Yes
No

Which method(s) do you allow your pet to ride in the bed of a truck?*
Loose
Chained
Tied
Crated

Applicant Name*
I verify that I am 21 years of age or older.

Comments by applicant:

Co-applicant Name

Date*
Date Format: MM slash DD slash YYYY

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Adoption