Dog Adoption Form

To be considered for adoption you must:

Be at least 21 years old.
Have the knowledge and consent of all adults living with you.
If renting, have consent from your landlord to have a dog at the address listed.
Have verifiable identification. Be a permanent US citizen.
Consent to a home visit, should PAWS request one.
Understand that PAWS Humane Society has the right to deny your application for any reason.

So that we may be assured that the dog you wish to adopt will be best suited for you, your home and lifestyle, and be placed in an environment most compatible with its needs, please provide us with the following information. You will be contacted by a PAWS representative by either phone or email within 1-2 business days after PAWS receives your application.

Dog Adoption Application

Name of dog you are interested in adopting: *

First Name *

Last Name *

Street Address *

Apartment, suite, etc

City *

State/Province

ZIP / Postal Code *

Phone

Cell Phone *

Email Address *

Date of Birth (mm/dd/yyyy) *

Employment

Where do you live? *

Do you? *

Other

If you rent, please provide the landlord's name and phone number so we can verify that dogs are allowed:

Landlord's Name *

Landlord's Phone *

Number of adults in household? *

How many children? *

Age(s) of children? *

Does any member of your household have allergies to animals? *

Have you ever applied for or adopted a pet from PAWS? *

Have you ever had to give up or re-home a pet, including bringing an animal to a shelter? *

For what reason?

Does anyone in the home smoke (cigarettes, cigars, electronic cigarettes/vaporizers)? *

Why are you interested in adopting this Dog? (Select all that apply) *

Companion for another petGiftCompanionshipOther

Other

Dogs often live longer than 10 years and you can expect to spend approximately $1000 a year to feed, vaccinate, license and provide medical care for just one Dog. Are you willing to be responsible for this Dog for its entire life? *

Your pet may take a month or more to adjust to its new home, especially if you own other pets. Are you willing to allow for this adjustment period? *

If other, please describe?

Brand of food you plan to feed

Moist Food *

Dry Food *

Have you had pets living in your home in the past 5 years? *

1. Pet’s Name *

1. Type/Breed of animal *

1. Inside or Outside Pet *

1. Age *

1. Spayed/Neutered *

1. Gender *

1. Still have? *

If you no longer have the pet(s) above, explain why:

Click Here if you have a another pet

I have a second petI have a third pet

2. Pet’s Name *

2. Type/Breed of animal *

2. Inside or Outside Pet *

2. Age *

2. Spayed/Neutered *

2. Gender *

2. Still have? *

If you no longer have the pet(s) above, explain why:

3. Pet’s Name *

3. Type/Breed of animal *

3. Inside or Outside Pet *

3. Age *

3. Spayed/Neutered *

3. Gender *

3. Still have? *

If you no longer have the pet(s) above, explain why:

Describe any additional pets you currently have?

Who is your current veterinarian or vet clinic?

Describe your ideal Dog:

Is this your first Dog? *

How do you plan to train your Dog? *

Are you willing to allow a Paws Representative to do a home visit? *

Do you have a fenced in yard? (eg. Above ground, Under ground ) *

How many hours a day will your dog be home alone?

What would you do with your dog if you had to move? *

If yes, explain why?

Does your pet have a current rabies vaccination and county tag? *

If you can no longer keep this pet, do you agree to retrun it to PAWS? *

If no, why?

How did you hear about PAWS Humane Society?