PAWS Adoption Application

Adoption Application
I am ready to adopt now/as soon as possible.I won't be ready to take a new pet home for one month or more.
CatDog
I am interested in a specific pet:
Please provide animal name and ID# if known. If you do not have a specific pet in mind, please leave this field blank.
I would be interested in adopting another pet.I would not wish to proceed with my application; I am only interested in this specific animal.
Full Name*

First NameLast Name
E-mail
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Birth Date*

MonthDayYear
How many years have you lived at your current address?*
Previous address, if less than 3 years at current address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
You must have a driver's license or other government-issued photo ID to adopt a pet.
ID Type:*
ID #:*
RentOwn
Landlord name:
Landlord phone:

Area CodePhone Number
Name(s) of other adult(s) living in household (if any):
Ages of children living in household (if any):
YesNo
YesNoYes, but they aren't mine.
Current Pet Information (if any):
1. Name
Species
Breed
Sex
Age
Owned Since:
YesNo
2. Name
Species
Breed
Sex
Age
Owned Since:
YesNo
3. Name
Species
Breed
Sex
Age
Owned Since:
YesNo
Past Pet Information (if any):
1. Name
Breed
Species
Age
Years Owned
ex. 1995-2001
YesNo
2. Name
Breed
Species
Age
Years Owned
ex. 1995-2001
YesNo
3. Name
Breed
Species
Age
Years Owned
ex. 1995-2001
YesNo
Your Current or Past Veterinarian Info (if any):
Veterinarian Name:
Veterinarian Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Veterinarian Ph #:

Area CodePhone Number
Name/Address of Person on File with Veterinarian, if not you:
_________________________
Given/sold a pet to another personGiven a pet to a shelterHad a pet run awayHad to euthanize a petHad a pet die in your care
YesYes, but only mildlyNoUnsure
YesNoIt's a surprise
How much do you anticipate spending yearly to care for your pet (food, supplies, medical care, etc.)?*
How much do you anticipate spending on your pet if a serious medical condition/emergency arises?*
How many years do you expect to own this pet/how long do you expect this pet to live?*
What is the longest amount of time your pet would be left alone during the day?*
Inside onlyInside with free access to outsideInside with supervised time outsideOutside onlyDog penCrateBasementGarageOther:
Please explain what "other" location you mean:
Inside onlyInside with free access to outsideInside with supervised time outsideOutside onlyDog penCrateBasementGarageOther:
Please explain what "other" location you mean:
How much time are you willing to give an animal to adjust to its new home and learn proper behaviors?*
YesNo
YesNo
FOR CAT ADOPTION:
CompanionshipMouserGiftOther:
Please explain what "other" reason you have for wanting to adopt a cat:
YesNoOnly if it scratchesI don’t know what this is
FOR DOG ADOPTION:
CompanionshipGuarding/ProtectionGiftOther:
Please explain what "other" reason you have for wanting to adopt a dog:
I own a dogI have owned a dog beforeI have lived with a dog beforeThis would be my first dog
SIZE: I would like a dog that is no smaller than (lbs.):
leave blank if no preference
SIZE: I would like a dog that is no larger than (lbs.):
leave blank if no preference
AGE: I would like a dog that is no younger than:
leave blank if no preference
AGE: I would like a dog that is no older than:
leave blank if no preference
Can live with childrenCan live with other dogsCan live with cats
Needs a couple of potty breaks but is otherwise a couch potatoNeeds at least two 30-45 minute walks per dayCan join me when I go on runsOther
Please explain what "other" exercise needs you would be comfortable with:
_________________________
Not enough time for petShedsNew babyScratches furnitureVet costs too expensiveIf I or someone in my household becomes allergicIf the pet becomes aggressiveLitter box issuesNot allowed in new living spaceMoving too far away to bring pet with meToo playful/jumps on furniture, countersSeparation Anxiety / barkingPulls on leashPossessiveness (toys/food)Other:
Please explain what "other" reason you may need to return a pet to PAWS:
Introducing childrenIntroducing other petsHousebreakingLitter trainingCrate trainingObedience trainingScratchingChewingDog parksOther:
Please explain what "other" topic(s) you would like to discuss:
Do you have any questions?
Friend/Family MemberCommunity Event (please note below)Online (please note site below, if known)Radio/TV (please note station below, if known)Other (please note below)
Event, Web Site, or Radio/TV station where you learned about PAWS, if any:
Conditions of Adoption (please check EACH item to indicate your acceptance):
I will not sell, give away, or transfer this animal to another person or entity.
In the event I can no longer keep this animal I will return him/her to PAWS.
I will provide all necessary shelter, food, water and veterinary care for this pet.
I will comply with all animal related city ordinances and state laws.
As part of the adoption contract, I agree to allow a uniformed agent of PAWS to inspect the shelter arrangements of this adopted pet and its health. If such an inspection takes place it will be at a time convenient for both parties.
Absolute ownership of this pet will remain with PAWS, therefore, if I am suspected, and found neglecting or abusing this animal, PAWS has the right to take the animal back into its care.
I certify that I have never been charged with animal cruelty.
I acknowledge that PAWS can make no guarantees with regard to the behavior or health of the animal I am adopting. I understand that this animal was a stray, unwanted or abandoned animal. It is possible that the animal did not receive veterinary care prior to his/her arrival at PAWS. Therefore, the animal could be harboring a disease that is not immediately detectable.
I understand that adoption fees include sterilization (spaying/neutering), the first set of vaccines and microchipping. I understand that I may bring my pet to PAWS for up to 21 days post-adoption for medical evaluation. If the condition is beyond PAWS ability to provide care, I may either take my pet to a private veterinarian at my own expense or return ownership of the pet to PAWS. PAWS will not be responsible for any fees incurred by me should I choose to seek medical treatment elsewhere.
Please enter your name as your electronic signature, certifying that the information you have provided on this application is true to the best of your knowledge:*
Enter the message as it's shown*
Should be Empty:

Adoption Application

You must have a driver's license or other government-issued photo ID to adopt a pet.

Current Pet Information (if any):

Past Pet Information (if any):

Your Current or Past Veterinarian Info (if any):

_________________________

FOR CAT ADOPTION:

FOR DOG ADOPTION:

_________________________

Conditions of Adoption (please check EACH item to indicate your acceptance):