Mason County PAWS Humane Society Pet Adoption Application 2023

Mason County PAWS Humane Society Application for ADOPTION

Please Fill out this form to be considered for an adoption of a DOG or CAT
Name*

First NameLast Name
Address: Street Number*
NUMBER AND STREET
Address: City, Sate & Zip Code*
Email Address*
PHONE NUMBER*
Please enter a valid phone number.Format: (000) 000-0000.
Type of Pet*

CatDogOther
NAME OF THE PET YOU WISH TO ADOPT*
Best time to call
Please describe your household

ActiveNoisyQuiet
What type of home do you live in?

Single FamilyTownhome/condoApartmentFarmOther
Do you:

OwnRent
Does anyone in the family have a known allergy to cats/dogs?*

YesNo
Is everyone in agreement with the decision to adopt a dog/cat?*

YesNo
Are your current pets up to date on vaccines?

YesNoI do not currently have pets
If your pets aren't up to date on vaccinations or spayed/neutered - Why?
Are these pets spayed/neutered?

YesNono current pets
Have you ever surrendered/rehomed a pet?

YesNo
Have you ever had a pet euthanized?

YesNo
How do you correct unwanted behavior in a DOG?
How do you correct unwanted behavior in a CAT?
If you have pets, do you have a regular veterinarian?

YesNo
Veterinarian's name
Clinic Name
Clinic Address
Clinic Phone
Format: (000) 000-0000.
Where will your adoptive dog/cat spend the night?
Providing PAWS with this information you are allowing PAWS to call your vet. Please call your vet and ask them to authorize the release of information to PAWS
Number of hours (average) dog/cat will spend alone?
Who will have primary & monetary responsibility for this dog's/cat's daily care?
How many adults reside in your household?
Occupation?
How many children reside in your household? - ages?
Do you agree to provide regular health care provided by a licensed veterinarian?

YesNo
Do you agree to contact PAWS if you can no longer keep this cat/dog?

YesNo
Are you willing to let a representative of PAWS visit your home before being considered for adoption? By appointment?

YesNo
Where will your adoptive dog/cat spend the day?
VOLUNTEERS are needed for the following, please mark what you would be able to help PAWS with:

EVENTSFUNDRAISERSSOCIAL MEDIAADMINISTRATIVE
Type a question
All the information I have given is true and complete.

This dog/cat will reside in my home as a pet.

I will provide it with quality dog/cat food, plenty of. freshwater, indoor shelter, affection, annual vaccinations, and medical treatment under the supervision of a licensed Veterinarian.

If I cannot, I will contact Mason County PAWS Humane Society at paws@masoncountypows.org

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Signature
Date

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Date
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Mason County PAWS Humane Society Application for ADOPTION