Adoption Application

Adoption Application

Please fill out completely and honestly. Please do not provide answers you think we want to hear. Dogs are a big commitment of time and money and some rescue dogs can be especially shy, nervous or anxious - we owe it to them to be honest and forthcoming of the type of life you can provide them. Thank you.
Your name*

First NameLast Name
Age of applicant*
Support 4 Paws requires adopters to be 21 or older
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is your residency status?*

I live here all yearI'm a snowbird
If you're a snowbird, do you drive or fly to and from the desert?

DriveFly
Do you rent or own?*

RentOwn
Does your lease allow pets?

YesNo
May we visit your home?*

YesNo
If you rent, please provide landlord's name

First NameLast Name
Landlord's phone number

Area CodePhone Number
Name of dog you're interested in?
Pet Ownership History
Please list any animals that are currently in the household. Provide type of animal, breed, name, age, approximate weight/size, and how you acquired the animal (breeder, shelter, friend, etc.). If none, type 'none.'*
Please provide some detail on your history with pets. Did you grow up with pets? What types of pets have you had in the past? Where were the animals kept? Anything you'd like us to know. If you've never had pets, please indicate that.*
Are all your current household pets up to date on vaccinations - specifically rabies and Parvo/Distemper?*

YesNoI don't have any pets currently
Are all your current cats or dogs spayed or neutered?*

YesNoI don't have any cats or dogs currently
If you answered 'No' above please provide more information why your pet isn't altered.
Household Information
In the box below please list names and ages of all household members, including children. Support 4 Paws requires that all household members are aware and support the dog's adoption. Also, all household members will be required to meet the dog prior to the adoption. If you live alone, please state that.*
Who will be responsible for the dog?*
Which best describes your home?*
Please describe your yard. If your yard is fenced, how tall is the wall or fence? What type of fence do you have? If you live on a golf course, please describe how you will keep a dog from getting out of the yard.*
Do you have a pool?*

YesNo
If you have a pool, is it fenced? How would you keep the dog safe? Please explain.
Where will this dog be kept when you're not at home?*
How many hours will the dog be left alone during the day?*
If the dog is left alone for more than 5-6 hours, how will your provide a break for the dog?
Where will the dog sleep?*
How will you provide daily exercise for the dog? Some dogs require more exercise than others. Please be honest if you don't want to walk a dog so we can find a dog that fits your needs.*
Is there any circumstance in which you would give up this dog?*

YesNo
If you answered 'Yes' above, please explain in which situation(s) you would give up your pet.
Do you have a plan for this dog if you are no longer able to care for the dog or if you should pass?*

YesNo
If yes, please briefly describe your plan.
If you don't have a survival plan for your dog, please make one. It is important to ensure that your animals will be cared for if you're no longer able. Make sure family members are aware and also add instructions in your will.
Consent
Have you ever been convicted of animal cruelty, neglect, or abandonment?*

YesNo
Do you agree that, if for any reason, you need to relinquish the dog, you will contact Support 4 Paws? Under no circumstances is the dog to be rehomed, taken to a shelter or abandoned.*

YesNo
Do you understand and agree that Support 4 Paws can't guarantee temperament or behavior of any dog? The dogs have been fostered and you will be informed of any known or observed behaviors.*

YesNo
Do you understand and agree that there is an inherent risk with frightened or fearful dogs that may lead the dog to scratch or bite you or others in your home?*

YesNo
Do you agree that you will not hold Support 4 Paws liable for any injuries you may sustain from your new rescue dog? Support 4 Paws will not knowingly place an aggressive dog into a home but can't guarantee how the dog will react in a new environment.*

YesNo
To minimize risk to you, the dog, and others, Support 4 Paws suggests that your new dog is not taken out in public for 2 weeks so that they have time to adjust and settle. Support 4 Paws doesn't support taking dogs to dog parks where they may become over-stimulated and over-excited potentially leading to unpredictable or undesirable behavior. A rescue dog should be socialized thoughtfully by taking leashed walks and responsibly introducing the dog to other people - including kids as long as the kids have been instructed how to properly interact with a dog. Do you agree to abide by the above?*

YesNo
Do you understand and agree that if a dog is returned to Support 4 Paws that any fees paid are nonrefundable? Support 4 Paws will provide you with a donation receipt since you no longer have the dog, the adoption fee would be treated like a donation.*

YesNo
Do you agree that you have read and understand all of the questions above and that you have provided complete and accurate information?*

YesNo
Signature. By signing you certify the above statements to be true and correct and authorize verification of all statements presented in this application.*
Should be Empty:

Adoption Application

Pet Ownership History

Household Information

Consent