Dog / Puppy KittyAdoption Application

Dog / Puppy KittyAdoption Application

PAW PARENT
Name or Litter of dog /cat you are interested in:
Your Name

First NameLast Name
Email
A confirmation will be sent to this email.
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Occupation
PET SECURITY & SAFETY
Select the option that best describes your current home or primary residence:

HouseApartmentCondoBoatDormitoryOther
If Other type of residence, please explain:
Select the option that best describes your residency:

OwnerRent/ TenantOther
Do you have permission from your landlord to have a dog/puppy live on the property?

YesNoUnsure
Landlord's Name:
Landlord's Phone #:
Please enter a valid phone number.
How many members are in your household (including yourself)?
Are there any babies, toddlers or young children that live in your household?

YesNo
What are their ages?
Does every member of your household agree to the adoption of this pet?

YesNo
Is any member of your household allergic to pets or animials?

YesNo
If allergic, please explain:
PET SECURITY & SAFETY
Please select the type of living situation you plan for this dog/cat

Indoor (Only)Indoor/ Outdoor (Combo)Outdoor (Only)
Is the dog/cat allowed on the furniture?

YesNo
Where will your dog /cat sleep (be specific)?
Do you have a dog door at your residence?

YesNo, but I plan on installing oneNo, and I do not plan on installing one
Do you have a private fenced yard?

YesNo
What percentage of the time will the dog be in the yard?
Do you share your yard with anyone else?

YesNo
Please describe the type of fencing you have surrounding your yard:
(e.g. wooden, chain-link, concrete, etc.)
How high is your fence (at its lowest point)?
Will you Tether your dog/pup outside and how long?
Are you certain your yard and fencing are secure enough for dog?

YesNoUnsure
Do you have a swimming pool on your property?

YesNo
Is the pool secure and gated?

YesNo
PET SECURITY & SAFETY
Please choose the option that best describes your employment status:

Employed Full-timeEmployed Part-timeUnemployed/ In-between JobsRetired
When you are at work, where will the dog be?
Will anyone in your household be home when you are at work?

Yes, alwaysYes, sometimesNo
At the moment, is anyone at your home during the day?

Yes, alwaysYes, sometimesNo
When you go on vacation or a trip, who will care for your dog/cat? (select all that apply)

sitter homeSomeone to visit/feed, but doesn't stayFriend or Relative's HomeBoarding KennelVeterinarianOther
Why did you pick the breed you picked?
Do you currently have any other pets/animals living in your household?

YesNo
What kind of pets/animals?

Dog(s)Cat(s)Bird(s)Reptile(s)LivestockOther
Are they dog friendly? Any behavior issues?
Please describe the other dog(s) cats that live in your household?
(i.e. breed, age, sex, etc.)
Is the other dog(s)/ cats in your household spayed or neutered?

YesNo
Please explain why the other dog(s) cats (s) are not spayed or neutered:
Have you ever had a dog/cat before?

YesNo
How many years of experience do you have as a dog/cat owner?
Have you ever had a dog (or another beloved pet) pass away before?

YesNo
What happened to him/her?
Under what circumstances would you consider giving up/ surrendering your dog /cat (check all that apply)?

Behavior problemsBig vet billsJob change/lossMovingDog loses control of bladder/ bowelsDog develops chronic illness/disabilityDog does not meet my expectationsDog nips at strangersDog nips/bites kidsDivorce/SeparationOld AgeNone of the aboveOther
If Other type of circumstance, please explain:
If your dog/cat were to develop or have behavior issues (i.e., nipping, biting, barking, digging), will you be willing to consult a trainer to try to rectify the situation before giving the dog/cat up?

YesNo
If you are not willing to consult with a trainer, please explain why not?
PET SECURITY & SAFETY
Have you ever been responsible for losing a dog/cat (or another pet) before?

No
How did you lose that pet?
If your dog/cat gets out, which of the following will you do (check all that apply)?

Search the local area by foot and vehicleCheck shelters/rescuesPut up signsPut up ads in local mediaTake flyers door to doorOther
What was the surrender process?

Gave to friend or relativeFound pet a new home through social mediaSurrendered pet to local shelterSurrendered pet to animal rescue/ adoption groupOther
In the past, have you ever been forced to give up your dog/cat (or another pet) before?

YesNo
If Other type of surrender, please explain:
What will you do if/when your dog/cat gets sick or injured?
Do you know how much veterinary care typically costs?

YesNo
Are you prepared to spend the money for proper care of your dog/cat, if needed?

Yes, whatever the costsYes, but within reason or limitsNo
If you have cost limitations, please explain:
Do you currently have a trusted veterinarian?

YesNo
Name and Phone of your veterinarian:
PET SECURITY & SAFETY
What will you do if/when your dog/puppy / cat misbehaves (e.g. chews your favorite shoes or furniture)?
How will you get your dog/puppy to do what you want him or her to do?
Have you ever trained a dog/puppy ?

YesNo
Do you plan on declawing cat/kitten

YesNo
Do you think it is necessary for your dog/cat to wear a tag or be microchipped and get yearly vaccination?

Yes, all the timeYes, occasionallyNo
A pet requires a lot of people attention. Are you prepared to spend a lot of time with your new pet (for the rest of it’s life)?

YesNo
Are you prepared to make a commitment to provide love and care for this new pet (up to 15+ years, if time permits)?

YesNo
By checking the following boxes, I am agreeing to the following statements:*

All information I shared in this form is accurate and true to the best of my knowledge.I understand that filling out this application form is NOT a guarantee of adoption.If my application is approved, I agree to pay the appropriate adoption fee to help offset the high cost of RescueAny Dog or puppy not altered will be brought back on assigned date to be altered.And will be followed up on by staff.Other
I consent to unannounced drop in visits to check on the welfare of the animal.If for any reason we feel the animal is being neglected or abused or needs not being met,You agree to surrunder the dog back to us willingly and without protest. you agree to pay all medical cost to the rescue within 2 weeks of invoice. You agree to keep the animal on prevention and regular vet visits for appropriate vaccines and care. You agree for any reason you cannot keep the dog you will contact us .

You agree to inform us of what vet you use and give us access to the records when necessary. You agree the animal will not be left outside alone for extended amount of time and never at night.Unless specified we do not condone or allow our animals to be left outdoors as a form of housing. This is grounds for removal..
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