Dog Adoption Application
This information will help us pair you with the best fitted pup for your home. Prior to approval, PAWS will also run an animal control database background check. Please bring a valid ID with you at time of adoption.
Today's Date
*
-
Month
-
Day
Year
Date
Which dog(s) are you interested in?
*
Adopter's Name
*
First Name
Last Name
Date Of Birth
*
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Month
-
Day
Year
Date
Spouse/Significant Other
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Phone Number
*
Please enter a valid phone number.
Secondary Phone Number
Please enter a valid phone number.
Who is your employer?
*
Are there children in the home? If yes, please list ages.
Please list all other animals in the home (species, age, spayed/neutered).
If you have other pets, what veterinarian do you currently use?
What is your household's general noise and activity level?
*
Busy, loud, active
Moderately active
Less active
Low, quiet, laid-back
Is there any extra information you'd like us to know about your family, home or lifestyle that will help with pairing you with the perfect dog?
I understand that submitting an application online does not hold any animal for me.
*
I understand
Submit
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