Paws Up Rescue Application

Paws Up Rescue LLC is an all-volunteer, foster based, non-profit, dog rescue organization dedicated to the rescue and placement of stray, neglected and abused dogs. Paws Up Rescue LLC is completely funded through fundraising efforts, public donations and adoption donations. All of our pets are cared for by foster homes and receive complete medical care, which includes disease testing, deworming, vaccinations, spaying/neutering and microchipping prior to their adoption.

The adoption donation is $300

This application is designed to help Paws Up Rescue LLC and yourself determine if a specific dog is the right one for you and your household. All adopting parties are required to complete this form prior to adoption. Paws Up Rescue LLC reserves the right to deny any adoption based on answers to this questionnaire and/or interviews prior to adoptions!

Name of the dog you are interested in:*

Your full name:*

Your age:*

Street Address:*

City, State, Zip*

Home Phone:

Area CodePhone Number

Work Phone:

Area CodePhone Number

Cell Phone:*

Area CodePhone Number

E-mail:*

Employer:*

Are you interested in adopting or foster to adopt?*

AdoptionFoster to adopt

3 character references AND phone numbers (can not be family members, must not live inside the home)*

Are all members of your household in agreement with this adoption?*

YesNoDon't Know

Who will be the pet's primary caregiver?*

Do you live in a*

Do you own or rent?*

OwnRent

If rent, provide name AND phone number of landlord:*

Are there any restrictions from your landlord or subdivision?*

Number of petsSize or weight restrictionsBreed restrictionsNone

Do you have a fully fenced yard?*

YesNo

Height and type of fence*

Do you have any of the following?*

How many adults are in your household?*

How many children are in your household?*

If children, what are their ages?*

Have your children been around animals before?*

YesNo

Does anyone in your home have allergies to dogs or have asthma?*

YesNo

List any pets you own and their ages*

How many of these pets are spayed/neutered? If pets are not spayed/neutered why?*

Are your pets current on flea/tick and heartworm prevention? If yes, what brand?*

If no, why?*

List any pets you have previously owned. Where are these animals now?*

Have you adopted from an animal welfare group before?*

YesNo

If yes, what group?*

Have you ever given up a pet?*

YesNo

If yes, what were the circumstances?*

Please provide the name and phone number of your current and/or previous veterinarian or clinic:*

Do you have any trips planned in the next 3 months?

What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato)*

Are you aware of crate training?*

YesNo

Have you ever house-broken a dog or puppy before?*

YesNo

If the dog has an "accident" in your home, what type of correction do you plan to use?*

How many hours each day will your new pet be home alone?*

Where will your new pet sleep at night?*

How will you supervise the dog's outdoor activity?*

Where will your new dog stay when nobody is home?*

What length of time will you allow your new pet to adjust to his new home?*

Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?*

YesNo

Are you willing to work through your new pet's issues, if any?*

YesNo

Do you understand that a dog can be an 18 year commitment, and can cost $300 - $500 per year to care for?*

YesNo

Do you plan to take an obedience class with your dog?*

YesNoNot sure

If yes, where? If no, why?

Are you aware that a large breed dog takes about two years to mature? Is this something you're prepared for?*

YesNo

What circumstances would lead you to give up your new dog?*

If you had to give up your dog, what would you do with him/her?*

How did you find out about Paws Up Rescue?*

I understand that a completed and approved application is required in order secure a meet and greet and an adoption donation of $300 must be paid and contract must be signed prior to adoption being final.

In consideration of the risk of injury to myself and/or my dog/s while participating in any Paws Up Recue LLC meet and greet and/or adoption events (the "Activity"), and as consideration for the right to participate in the Activity, I hereby, for myself, my heirs, executors, administrators, assigns, or personal representatives, knowingly and voluntarily enter into this waiver and release of liability and hereby waive any and all rights, claims or causes of action of any kind whatsoever arising out of my participation in the Activity, and do hereby release and forever discharge Paws Up Rescue LLC, and their affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and assigns, for any physical or psychological injury, including but not limited to injury, illness, and economical or emotional loss, that I may suffer as a direct result of my participation in the aforementioned Activity, including traveling to and from an event related to this Activity and health conditions of and relating to COVID 19.

I agree to indemnify and hold harmless Paws Up Rescue LLC, volunteers, agents and staff against any and all claims, suits or actions of any kind whatsoever for liability, damages, compensation or otherwise brought by me or anyone on my behalf, including attorney's fees and any related costs, if litigation arises pursuant to any claims made by me or by anyone else acting on my behalf. If Paws Up Rescue LLC incurs any of these types of expenses, I agree to reimburse Paws Up Rescue LLC.

Signature

Paws Up Rescue LLC Adoption Application

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information