Do-Over Paws Adoption application

Do-Over Paws Rescue Society 🐾

Adoption Application Please read this application, and fill it out below. This information will help us screen you.

Name of dog/puppy you are interested in

Full Name

Driver's license #

Street Address City/State/Zip phone#

Street Address

City

State

Home #

Cell #

Email

example@example.com

Employer How long at Current job

Employer

How long at Current job

Please provide two references that are not immediate family

Reference #1

Relationship

Phone #

Years Known

Reference #2

Relationship

Phone #

Years Known

Is your home owned by you and / or your spouse/life partner. Or owned by someone else within the house. Or rented directly from the owner or through property management, or is rented with roommates?

If renting. do you have permission to have a dog?

If renting is your name on the lease?

Landlords name

Landlords phone number

Is everyone in the household in agreement to get a dog/puppy?

How long will the dog or puppy be left alone?

Do you have a fenced in yard? Yes or No

Do you have any animals? If so please list dog/cat and age

If you have an animal please tell us who your veterinarian is.

Veterinarians phone number.

How many people live in the house? Please list name and ages.

Have you ever surrendered a animal before? If so please explain

Use this line as well to explain surrender, if needed