Form
Name of Adoptable Dog:
Name
First Name
Last Name
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Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
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Email
example@example.com
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How many adults/children live in your house, please include ages.
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Describe your household environment:
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Do you own or rent- if rent please put landlord name & number?
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Do you have any pets? Please provide age/breed.
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Do you have a fenced in yard? (Not always required)
Yes
No
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Current Veterinarian & Number:
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How long will your dog be left alone daily & where will they be kept?
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How do you plan on exercising your dog?
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How do you plan on training your dog?
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What will you do with your pet while on vacation?
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Please describe in detail your previous experience with puppies:
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How often do you need to feed your puppy? How often do you need to feed your adult dog?
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How often do you give your dogs flea/tick and heartworm prevention?
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How often does your dog need to go to the veterinarian?
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Please provide 2 references (not in your household) and their phone numbers:
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All the information I have provided is true and complete to the best of my ability. I understand that this is an adoption application and that there is no guarantee that I will be the one adopting this dog. I understand that the volunteers for Pawsitive Rescue Division will be choosing the home that they best see fit for this dog, to the best of their ability. I understand that dogs are a lot of work, can be very time consuming in the beginning stages of life, and are a lifelong commitment. I am willing and able to dedicate the time, training, structure, and am committing to anything this dog may need throughout the entirety of their life. Please sign and date.
I understand and agree (if the dog I am adopting is not already altered) to spay or neuter my dog in between six and eight months, unless otherwise stated by the veterinarian. This helps prevent puppies from getting altered too soon and causing health problems later in life. Once they are altered, I will email a copy of the certificate to pawsitiverescuedivision@gmail.com. Providing Pawsitive Rescue Division with the copy of the spay/neuter certificate, helps us with our ongoing mission of overbreeding and reducing the number of dogs and puppies without homes. Please sign and date.
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I give consent for Pawsitive Rescue Division to call and do a reference check for both my veterinarian and two references I have provided. Please sign and date.
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I give consent for Pawsitive Rescue Division to complete a virtual or in-person home visit to the address that I have provided. Please sign and date.
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Pawsitive Rescue Division Volunteer I spoke with:
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