Form

Paws Path To Furever
80 Birchwood Road
Glen Rock, New Jersey 07452
Phone: 914-261-7165
Email: pawspathtofurever@gmail.com
Web: www.PawsPathtofurver.com

PLEASE, give careful consideration to adopting. Be sure your lifestyle allows
the time, patience, and expense this pet will need. Adding a pet to your family
is a commitment averaging 10 - 15 years. Adoption fee is payable by Venmo,
PayPal or Zelle. Adoption fee is $600 USD.

Name

First NameLast Name

Co applicants name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.

Email

example@example.com

Name of dog you are applying for?

Why do you want to adopt a dog. Protection? family pet? Companion?

what are you looking for in a dog?

Age of dog ? □ 2 – 6 Months □ 6 – 12 Months □ 1 – 6 Years □ 7 Years +

sex of dog ? (male or female)

Personality? □ Playful □ Calm □ Shy □ Affectionate □ Likes Dogs □ Likes Cats □Likes Kids

Where will the Dog live / sleep? □ Indoors □ Outdoors □ Inside and Outside

Are you willing to take the time to housebreak a dog, and do you understandthat changing a dog’s living environment may causethe dog to have accidents? □ Yes □ No

If you are applying for a puppy or dog that is not house trained, how will youhousetrain? _

If behavioral issues should arise, what actions will you take?

How will you exercise the new dog?

How many hours will the dog be left alone: Daytime? Evening?

When no one is home or during traveling where will the dog stay?If you mustmove, what will you do with your new Dog?

Have you ever been cited for any dog relatedOrdinances? □ Yes □ No

Does your town or city have any Breed Restrictions? □ Yes □ No

Do you agree the dog will NOT be used for fighting, breeding, illegal activitiesor be found at any time in a location where itspresence is illegal? □ Yes □ No

Have all household members met and agreed on a new Dog? □ Yes □ No

What reasons do you feel are valid for giving up a pet? □ Fleas □ Shedding □ Expenses □ Noisy □ Chewing/Clawing □ Destructive □Bites □ New Baby □ Moving□ Marriage / Divorce □ Doesn’t Listen □ Pets Medical Condition □ Don’t HaveTime For The Animal □ Would not Consider□ Other (please explain) ____________________________________________

Have you ever had to give up ownership of a pet? □ Yes □ No (if yes please explain)

Do you currently have any pets? □ Yes □ No

If yes : Pet’s NameType of Pet / BreedSex / AgeSpayed or NeuteredUTD with RabiesUTD with other VaccinesIndoor or Outdoor

Current Veterinarian’s Name and Telephone number?

Is your Residence: □ House □ Condo □ Apartment

If you Rent – Does the Association or Landlord have Breed or SizeRestrictions? □ Yes □ NoIf yes, please explain.

Do you: □ Own □ Rent □ Live w/Parents □ Live w/Friends □ Other (explain)

If you live with Parents, Friends, or Rent – Do you have permission to have aDog? □ Yes □ No

If you Rent, please provide the Name & Telephone number of the Landlord.Landlord Name Telephone

How long at your current residence?

Is your Yard Fenced in? (not a requirement) □ Yes □ No If Yes, type andheight?

Any Holes or Gaps in the Fence? If yes, please explain.

Number of Adults in the household? Number of Children in the household?Adults _______ Children _______

Please list all members living in the household. (Names and Ages)

AGREEMENT AND SIGNATURE
By signing this application I attest that the information provided is true and
accurate and understand false information will result in
denial of adoption. Also, if an omission or untruth is discovered after an adoption
takes place, Paws Path to Furever reserves the right to
annul the adoption and reclaim the animal. While Paws makes every effort to
ensure that all animals available for adoption are
healthy, it is possible that any animal may have an underlying health issue
unknown to Paws or our veterinarian. I hereby authorize
the Paws Path To Furever to receive information from Veterinarians and others
listed on this application.
Signature & Date :

Signature

Co Applicant Signature

Adoption Application

Applicants information:

Canine Information:

PET AND VETERINARY HISTORY