Paws Across the Water Adoption Application
Name of Dog You Wish to Adopt
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If this dog is already matched are you open to another suitable dog match?
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yes
no
1. Applicant Name
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First Name
Last Name
Date of Birth
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Month
-
Day
Year
Date
Occupation
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Phone Number
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Email Address
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example@example.com
2. Second Applicant Name (if applicable)
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First Name
Last Name
Date of Birth
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Month
-
Day
Year
Date
Occupation
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Phone Number
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Email address
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Household Address
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Street Address
Street Address Line 2
Town/City
Province
Postal
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Joint Annual Income
Please provide links to your social media accounts.
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Are there children in the home? If yes, please state their names and ages. If none, say "No".
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Are there any other people living in this household, besides those listed? (If yes, please explain further, so we have a better appreciation of the household)
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Who will have Primary Responsibility for this Dog?
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What are your reasons for wanting this dog?
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Companion
Guard Dog
Agility
Hunting
Jogging Buddy
Walking Buddy
Couch Warmer
Friendship
Therapy /Support Dog
Other
How would you describe yourself?
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Nervous
Loud
Calm
Quiet
Other
When it comes to dogs, I usually
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require them to learn and follow commands
encourage good behaviour and not reward bad behaviour
give in to my dogs behaviour and demands
Other (explain)
Are there any allergies in the family?
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Have you had a dog before?
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If yes, what happened to them?
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If no, state N/A
If you currently have other dogs, their name(s) and ages
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If none, state N/A
Are your other dogs spayed/neutered?
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If none, state N/A
Do you own other types of pets? What type?
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Other pet name(s) and ages
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If none, state N/A
Are your other pets spayed/neutered?
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If none, state N/A
If you have other pets, are their vaccinations current?
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Please Select
Yes
No
N/A
Your current pets' disposition and behaviour towards other dogs?
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(ie) Friendly, aloof, cautious, anxious, jealous, aggressive or N/A
How much will dog food cost monthly?
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How much will vet care cost annually?
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How much will grooming cost you annually?
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How much will dog walkers cost monthly?
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How much will dog sitters cost annually?
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We strongly recommend that our adopters obtain pet insurance. What are your thoughts on this?
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Do you own or rent your home?
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Own
Rent
How long have you lived in your current home?
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Do you have a yard?
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Yes
No
If "Yes" to the above, is it fenced? please describe (If no, state N/A)
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(ie fully or partially enclosed, 4 foot chain link fence with 4 ft secure gate, 6 foot wooden fence with 6 foot secure gate, snow fence, 3 foot picket fence etc)
If you rent, please provide your landlord's information here:
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If you do not rent, state N/A
What is your landlord's pet policy?
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If you do not rent, state N/A
Have you ever surrendered or given up a pet?
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Yes
No
If you answered "Yes" to the above question, please provide detail:
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If you answered no, state N/A
How would you describe your schedule?
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Very busy
Busy
Not Busy
Other
How many hours per day would the dog be alone?
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Where will your dog stay during the day?
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Where will your dog stay at night?
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How many hours exercise (per day) can you provide your dog on weekdays?
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Important that this is realistic for you
How many hours exercise (per day) can you provide your dog on weekends?
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Important that this is realistic for you
What form of exercise would you enjoy with your dog?
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On leash walking
Off leash walking
Off leash dog parks
Hiking
Jogging
Other
Will you crate your dog?
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If you have to leave town, emergently or planned, where would your dog stay?
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Are you planning on the following in the near future?
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Moving
Holiday
Change in Schedule
Change in Environment
Other
Type of Dog You Are Looking For
Sex
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Male
Female
No Preference
Coat
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Long
Medium
Short
Non Shedding
No Preference
Age
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Puppy
Adult
Senior
No Preference
Size
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Small
Medium
Large
Giant Breed
No Preference
Breed/Type/Colour
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Issues you are willing to work on?
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Fearfulness
Housetraining
Mild Aggression
Separation Anxiety
Vocalization
Resource Guarding
Obedience
I need more information to decide
It is essential that any dog I adopt be:
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Friendly with children
Friendly with other pets
Friendly with me
Friendly with Visitors
Enjoy being Held
Enjoy being Groomed
Enjoy being Held
Enjoy being Petted
Calm
Playful
Quiet
Independent
Trained
Other
Check the answer that applies to you
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I need a dog that is already trained
I am a first time dog owner
I have obedience trained before
I have a lot of experience and could manage a difficult pet
Other
Under what circumstances would you return a dog?
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Moving
Too Costly
New Baby
Aggression
Medical Challenges
Not enough time
Behaviour Issue
Other
How would you deal with behavioral issues such as barking, chewing, destructive behaviour, bathroom accidents indoors, unruly leash behaviors in your dog?
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Bad dog habits I cannot tolerate are:
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Would you agree to go to obedience training classes? Please note we require first time dog owners to sign up for obedience training. We also may require training for certain dogs. We strongly recommend training for all adopters as a bonding mechanism.
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Please Select
Yes
No
Maybe
If you answered "no" or "maybe" to the question above, please explain?
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If you answered yes, say N/A
Have you ever been convicted of an animal related crime, such as cruelty to animals, animal theft, or animal abandonment?
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Yes
No
Why do you think this particular dog would be a good fit for your family?
Is there anything else you would like to tell us about yourself and why you want to adopt this dog?
Do you have any other adoption applications in progress? If yes, at what stage are you in the process?
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How soon could a dog join your home? Please explain if there are circumstances that might cause a delay.
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References
Veterinarian and Clinic Name
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Please note we will be contacting your veterinarian's clinic and they will need permission to speak with us. Let them know to expect our call.
Vet Clinic phone number (please give them permission to speak to us, as we will be calling them for a reference)
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IN ADDITION: If you have been at the above vet clinic for less than 3 years, please note down the previous vet clinic's name, phone number and email here (if you had one), and give them permission to chat to us. Thank you!
1. Reference Name (Max 1 family member as a reference)
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First Name
Last Name
Phone Number
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Email
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example@example.com
2. Reference Name
*
First Name
Last Name
Phone Number
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Email
*
example@example.com
3. Reference Name
*
First Name
Last Name
Phone Number
*
Email
*
example@example.com
How did you hear of Paws Across the Water?
Friend/Family
Instagram
Facebook
Adoptapet
Petfinder
Our website
Other
By clicking the submit button, I agree to Paws Across the Water Inc. ("PAWs") adoption process, and understand I will undergo a homecheck, and interview at the discretion of PAWs.
By clicking the submit button, I understand PAWs will check my references, including veterinary and personal. I will give my vet's office permission to speak to a PAWs representative.
By clicking the submit button, I understand there is an adoption fee associated with adoption of a dog from PAWs and that a $200 deposit applies to any puppy not yet neutered/spayed in addition to the adoption fee. I understand this adoption fee will ensure the organization is equipped to rescue another homeless pet and this fee is non-refundable.
By clicking the submit button, I understand that there is no guarantee that I will be approved to adopt a dog from PAWs.
By clicking the submit button, I agree that, if I am approved to adopt a dog from PAWs, the adoption will not be complete until I have signed the adoption contract and paid the adoption fee. I understand that I will be bound by the terms and conditions of the adoption contract.
By clicking the submit button, I consent to PAWs collecting and using my personal information for the purpose of contacting me to keep me informed of important campaigns and to ask for support, and will from time to time telephone, email and send mail to me.
By clicking the submit button, I verify all of the above information is true and accurate.
Please verify that you are human
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Signature of Potential Adopter
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By typing your name above, you agree to the above terms and conditions.
Submit
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