Adoption Application

Interested in:*

Adopting
Fostering
Fostering with potential to adopt

PAWS dog/puppy most interested in

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email

Employer

Occupation

Spouse's Name

First Last

Spouse / other adult employer

Spouse / other adult occupation

Name of Personal Reference

First Last

Relationhip

Personal Reference Phone Number

Number of Adults in Household

Number of Children

Ages of Children

Are all the adults in the household aware that you are adopting a dog / puppy?

yes
no

Who will have primary responsibility for this pet?

First Last

Primary caregivers age

Does anyone in the household have pet allergies or asthma?

Yes
No

Why did you choose this particular dog / puppy?

Residence Type

Single Family Home
Townhome
Apt / Condo

If you rent, does your lease allow animals?

Yes
No
I do not rent

*We will verify this.

Are there any weight/breed restrictions? If so, please describe:

Management company or landlord name.

Management company or landlord phone

If you have a yard, is it fenced? If so, what type of fence and what is the height?

If you do not have a fenced yard, what method of restraint do you intend to use?

If you have a pool, is there a fence around it?

Will this dog be allowed outside unattended during the day / night?

Do you have a doghouse or outside pen / kennel?

yes
no

Will this dog ride in the back of a pick-up truck?

yes
no

How many hours a day will the dog / puppy be left alone?

Where will the dog / puppy be kept when you are home?

Where will the dog / puppy sleep at night?

How often and what kind of exercise will you give the dog / puppy?

Are there times when your dog / puppy will be tied outside?

yes
no

Do you travel or relocate frequently?

yes
no

please explain

What will you do with your dog / puppy if you have to move?

Please list the animals you currently have:

Please list the animals you have had in the past as an adult:

What heartworm preventative have you given your dogs?

What flea & tick treatment have you given your dogs?

Have you ever given away, sold, or surrendered an animal?

yes
no

What were the circumstances and to whom?

What method of training / discipline will you use?

How were your previous pets trained / disciplined?

Some animals are either Not housetrained, or, when introduced to new surroundings, stressed or as an attention getter, will have housetraining issues. Are you prepared to deal with this?

yes
no

How will you correct him / her if an accident occurs?

What method do you intend to use for housetraining?

How long do you think it takes to housetrain a dog / puppy?

Do you know how dogs get heartworm disease? Check one.

Worms
Mosquitos
Dogs that are not vaccinated

Have you ever applied to adopt from a rescue organization, SPCA, animal shelter or Humane Society before?

yes
no

What was the outcome?

Are you willing to allow a representative of PAWS to visit where your dog/puppy will be living?

yes
no

Are you willing to allow a representative of PAWS to contact your personal veterinarian?

yes
no

Veterinarian name:

Veterinarian's Phone Number

User Agreement*

I certify that the information above is true and understand that false information will result in nullification of adoption.

By typing your name here, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this applicatio

Adoption/Foster Application

Current Pups

we love dogs

PawsRescuegroup

Seminole, Florida