NOTE: Our rescue requires that all adopter's current and prior animals are up-to-date on vaccinations and preventatives, unless there is a medical reason not allowing it. All animals in your household should be spayed or neutered unless medically indicated that they should not be or are currently still too young.
 

ADOPTION APPLICATION

Application Type
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I AM INTERESTED IN ADOPTING:

1st Choice
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2nd Choice
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Future Puppy Paws Rescue dog or puppy
(Please describe)
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PERSONAL DATA


First Name
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Middle Initial
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Last Name
PLEASE ENTER LAST NAME (MANDITORY)
Co-Applicant Full Name:
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Street Address
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City
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County
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State
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Zip:
Enter Zip Code
Home Phone:
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Work Phone
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Mobile Phone
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Email Address: (required)
PLEASE ENTER A VALID EMAIL ADDRESS
All addresses that you have lived
at in the past 5 years
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Are you 18 years of age or older?

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Applicant's Employer:
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Applicant's work hours
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Co-Applicant's Employer
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Co-Applicant Work Hours
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Number of persons in household:
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Ages of Children
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Names of other adults living in the household
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Number of unrelated residents (please explain)
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Please provide two unrelated references (neighbors, friends, co-workers) that we may contact:


Reference 1 - Name:
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Phone
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Reference 2 - Name:
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Phone
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Who will be the primary caregiver for your new pet?
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Are you aware that there is an adoption fee for the dog/puppy you are considering?

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PET HISTORY



Please list all pets for which you, as an adult, have or have had responsibility within the last 10 years:



******* PET 1 *******


Pet 1 Type/Breed:
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Pet 1 Name
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Pet 1 Sex
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Pet 1 Age
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Pet 1 - Spayed/Neutered
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Pet 1 - Vaccinations (Rabies & HW preventatives)
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Pet 1 - How Long in your Care?
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Pet 1 - Where was this pet kept?
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Pet 1 - Where is the pet now?
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***** PET 2 *****


Pet 2 Type/Breed
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Pet 2 Name
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Pet 2 Sex
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Pet 2 Age
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Pet 2 Fixed?
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Pet 2 - Vaccinations (Rabies & HW preventatives)
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Pet 2 How Long in your care?
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Pet 2 - Where was this pet kept?
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Pet 2 - Where is the pet now?
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***** PET 3 ******


Pet 3 Type/Breed
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Pet 3 Name
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Pet 3 Sex
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Pet 3 Age
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Pet 3 Spayed/Neutered
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Pet 3 Vaccinations (Rabies & HW preventatives)
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Pet 3 How long in your care?
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Pet 3 Where was this pet kept?
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Pet 3 - Where is the pet now?
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***** PET 4 *****


Pet 4 Type/Breed
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Pet 4 Name
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Pet 4 Sex
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Pet 4 Age
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Pet 4 - Spayed/Neutered
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Pet 4 - Vaccinations (Rabies & HW preventatives
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Pet 4 - How long in your care?
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Pet 4 - Where was this pet kept?
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Pet 4 - Where is the pet now?
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Were any of your animals:





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If Yes, please explain:
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Who is your Current veterinarian (if you currently have pets):
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Veterinarian Phone
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If you had other Veterinarians providing part of the routine care in the past 5 years, Please provide name and phone numbers:
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Do we have your permission to contact your veterinarian for a reference?

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HOUSEHOLD INFORMATION:


Do you live in a
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Do you own or rent your home?
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If you rent, are pets permitted?
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If you rent, please provide a copy of your lease with pet clause. Please provide Landlord contact information.
Landlord or Rental Agent Name:
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Landlord Phone #
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How long have you lived at your present address?
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Are you planning to move in next 6 months?
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If Yes, when?
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What will you do with your pet when/if you move?
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Will your pet be kept indoors or outdoors?

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Describe:
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If Fenced, what type of fence and how large is the fenced area?
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Where will your pet spend most of his/her time when you are home?
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How many hours will your pet be alone during the day?
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Where will you keep your pet when you are not home during the day?
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Where will you keep your pet when you travel?
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Where will your pet sleep at night?
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What have you fed your prior dogs or will feed your new dog?

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PREPARING FOR YOUR NEW DOG OR PUPPY


What have you done to prepare yourself and your family for the addition of a new pet?
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What level of grooming responsibility will you accept in association with your new pet?
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Does anyone in your household have allergies to dander/ hair / saliva?
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If allergies exist / develop, are you willing to take actions to able to keep the dog?
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Are you planning to attend obedience classes with your dog / puppy?
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What do you consider to be normal dog / puppy behavior problems?
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How long do you feel it will take for a dog / puppy to acclimate to a new household?
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How will you introduce your new dog to your existing pet(s)?
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How will you exercise the dog / puppy?
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How will you housebreak the dog / puppy?
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How will you correct the dog / puppy when there is a potty accident?
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How will you encourage appropriate behavior and prevent inappropriate behavior?
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Are you willing to make a lifetime commitment to this dog?
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Will you give heartworm Tablets / flea and tick preventative every month all year round?
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Will you provide all required vaccinations and medical care?
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How much do you think it cost, per year, to own a dog?
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Are you willing to spend the money necessary updating shots on time, spay / neutering and emergency care for your pet?
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Which of the following would force you to give up your pet? (check all that may apply)














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Other reason to give up?
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In the event that you become very ill or die, what plans do you have for your dog?

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Any other information you feel we should know in considering your application:
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To the best of your knowledge, has any member of your household ever been convicted of an animal welfare law violation such as neglect, cruelty, abandonment, etc?
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Digital Signature (type full name)
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Signature Date:

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We request an adoption donation for our puppies and young dogs of $300.00 and for adult dogs $ 250.00.


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