Name: / Pets Always Well: Rescue, Medical and Transport Funding (P.A.W.)
Adoption Application
D.O.B
Home Phone:
Work Phone:
Physical Address:
City:
State:
Zip:
(REQUIRED) Email:
Employer:
Describe the "ideal" cat(s) or dog(s) for your family. What are you looking for in a pet?
Name of cat(s) or dog(s) you are interested in (if available):
Why do you want to bring a new pet into your home?
What do you think are the most important responsibilities in owning a pet?
For whom are you adopting the pet?
What are your feelings regarding pets on furniture?
What are your feelings regarding shedding?
How many hours would this new pet be left alone in a typical day?
Do you work outside the home?
Yes No
Are you willing to allow a new pet time to adapt to its new environment and family?
YesNo
How long of an adjustment period would you consider to be acceptable for a new pet to adapt?
Some rescued pets might have training issues that might be known prior to adopting or might arise after an adoption. We list all issues we know of in the pet’s bio, but there are issues that might arise later on we might not have known about. Are you willing to work through these issues? Some issues might be Housebreaking or litter box issues? Make 1 answer bold to answer questions. If you answer ANY question with a ‘No’ please explain this chosen answer.
Barking?
Yes No
Chewing?
Yes No
Obedience training?
Yes No
Activity Level?
Yes No
Leash Training?
Yes No
Fear of Men?
Yes No
Fear of Women?
Yes No
Fear of Children?
Yes No
Fear of dogs and/or cats?
Yes No
Fear of loud noises/thunder storms?
Yes No
Submissive peeing?
Yes No
Food/Toy aggression?
Yes No
Separation anxiety and/or abandonment issues?
Yes No
Scratching on furniture?
Yes No
Which of the following medical issues that may arise in the future are you willing to provide medical care and deal with and which would cause you to return the pet to us? Please answer each with either deal with or return. Blindness?
Deafness?
Diabetes?
Special Diet?
Long term medications?
Surgery and/or Dentals?
Physical Therapy?
Urinary Tract Blockages and/or infections?
Any other medical that might not have been mentioned?
Have you ever owned a pet before?
Yes No
Please describe those pets that are currently with you (type (dog/cat/other), age, sex, altered status, declawed, did you choose to have your pet declawed or did your pet come to you declawed? How long have you owned?)
Please describe those pets that are no longer with you (type (dog/cat/other), age, sex, altered status, declawed, did you choose to have your pet declawed or did your pet come to you declawed? How long did you own?)
What happened to the pets who are no longer with you?
Have you ever taken a pet to a shelter or given a pet away? If so why?
Have you ever had a pet run away or get lost? If yes please explain.
Have you ever had a pet killed by a vehicle? If yes please explain.
Please provide ALL the name(s) and phone number(s) of the veterinarian(s) for your current and/or former pets.
Do you know the number and location of the nearest emergency veterinarian clinic in case your dog/cat needs to be seen after hours?
Yes No
Is your current dog(s)/cat(s) on heartworm preventative?
Yes No
If yes what kind of heartworm preventative?
Do you keep your pet on heartworm preventative all year round?
Yes No
Is your current pet(s) current on their vaccines?
Yes No
Does your current pet(s) receive a 1 or 3 year rabies vaccine.
Do you take your pet(s) to your veterinarian yearly for a wellness check-up?
Yes No
Please estimate the amount you think it will cost yearly for the following: Food (Holistic, not grocery brands), Grooming, Veterinarian Care (Including but not limited to annual wellness check-ups, vaccines, heartworm and flea preventative), extras such as toys and boarding or In Home Pet Care.
Are you willing and able to provide pet care for the next 10 or more years including veterinarian care, boarding/in home pet care, unexpected medical care, exercising, and indoor housing?
Yes No
Are you willing and able to make a 10 or more year commitment to the pet you are trying to adopt?
Yes No
Will you take your new dog (if applying for a dog) to obedience classes?
Yes No
Are you willing to exercise your new dog (if applying for a dog) daily by taking them for a walk aprox. 45 min to 1 hour?
Yes No
How many people reside in your household?
Name and ages of adults in household?
Any smokers in your home?
Are there any children in the household?
Yes No
If yes, what are their ages?
Does anyone have allergies to pets?
Yes No
Does anyone in your home fear dogs or cats?
Yes No
If yes please explain.
Is everyone in the household in agreement on adopting a new pet(s)?
Yes No
If no please explain.
Who will be responsible for the care of your pet?
Do you own or rent your residence?
Own Rent
If you rent, please provide the name and phone number of your landlord.
Do you have permission from your landlord to own a pet(s)? If 'yes', written permission must be provided.
Yes No
Are there any restrictions to you owning a pet? If yes please explain what they are.
Are you familiar with the animal regulations in your area?
Yes No
Are you planning to change your residence in the near future
Yes No
What will you do with your pet(s) if you move?
What will you do if you are unable to find a place that will allow pets?
Where will your pet be kept?
Inside Outside Both
How many hours a day will your new pet have access to free reign of the home?
How many hours a day will your new pet have access to the main floor of your home?
How many hours a day will your new pet have access to the basement of your home?
How many hours a day will your new pet (if a dog) have access to your backyard?
What provisions will be made for your pet when no one is home during the day? During the evening? Away on vacation?
Do you have a fenced in yard?
Yes No
Please describe your fence and height of fence.
Do you believe in Spaying and/or neutering your pets? We will not allow adoption without signed waiver.
Yes No
Please explain why you answered either yes or no to the above question.
Do you believe in Declawing a feline?
Yes No
Please explain why you answered either yes or no to the above question.
What would make you give up your new pet, or need to find it a new home?
Would you contact us before taking him/her to a KILL shelter (ie, SPCA)?
Yes No
How did you hear about the animal that you are applying for?
Personal Reference
Name:
Phone Number:
Please note that when P.A.W. rescues a dog, they rescue that dog for life. If we ever find that you have knowingly neglected any of the basic necessities for your dog as defined by United States Law, we have the right to request that you return the dog to our care.
By checking YES you agree to absolve P.A.W. and all of its representatives from any liability in reference to any dog adopted.
Yes No
By checking YES you agree that the dog will not be used in any illegal activities nor be found at any time in a municipality where BSL laws are in place.
Yes No
By checking YES you agree that the dog is to be kept as a house pet. It shall not be sold for medical or experimental purpose, and it shall not be used for breeding.
Yes No
I have read the above information carefully and have filled out this application honestly. I understand that omission of information and/or failure to answer all questions can result in the application being declined. Also, if an omission or untruth is discovered after the adoption takes place, I understand and accept that P.A.W. has the right to annul the adoption and reclaim the dog.
Yes No
*A home visit is required prior to any adoption being finalized*

Adoption Donation Fees:

Minimum $100.00 donation per cats/kittens (see below).

Minimum $200.00 donation per dogs/puppies (see below).

Please keep in mind that this is a donation towards the rescue and anything above and beyond the minimum is greatly appreciated. All adoption donation fees are to help cover the rescue, vetting and transport fees incurred. Some additional fees may be required from adopter for further distance transport.

Please make your donation on the P.A.W. website.

www.petsalwayswell.org