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*First and last name:
Current Address and City:
Type of Residence:
How long have you lived at your current address?
If less than 5 years, please list your last previous address and length of time living there.
Do you rent or own?
If you rent, are you allowed pets?
Does your rental agreement specify a size restriction?
Landlord's name and phone number:
Please list all others living at your residence (relationship, ages)
Name of the pet you are interested in:
If you have not yet selected a favorite, what age of dog would you like to adopt?
Are you interested in a male or female?
What size of dog interests you?
Are you adopting the dog for yourself or someone else?
Who will be the dog’s primary caregiver?
How soon were you looking to adopt?
Are you interested in fostering?
Do you currently have other pets in the home?
List all other pets currently in your home, including the type, breed, age and sex of each animal:
Are all other pets either spayed or neutered?
Please include any additional pet information below:
Do you have a swimming pool?
If you answered “yes” is it baby proofed?
Do you have a back yard or terrace? yes / no
If yes, is it enclosed? yes / no
If yes, how high is the fencing?
If you have no yard, how will your dog relieve/exercise itself?
Have you previously owned a dog? (please provide a brief history)
Have you ever taken a pet to a shelter? If so, please explain:
What is your household activity level?
Who will care for your pet when you travel?
Do all adults in the home work full time? yes / no
How many hours a day will your pet be left alone?
Where will your new dog be kept when he is alone?
Where will your new dog be kept during the day?
Where will your new dog be kept during the night?
What sort of training do you plan to provide?
Who will walk your new dog? How often?
Is a home visit okay? yes / no
Do you have a local veterinarian? yes / no
If so, please provide your vet's name and phone number:
How did you find out about PAWS4Thought?
A PAWS4Thought donation is between $250-$400. Is this acceptable to you?
A downloadable form is also available and can be submitted by emailing firstname.lastname@example.org