Which animal(s) are you interested in?
Applicant's First Name *
Applicant's Last Name *
Street Address (include apartment/unit number if applicable) *
City *
State *
Zip Code *
County
Phone Number *
Alternate Phone Number
Email Address
Is this animal for you or someone else? *
Myself
Someone else
Including yourself, how many people live in your household? *
Please list the ages & relationship of those who live in your home. *
Is everyone in your household aware that you are planning to adopt an animal? *
No Yes
Please select your current residence type. *
House
Apartment
Condo
Townhouse
Mobile Home
Other
If you answered "other" above, please explain here: *
Do you own or rent your home? (If you live in a mobile home park with space rent, please choose Rent and provide landlord information) *
Own
Rent
Someone else owns the Home
Someone else rents the Home
If you are not the landlord/home owner, please provide their name and contact information as we will need landlord approval prior to adoption. *
Do you own other pets at the current time? *
No Yes
Please list their names, breeds, and ages.
Are all of your pets spayed/neutered/fixed?
No Yes
If no, please explain why:
Are your pets current on their vaccinations?
No Yes
If no, please explain why:
Will your other pets adjust to a new animal in the house?
Yes
No
Unsure
How many pets have you owned in the last 5-10 years? *
Have you ever turned your dog or cat into a shelter? *
No Yes
If yes, please explain:
Have you ever had a pet euthanized for reasons other than illness/old age? *
No Yes
If yes, please explain:
Please check the main reason you plan to adopt: *
Companion
Family Pet
Child's Pet Guard Dog
Companion for another pet
Other
If you answered "other" above, please explain here:
Please describe in detail the type of animal you are looking for. *
Have you applied anywhere else for a pet within the last 6 months?
No Yes
If yes, where else have you applied for an animal?
Will this animal be predominantly living inside, outside, or both? *
Inside
Outside
Both
Please provide a description of this animal's living conditions. *
How will you handle destructive behavior? *
For what reason(s) would you consider returning/giving up the animal? *
What would you do with the animal if you had to move? *
Take him / her with me
Give to family or friend
Return to shelter
Other
If you answered "other" above, please explain:
What will you do with the animal when you go on vacation? *
Leave with family/friend
Boarding
Pet sitter
Take with me/us
Other
If you answered "other" above, please explain:
What arrangements will you make for the care of the animal in case of an emergency? *
Leave with family/friend
Boarding
Pet Sitter
Take with me/us
Other
If you answered "other" above, please explain:
Have you ever been convicted of abuse or neglect of a child or animal? *
No Yes
If yes, please explain:
What is your preferred method of contact? *
Phone
Email
Text
How did you find out about us?
Petfinder
Internet Search
Family/Friend
Staff/Volunteer
Facebook/Twitter
Other
I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. I understand that anything submitted in this application found to be untrue will result in the forfeiture of any PAWS of Grays Harbor animal adopted or fostered by me. I understand that PAWS of Grays Harbor may verify any or all information submitted in this application from Landlords, Property Companies and/or Veterinarians before approval may be given. I understand that this application does not ensure I will be approved. *
No Yes
Signature *
Clear