Dog Adoption Application

Today's Date *
Dog's Name *
Your Details
Email *
First Name *
Last Name *
Primary Phone Number *
Secondary Phone Number *
Do you currently: *
How long at current address? *
Do you live in a: *
If you chose "Other" please explain:
Street Address *
City *
State *
Zipcode *
If less than one year at current address, please provide previous address:
Renters:
Landlord Name:
Landlord Phone:
Do you have a copy of your rental/lease agreement for our files?
History with Pets How many dogs or cats have you owned in the last five years?
Dogs: *
Cats: *
Tell us about your four most recent pets: (Please include their names, breeds, ages and where the animal is now.)
Pet #1: Please include name, breed, age and where the animal is now.
Pet #2: Please include name, breed, age and where the animal is now.
Pet #3: Please include name, breed, age and where the animal is now.
Pet #4: Please include name, breed, age and where the animal is now.
Are vaccines up to date?
Spayed or Neutered?
If animals are not currently spayed/neutered, why not?
Are your dogs on heartworm prevention? *
If not, why not?
Where do you purchase the heartworm preventative?
References
Please call your vet and authorize them to release your information to us. This will greatly speed up the application approval process!
Veterinarian Phone: *
Name your Vet Records are Under (if different from above)
Veterinarian Name: *
Other Vet's Name (if you have one)
Other Vet's Phone number
Are you willing to have a Paw Patrol representative visit your home? *
If no, please explain:
Please provide two personal references (other than relatives):
Name, Phone and Relationship: *
Name, Phone and Relationship: *
Ability to care for pet
Who will be responsible for this pet? *
Who will care for the pet when you go out of town? *
What if you have to move? *
Are you aware of the cost of keeping a pet? These include: Food costs, veterinary costs, pet insurance, grooming, etc. *
It can take six months to a year for your new pet to become well adjusted in your home. Are you willing to allow this adjustment time? *
What behaviors are you NOT willing to work on with your new pet? (select all that apply)
If you chose "Other" please explain:
Under what circumstances can you not keep this pet? *
Why do you feel this pet would do well in your home? *
Do you have any other family members in your home? If yes, please explain who they are: *
Do you have kids in the home or potential children visitors? Grandchildren? Nieces? Nephews? Neighbors? Please explain: *
Where will the animal be kept during the day? At night? Please explain: *
Do you have a fenced in yard?: *
What kind of fence?
Are you familiar with the following?
Micro-chipping: *
Crate training: *
Dog Licenses: *
Obedience training classes in your area: *
Sanitation practices for your new pet: *
Your insurance company may require additional insurance depending on the breed of dog: *
Anti-chaining ordinances: *
Finally...
Any comments or questions?
How did you hear about us?
By typing my name and the date below, I give Paw Patrol permission to perform personal, landlord and veterinary checks, as well as home visits in the future, if deemed necessary. I also confirm I have answered all questions, contained herein, truthfully and to the best of my knowledge.
Name: *
Date: *

Dog Adoption Application

Your Details

Renters:

History with Pets

Tell us about your four most recent pets:

References

Please provide two personal references (other than relatives):

Ability to care for pet

Are you familiar with the following?

Finally...