Please list the breed, age, gender, and frequency of any visiting pets.
Breed
Age
Gender
Frequency
Tell Us About Your Home
Please select your current residence type. *
Apartment
House
Duplex
Townhouse
Mobile Home
Farm
Housing Association
Other
Do you own or rent your home? *
Rent
Own
Someone else owns the Home
Someone else rents the Home
If you rent, does your landlord and lease allow pets? *
I do not rent
Yes
No
Unsure
If you rent, what is your landlord's name or the company you rent from?
If you rent, what is your landlord's phone number?
Do you have a fenced-in yard? If so, what kind of fence? *
No Fence
Wood
Chain Link
Electric
Plastic
Iron
Other
Tell Us About Your Previous/Current Pets
Do you have experience caring for dogs/puppies? *
No
I have owned dogs previously
I grew up with dogs, but never personally owned any
My partner/spouse has had dogs, but I have not
How many pets have you owned in the last 5 years? This does not include pets owned by parents or roommates. *
no pets in past five years
1
2
3
4
5
more than 5
Were all of your pets spayed/neutered/altered? *
No
Yes
Have not previously owned pets
If your pets have not been altered (spayed/neutered), please explain why.
Are your pets current on their vaccinations?
No
Yes
Have not previously owned pets
Veterinarian's Name, City, State and Phone Number (for pets you or a partner have had primary ownership of in past five years) *
Have you ever surrendered your dog or cat to a shelter? If yes, please explain. *
How would you describe your current pets' personalities when they are around dogs or new situations? Have you pursued any kind of training with previous pets? If so, what kind?
Tell Us About Your PAWS Dog Preference
Please check the main reason you plan to adopt a dog: *
Companion
Family Pet
Child's Pet
Guard Dog
Companion for another pet
Emotional Support Animal
Other
If you answered "other" above, please explain here:
Please Note: An emotional support animal is a pet that is prescribed by a licensed mental health professional to a person with a disabling mental illness. They are not trained service dogs. Not all PAWS dogs qualify as proper emotional support animals.
Which PAWS dog(s) interests you? *
Agnes (Dog - D2023075)
Azalea (Dog - D2022225)
Beau (Dog - D2021033)
Bowie (Dog - D2021182)
Debbie (Dog - D2022202)
Fonzie (Dog - D2023010)
Guapo (Dog - D2023048)
Ireland (Dog - D2023077)
Josie (Dog - D2022231)
Kermit (Dog - D2023011)
Kimbrough (Dog - D2021045)
Lacy (Dog - D2023074)
Lilly Mae (Dog - D2023069)
Lola (Dog - D2023028)
Marshmallow (Dog - D2022193)
Mia (Dog - D2023081)
Mushu (Dog - D2023046)
Parrot (Dog - D2023065)
Remi (Dog - D2021210)
Rocky (Dog - D2023073)
Rumble (Dog - D2023033)
Samson (Dog - D2021042)
Serena (Dog - D2022207)
Sir Pounce (Dog - D2023059)
What are you looking for in a dog? *
When your puppy is fully grown, what size are you hoping it will be? You can select multiple. *
X-Small(1-10 pounds full grown)
Small (11-25 pounds full grown)
Medium (26-40 pounds full grown)
Large (41-70 pounds full grown)
X-Large (71-100 pounds full grown)
XX-Large (101+ pounds full grown)
What gender puppy are you looking for? *
No gender preference
male
female
prefer male, but would be okay with a female
prefer female, but would be okay with a male
Are you looking for a specific breed? *
No breed preference
I prefer a specific breed(s), but would be okay with another breed
I would only adopt the specific breed(s) that I prefer
What specific breed(s) are you looking for? *
Tells Us About this PAWS Dog's Future Life with You
On average, how many hours per day will your dog be left alone? *
Select One
0-2
2-4
4-6
6-8
8-10
10+
Will this dog be predominantly living inside or outside? *
Outside
Inside
Unsure
Where will your new dog sleep? *
Select One
In bed with me
In bed with my child
In a dog / cat bed
In a kennel / crate
Wherever he or she likes
Outside
In another room in house
Heated garage/outer building
Unheated garage/outer building
Are you willing to seek professional training as needed for your dog? *
No
Yes
Only if absolutely necessary
Unsure
I want my dog to be by my side: *
Choose all that apply
All of the time
Some of the time
Little of the time
Unsure
I want my dog to have _____ energy and generally be a ______. *
High energy/exercise partner
moderate energy/walking buddy
low energy/couch potato
Unsure about energy level
Describe your dog's time when left alone during the day. Where will they be kept (crate, outside, free in house)? Will they be alone or with other pets? *
Tell us about your plans with regards to an exercise routine. *
Tell us about your house, crate, and obedience training plans for your new dog. How will you handle destructive behavior? *
What behaviors or issues would you not be able to tolerate in a dog? *
It is most important to me that my PAWS rescue dog: *
Can you afford $650-1200 yearly to maintain a dog? An emergency upwards of $500? *
No
Yes
Have all of your current/past pets lived inside? *
No
Yes
Have not previously owned pets
Are you in a permanent and stable living situation? *
No
Yes
Are you willing, able, and prepared to take responsibility for this dog for the next 10-20 years? *
No
Yes
Will you keep your dog up-to-date on vaccinations and heartworm preventative? *
No
Yes
What would you do with your dog if you had to move? *
Select One
Take him/her with me
Give to family or friend
Return to shelter
Other
Who would care for your pet if you were no longer able to? Please provide the name of someone 25 years of age or older who is a citizen or permanent resident; include their relation to you and their phone number. *
Complete Application
I agree to the following information: Adoption fees range from $115-400. Variable adoption fees allow us to provide excellent care for all of our animal residents. By signing below you certify that the information provided is complete, true, and not misleading in any way. You are also giving a PAWS representative permission to contact your landlord, veterinarian, references, make follow-up contacts, and/or search publicly available records. PAWS reserves the right to deny any application. If your application cannot be approved at this time, you will receive an email or letter explaining the reason for this decision. *
No
Yes
Signature
Clear
Want to make sure your application gets processed as quickly as possible? Here are a few options:
1. If your vet requires permission to talk to about your records, please call them and give them a heads up we may be contacting them!
2. If you keep paper copies of vet records, email them to dogs@centrecountypaws.org
3. You can also email us your pet agreement with your landlord!