Pawz 4 Life Animal Rescue Inc. Dog Adoption Application

Pawz 4 Life Animal Rescue
P.O Box 20134
Saginaw, MI 48602

* Today's Date:

* Name(first & last):

* Spouse/Partner Name:

* Date of Birth:

* Address:

* City:

* State:

* Zip:

* Drivers License/ID Number:(This MUST be filled in, will not except app. if not)

* Email Address:

* Home Number:

* Cell phone(if applicable)

* Work phone number (if needed, may we contact you here)

* Name of animal you are applying for:

* Please briefly describe the ideal behavior of a pet for your home/family:

Residential Information

* Do you rent or own the home you live in?

Rent

Own

* What type of home?

* If RENTING, please provide landlords Name and Number:

* If RENTING, are there any restrictions and or Pet Deposits?

* How do you plan on letting the dog outside to go potty and exercise it?

Family Information

* Why are you looking to adopt a dog and how long have you been searching?

* Have you ever owned this type of breed or breeds before?

* If no, please explain some things you do know about this breed or breeds:

* How many adults will be in the home?
How many children will be in the home? Please list ages.

* If you currenly dont have any children.
Are you planning on any in the future?
If so, would this make you give up on this dog?

* Who is the dog for?
Why?
And who's responsibility will it be to look after the dog?

Adoption Information

* Where will the dog be when left unattended?

* For how many hours will it be unattended?

* Do you plan to go through training with your dog?

Yes

No

* Are you aware that you may have to potty train your new dog?
Is this something you are willing and able to do?

Yes

No

* What form of discipline do you plan to use and what have you used in the past?

* What would you do if the dog shows destructive behavior? Ex. Jumping, digging, chewing, tearing up furnitureect.

* What would make you give up on a dog? Please list any and all reasons and why?

* How long would you give this dog to adjust to its new surroundings and home?

* If a situation arose such as a move, or other pets, or relationship difficulties, or any other expected/unexpected events, what would happen to the dog?

* Have you ever bred any animals before? If yes, please explain.

Pet History

* List of pets currently own: names, breed, age, and are they current on all vaccs. and spayed/neutered:

* Are they indoor or outdoor animals?

* Can you afford annual vaccinations and check ups?

Yes

No

* Are you aware of what heartworm disease is?

Yes

No

* If so, do you plan to use a monthly preventative on this dog?

Yes

No

* Please list the pets you have owned as an adult: name, breed, age and what happend to them:
Please be specific.

* Have you ever given up on a pet and why?

References

* Veterinarian where your pets records are or have used in the past:
Name and Number.

* 3 Personal References: Friends, Family, Neighbors, Ect.

* Name & Number:

* Name & Number

* Name & Number:

Pawz 4 Life Animal Rescue Inc. has the right to deny this adoption application for any reason, at any time, for the safety and well being of the animal that they are applying for. We also will not accept or process any application that is not completely filled out, including the 3 personal references (friends, family, neighbor, ect). The potential adopter agrees that all of the information provided is the truth and accurate to the best to there knowledge.

* Signature/Initials:

* Indicates Response Required