PAWS PET ADOPTION FORM - PAWS WITH A CAUSE

Name *

Address *

Address

City

State/Province

Zip/Postal

Country

Phone Number *

Email *

Age of primary person wanting to adopt *

Why do you want a PAWS Adoption Dog? *

Name of the dog you're interested in adopting

Do you have children under the age of 18 living in the home? *

If yes, please list their ages

Do you currently have a dog in the home? *

Do you currently have any other pets in the home? *

If yes, please list the other types of pets you have

Are any of your pets housed outside? *

If yes, which animals are housed outside?

Do you have a fenced in yard? *

If not, what provisions will you provide for the dog for bathroom breaks, playtime, etc.?

Is there anyone in your household with fragile health or allergies to dogs? *

If yes, please explain

Has anyone in the home ever applied for an Assistance Dog from PAWS or another organization before? *

Do you understand and agree that should you adopt a dog from PAWS, the dog would not be used to assist anyone with a disability? *

Would you be willing to adopt a dog that has medical problems such as allergies, hip or elbow displasia, etc.? You will receive a description of the dog's medical condition in order to determine if this is something you can accommodate. Many dogs with medical conditions are able to live long, healthy, happy lives with proper management! *

Are you willing to enroll the dog in an obedience class to maintain and continue with training? *

Please check the characteristics you are able and willing to work with *

Are you willing to travel to the PAWS Headquarters in Wayland, MI to pick up the dog? It is important to meet the dog to determine if the dog is a good fit for you and your household. *

If you have a current veterinarian, please provide their contact information

Do you consent to us contacting your Veterinarian as a possible reference?

Any additional information you would like to add?

Agreements (check acknowledgement of each) *

I understand that PAWS adoption dogs are not suitable for placement to work with a person with a disability. I agree, therefore, not to attempt to use the dog to mitigate someone’s disability or place a released dog as an Assistance Dog, either on my own or through a third party.

I understand that completing this application does not guarantee that I will receive a PAWS dog. I understand that PAWS matches each individual dog with a home based on the needs of the dog and the preferences of the adoption home.

All PAWS dogs are crate trained. We recommend that you continue crating the dog when it is in the home alone or overnight. Should the dog do damage to your home, it is not the responsibility of PAWS.

I understand there is a $900 adoption fee for the dog at the time of placement. The fee may be waived or discounted for dogs with an ongoing medical condition that may require treatment or surgery.

I agree that I am responsible for transferring the dog’s microchip into my name at the time of adoption.

To the best of my knowledge, the information provided is true and accurate. I agree to provide additional information. I understand that interacting with an animal has inherit risks and that PAWS will not be held liable for the behavior of the dog or for any injuries sustained by myself, family members, or others due to the performance of the dog.

Please enter your full name as your signature *

Date of Application *