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Dog Adoption Application

Fields marked with an * are required
Please fill in all required fields then click on the Submit at the bottom of this form.

Upon successfully submitting the form a volunteer from our applications team will reach out within 72 hours. *If you do not hear from us, please check your spam!* If you still do not have an email from us, or if you are having a problem submitting the form please email info.pawfectlife@gmail.com.

We highly recommend submitting this form using Google Chrome as your browser and from a laptop or PC.

First Name

Last Name

Co-Applicant

Email

Phone

Employer

Are you at least 21 years of age or older? (Please note, you must be at least 21 to adopt).

Yes

No

Date of Birth

Address

City/Town & State

Do you own or rent your residence?

Own

Rent

If you rent, please provide the name and phone number of your landlord: *Please let your landlord know a representative from Pawfect Life Rescue will be calling*

What type of home do you live in (1 family, 2 family, condo, apartment, farm)?

Does your residence have a yard?

Yes

Yes (fenced)

No

If you do not have a yard or if your yard is not fenced, where will you exercise your dog?

If fenced, please explain the type and height.

Have you ever owned a dog in your adult life?

Yes

No

Have you applied to any other rescues?

Yes

No

Not yet, but likely will

How did you hear of Pawfect Life Rescue?

FaceBook/Social Media

Adoption Site (PetFinder, Adopt-A-Pet, etc.)

Word of Mouth

Other

Are you ready to adopt immediately (within 24 hours of an approved application)?

Yes

No

If no, when will you be ready to adopt?

within 3-5 days

1 week

1 month

not sure yet

Please name the dog(s) you are most interested in:

What are you looking for in a dog?

Preferred age range at time of adoption:

0-6 months

6 months-1 year

1-3 years

3 years and older

No preference

Preferred energy level in a dog:

Undecided

Athletic

Middle of the road

Couch potato

More details if applicable:

Do you have any deal breakers (ex. excessive barking, not housebroken, etc)?

Please list the names and ages of all people living in your home (including yourself)

Please list the schedules of all adults living in your home (including yourself)

Does anyone in the household have animal allergies? (If yes, please specify)

Please select one of the following that best describes your lifestyle:

Active daily

Homebody

Frequent visitors

Always working

Family taxi

On the go

Do you currently have any pets in your home?

Yes

No

If yes, please list all pets, their names, ages, breeds, genders, and activity levels:

Are all animals in your home spayed or neutered?

Yes

No

N/A

Are all animals in your home current on their rabies vaccines?

Yes

No

N/A

Are all your dogs (past or present) receiving monthly prescription heartworm prevention medication?

Yes

No

N/A

If using heartworm prevention medication, what brand do/did you purchase and where did you purchase it?

More details if necessary:

Have you ever had to give up, surrender or rehome a pet?

Yes

No

N/A

If yes, what were the circumstances?

What circumstances would cause you to surrender a pet?

How much time will you devote to exercising your dog?

How will you properly socialize the dog?

Who will be responsible for feeding, housebreaking and training?

How will you housebreak your dog?

What sort of training method will you use & how much time will you give your new pup to acclimate to his/her new home?

Please elaborate on what you would train your dog to do, what methods you would use (puppy classes, private classes, etc) and how often you would train your dog.

Where will the dog stay during the day?

Where will your dog stay during the night?

Will someone be home during the day?

Where will your dog stay when home alone?

On an average day, how many hours will the dog be left unattended?

If more than 3 hours, what is your plan for the needs of the dog? Please describe.

Are you aware of the routine costs, maintenance, and time commitments that come with adopting a dog?

Yes

No

Do you understand adult dogs need refreshers on house training and that they shed?

Yes

No

Do you understand puppies need to be house trained, to learn manners so that they don't jump or mouth, and that they have fur and shed?

Yes

No

Is there any additional information you would like us to know or questions you need answered?

Reference #1 (NOT related) - Name:

Reference #1 Email (please note we need email addresses - not phone numbers)

Reference #1 City/State of Residence:

How do you know Reference #1?

Reference #2 (NOT related) - Name:

Reference #2 Email (please note we need email addresses - not phone numbers)

Reference #2 City/State of Residence:

How do you know Reference #2?

Reference #3 (NOT related) - Name:

Reference #3 Email (please note we need email addresses - not phone numbers)

Reference #3 City/State of Residence:

How do you know Reference #3?

Reference #4 (NOT related) - Name:

Reference #4 Email (please note we need email addresses - not phone numbers)

Reference #4 City/State of Residence:

How do you know Reference #4?

Name of Current Veterinary Practice:

Vet Phone #:

City/State of Vet:

Please list any past vets and their phone numbers you have used:

Pet #1

Pet #1 Species

Pet #2

Pet #2 Species

Pet #3

Pet #3 Species

I have called my veterinarian's office to allow release of information

Yes

No, will call within 24 hours - we can't process your app until you do

No current or past pets

If any of these are past pets, what year did they pass?

Your application has been submitted!

Dog Adoption Application: Application Instructions

**Please Note: We do not recommend applying on a cell phone. If your signal is interrupted the application may not submit. Please either apply using a computer or screen shot your app before you click "submit” so you have it saved until you can apply from a computer. A volunteer from our applications team will be in touch within 72 hours. If you have any trouble submitting your application, please contact info.pawfectlife@gmail.com.

REMINDER: Please keep an eye on your JUNK MAIL as your filters may be sending our messages there!

Terms & Conditions of Application

A representative of Pawfect Life Rescue will contact you within 3 days of receipt of your application. Please be aware that other applications may have already been submitted and/or approved for the dog(s) you’re applying to adopt. Pawfect Life Rescue updates its website as frequently as possible, adding newly rescued dogs and removing dogs that have been successfully re-homed. If the dog you're applying for has been adopted, a representative from Pawfect Life Rescue will work with you to find a dog that will be a Pawfect Fit for you or your family! Pawfect Life Rescue reserves the right to perform a home inspection prior to adoption.

If your application is approved, a “meet and greet” will be scheduled so that you/your family can meet and interact with the Pawfect Life Rescue dog. If you currently have a dog(s) Pawfect Life Rescue asks that your dog(s) accompany you to meet with the dog you’re looking to adopt. The location of this “meet and greet” is chosen at the discretion of a Pawfect Life Rescue representative.

The applicant hereby releases and agrees to indemnify and hold harmless Pawfect Life Rescue and any volunteer or agent thereof against any and all liability, including any costs and reasonable attorney fees, to third parties or to applicant or those accompanying applicant that may occur during the meet and greet, whether that be in a public place or a private home.

By clicking "submit" you are confirming that the information you provided in this adoption application is the truth to the best of your knowledge and belief. You also represent that you have read the information in this adoption application and understand what is expected, and agree to the terms.

Dog Adoption Application: Quote

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