Date:
Name of PAWS pet you are interested in (if known):
Applicant's Name:
Present Street Address:
City: State: Zip:
How long at this address? Years Months
Home Phone No.:
Work Phone No.:
Cell Phone No.:
E-mail Address:
Are you over 18 years of age? Yes No
Occupation:
Hours away from home:
Type of home: House Duplex Apartment Condo Mobile Home Other If Other, please describe:
Do you rent or own: Own Rent Other Arrangement If Other Arrangement, please describe:
Name of apartment complex or mobile home park (if applicable):
Are pets allowed? Yes No
Please list pet restrictions, if any (ex. weight, number of pets allowed, etc.):
Do you have a fenced yard? Yes No
If yes:
Type of fence: (ex. wood, chain link, etc.):
Height of fence:
Are you planning to move in the near future? Yes No
If yes, what will you do with your pet(s)?
Will others be handling or caring for this pet? Yes No
If yes, list: No. of Adults No. of Children
List the ages of all household members?
Do any members of your household have allergies? Yes No
CURRENT PETS:
Please list all of the pets currently in your household (include any pets belonging to roommates):
PET NO. 1:
Pet's Name:
Type of pet (dog, cat, ferret, etc.):
Breed:
Gender: Male Female
Age of pet:
This pet belongs to: Applicant Applicant's Roommate(s)
This pet is kept: Indoors Outdoors Indoors/Outdoors
Is this pet spayed or neutered? Yes No
PET NO. 2:
PET NO. 3:
Please list additional pets here:
VETERINARIAN INFORMATION:
Veterinarian's Name: Veterinarian's Address: Veterinarian's Phone No.:
PET HISTORY:
Have you had any other pets in your adult life that are not listed on this application? Yes No
If yes, how long did you own them, and what happened to them?
Have you adopted any pets from a rescue group or animal shelter in the past? Yes No
Which rescue group(s) and/or shelters?
Where is this pet now?
PET SPECIFICS:
What gender of dog are you interested in adopting? Male Female No preference
What age dog are you interested in adopting? Adult (over 1 yr.) Older Puppy (5 mos. to 1 yr.) Younger Puppy (younger than 5 mos.) No preference
What size dog are you interested in adopting? Toy (under 10 lbs.) Small (11-25 lbs.) Medium (26-50 lbs.) Large (51-90 lbs.) Giant (Over 90 lbs.) No preference
How active would you like your dog to be? Very Active (needs lots of exercise) Active (needs a moderate amount of exercise) Sedentary (couch potato) No preference
I want this pet for: (check all that apply): Breeding Child's pet Gift Companion Hunting Guard Dog/Protection Working/Farm Companion for other pet Other If other, please explain:
How long have you been looking for a pet?
What would you consider to be undesirable traits in a dog?
What would you do if your adopted dog begins to display any of those undesirable traits (or traits such as excessive barking, digging, chewing, etc.)?
When you first began your search for a dog, what kind of dog were you looking for and what traits were you interested in a dog having?
Will you need time to prepare for your new pet? Yes No If yes, list number of days needed:
My pet will be kept: Mostly indoors Mostly outdoors Equally indoor/outdoor Undecided
How long will your pet be left by itself during the daytime?
When your pet is left by itself, the pet will stay: Outside Indoors in a crate In a restricted area indoors Allowed to roam free indoors
Where will your pet sleep at night?
If your pet is left outdoors, what type of shelter will be provided?
Do you currently own a doghouse? Yes No
Will you be using a tie-out or chain to secure the dog? Yes No
If you live on acreage in the country, how will you keep your pet confined to your property?
Do you or your neighbors have farm animals such as cows, horses, goats, chickens, etc.? Yes No
CARE AND TRAINING
Who will be responsible for the socialization, medical care and training of this pet?
Would you be interested in attending training sessions? Yes No
Who will be responsible for housetraining this pet?
Are you interested in information on housetraining? Yes No
Are you interested in information on obedience training? Yes No
What brand of food will you feed your dog?
On average, how much money do you expect to spend yearly on this dog?
There are times when unexpected and often very expensive medical conditions occur. Are you committed to providing whatever medical care your veterinarian deems necessary for your dog?
List your personal reasons for wanting a dog:
Are you willing to allow a representative of our group visit your residence? Yes No
Additional Comments:
We do not ship dogs, you must come to Austin, TX to meet the dog you are applying for.
By clicking the "Submit" button below, you hereby certify that the information given above is truthful and correct.
