Application

NOTE: Any pet that is adopted from Paws 4 The Cause would also be returned to us for any reason that the
adopter cannot keep the dog or cat. We reserve the right to refuse any applicant. You must be 18 years of
age to apply. Submitting an application does not guarantee you adoption of an animal. This is only the first
stage of the adoption process. We do not adopt out on a “first come, first serve” basis nor do we hold dogs.
We prefer the entire family to be present during the adoption process.

If for some reason the application does not work properly on your computer, please email us the results to us
at: info@paws4thecauserescue.com
Pet's name:
Date:
Your name:
Marital status:
Driver's License #:
Address:
City, State, Zip:
How long at this address:
Home phone:
Work phone:
Email address:
Place of employment:
How long at this job:
How did you hear about
us:
Why do you want to
adopt this pet:
What type of pet are
you looking for:
Who made the decision
to adopt a pet:
Scale of 1-5, 5 being
highly energetic, what
activity level looking for:
How many hours will
your pet be home alone:
Where will your new pet
sleep:
What % of the time will
your pet spend indoors:
Do you realize your pet
may be housebroken
now but relapse in your
home:
What types of house
training techniques using:
What is reasonable cost
for food, supplies,
grooming, vet per month
List age and types of
pets currently in
household:
Where do your current
pets sleep:
Where do your current
pets stay when home
alone:
When is it OK to leave a
pet outside unattended:
What kind of ID do you
have on your current pet:
How many pets have
you had in the last 5 yrs:
Where are those pets
now:
What would constitute a
prime reason for giving
up a pet:
What types of behavior
problems have you had
with pets in the past:
Have you ever given
away a pet? If yes, why:
Has a pet ever died on
your premises of disease
or unkown cause. If yes,
explain:
Have you ever applied
for a pet at another
rescue? If yes, which
group, did you adopt?
Do you know what
heartworm is? If yes,
how do dogs get it?
How do you plan on
preventing fleas & ticks:
Do you know what
Parvo virus is? If yes,
how is it contracted:
Do any family members
have animal allergies? If
so, what allergies?
Will you take this pet to
obedience classes:
Are you dating or
engaged to someone who
doesn't want pets?
Do you own or rent your
home/apt? If rent, name
and number of landlord:
How long have you lived
at current address:
Do you forsee any major
changes in your life over
the next 15 years?
Marriage, college, children
Number of adults in
household:
Number of children in
household, ages?
Do you have a fenced in
yard? If so, what type
and how high?
If no fenced in yard,
what will you do for pet
exercise and elimination?
Vet's name, clinic name,
phone number:
List name, phone #, and
relationship to you for 3
references:
Would you object to a
home visit by one of our
representatives?
Do we have your
permission to contact
your vet and/or
references?
By signing below, you are indicating that you have answered every question truthfully & are
aware that any false answers will be grounds for immediate rejection.
Your signature: