CANINE ADOPTION APPLICATION

FOREVER PAWS ANIMAL SHELTER
300 Lynwood Street
Fall River, MA 02721
508-677-9154
Fax. 508-677-9175
www.foreverpaws.com


For Official Use Only

 

Date: ___________ ID#_________________

Description/ NAME of Dog/Puppy: ____________________________________________

Sex: (Circle One) Male or Female Age: ______ Name: _____________

Adoption Agent: ___________________________________________________

Approved or Denied: ______________________________________________

In order to be considered for an adoption you must:

• Be 21 years old or older
• Have knowledge and consent of all adults in your household
• Have landlords permission, if you are renting.

Adoptee Information:

Please complete all sections. Incomplete Applications will not be considered.

Home Tel. # _________________

Cell # _____________________________

Work # _________________

Best time to reach you. ____________________

Living Arrangements: [ ] home owner [ ] renting [ ] with parents

If renting, please give name and tel. number of landlord.

His/Her Name: _____________________________________

Telephone No.: ____________________________________

How long at current address? ________________________

What will you do with the dog/puppy if you move? ___________________

_________________________________________________________
 

Please tell us about your family:

How many adults in your house? _________________

Do you have any children? ______________________

If yes, how many _______ Ages: ____________

Have you or your children ever have a bad experience with a dog or puppy?

[ ] Yes [ ] No

If yes, please explain: ________________________________________

_________________________________________________________

 

Do you have any other pets at home? [ ] Yes [ ] No

If yes, please tell us about them:


 

Species Name Age Vaccinations Current ?

__________ __________ _____ ____________________

__________ __________ _____ ____________________

__________ __________ _____ ____________________

 

If you have answered No, have you ever owned a pet in the past? [ ] Yes [ ] No

What happened to him/her? ___________________________________

Name and number of your veterinarian: ________________________________

Have you ever house trained a dog before? [ ] Yes [ ] No

If no, are you willing to house train a dog? [ ] Yes [ ] No

Have you ever done obedience training before? [ ] Yes [ ] No

If no, would you consider professional obedience classes? [ ] Yes [ ] No

Which of the following best describes your lifestyle? Check all that apply:

[ ] Work long hours

[ ] Busy household, visits from family, friends, children, party gatherings

[ ] Noisy: active family, playful children, other pets

[ ] Moderate: normal every day comings and goings

[ ] Quiet: mainly "homebodies"

[ ] Lots of children play at your house

[ ] Live on a busy street

 

Please tell us about living arrangements for the dog/puppy you are interested in:

[ ] Mainly stay indoors

[ ] Mainly outside but indoors at night

[ ] Will be an outside dog

 

Which of the following applies to your home/apartment?

[ ] Have a fenced in yard with no gaps or holes in the fence

[ ] Tie-out in the yard

[ ] No fence, but will leash walk the dog

[ ] Kennel

 

Which of the following are you looking for in a dog? Check all that applies:

[ ] Playful

[ ] Good with other dogs

[ ] Be affectionate

[ ] Have lots of energy

[ ] Lap dog

[ ] Couch potato

[ ] Shy but not fearful of new people

[ ] Likes cats

[ ] Be a good watchdog

[ ] Calm, quiet but loveable

[ ] Walking, jogging/running partner

[ ] Be a performance/show dog

[ ] Not a nipper

[ ] Must be completely house trained

[ ] Not a constant barker

[ ] Must be good with children

[ ] Willing to adopt a dog that is partially house trained

[ ] Other _____________________________________

Do you understand that the dog/puppy you are interested in adopting may be from an unknown origin and his/her medical history may or not be available?

[ ] Yes [ ] No

Do you understand and agree that Forever Paws is not responsible for any medical treatment and medical bills after its adoption?

[ ] Yes [ ] No

Do you understand that there is an adjustment period with all new pets and that proper training is necessary for a successful relationship?

[ ] Yes [ ] No

Do you understand and agree that Forever Paws is released of all liability pertaining to this dog/puppy when you adopt him/her?

[ ] Yes [ ] No

In completing this application, I understand and agree that Forever Paws has the right to deny my application.

All of the answers I have provided are true and accurate to the best of my knowledge.

 

_________________________ _________________________

Signature Date

Forever Paws Adoption Agreement

• I will provide proper and sufficient food, water, and shelter throughout its lifetime.

• I assume all risks and obligations of pet ownership.

• I will not allow this animal to be used for experimental or vivisection.

• I will obey my state rabies laws and have said animal rabies vaccinated yearly.

• I will notify Forever Paws if I am unable to keep said animal.

• I will respect and obey animal control laws that pertain to my city /town. I understand that my adoption donation is helping other animals at the shelter and that it is NON refundable.

My signature below indicates to Forever Paws Animal Shelter that I have read and agree to the above terms and conditions.

_______________________________ ______________________

Signature Date

Witnessed By:

_______________________________ ______________________

Staff Signature Date

Forever Paws Animal Shelter 300 Lynwood Street Fall River, MA 02721
Phone: 508-677-9154  E-Mail: fpas1@verizon.net