Adoption Application
Please select one:
*
I am ready to adopt now/as soon as possible.
I won't be ready to take a new pet home for one month or more.
I am interested in adopting a:
Cat
Dog
I am interested in a specific pet:
Please provide animal name and ID# if known. If you do not have a specific pet in mind, please leave this field blank.
If the animal I am interested in is no longer available:
I would be interested in adopting another pet.
I would not wish to proceed with my application; I am only interested in this specific animal.
Full Name
*
First Name
Last Name
E-mail
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
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Anguilla
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The Bahamas
Bahrain
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Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
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Cuba
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The Gambia
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Guinea-Bissau
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India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
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Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
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Zimbabwe
Other
Country
Phone Number
*
-
Area Code
Phone Number
Birth Date
*
Please select a month
January
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Day
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2024
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Year
How many years have you lived at your current address?
*
Previous address, if less than 3 years at current address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
You must have a driver's license or other government-issued photo ID to adopt a pet.
ID Type:
*
ID #:
*
Do you rent or own your home?
*
Rent
Own
Landlord name:
Landlord phone:
-
Area Code
Phone Number
Name(s) of other adult(s) living in household (if any):
Ages of children living in household (if any):
Have you ever owned a pet before (excluding childhood pets)?
*
Yes
No
Are there currently any pets in your household?
*
Yes
No
Yes, but they aren't mine.
Current Pet Information (if any):
1. Name
Species
Breed
Sex
Please Select
Male
Female
Age
Owned Since:
Spayed/Neutered?
Yes
No
2. Name
Species
Breed
Sex
Please Select
Male
Female
Age
Owned Since:
Spayed/Neutered?
Yes
No
3. Name
Species
Breed
Sex
Please Select
Male
Female
Age
Owned Since:
Spayed/Neutered?
Yes
No
Past Pet Information (if any):
1. Name
Breed
Species
Age
Years Owned
ex. 1995-2001
Spayed/Neutered?
Yes
No
2. Name
Breed
Species
Age
Years Owned
ex. 1995-2001
Spayed/Neutered?
Yes
No
3. Name
Breed
Species
Age
Years Owned
ex. 1995-2001
Spayed/Neutered?
Yes
No
Your Current or Past Veterinarian Info (if any):
Veterinarian Name:
Veterinarian Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Veterinarian Ph #:
-
Area Code
Phone Number
Name/Address of Person on File with Veterinarian, if not you:
_________________________
Have you ever (check any that apply):
Given/sold a pet to another person
Given a pet to a shelter
Had a pet run away
Had to euthanize a pet
Had a pet die in your care
Is anyone in your household allergic to animals?
*
Yes
Yes, but only mildly
No
Unsure
Do all members of your household agree on adopting?
*
Yes
No
It's a surprise
How much do you anticipate spending yearly to care for your pet (food, supplies, medical care, etc.)?
*
How much do you anticipate spending on your pet if a serious medical condition/emergency arises?
*
How many years do you expect to own this pet/how long do you expect this pet to live?
*
What is the longest amount of time your pet would be left alone during the day?
*
Where will this pet spend the day? (Please check all that apply.)
*
Inside only
Inside with free access to outside
Inside with supervised time outside
Outside only
Dog pen
Crate
Basement
Garage
Other:
Please explain what "other" location you mean:
Where will this pet spend the night? (Please check all that apply.)
*
Inside only
Inside with free access to outside
Inside with supervised time outside
Outside only
Dog pen
Crate
Basement
Garage
Other:
Please explain what "other" location you mean:
How much time are you willing to give an animal to adjust to its new home and learn proper behaviors?
*
Do you understand that there is no guarantee that this pet will be housetrained?
*
Yes
No
Are you willing to rescue a pet with special needs (due to age, a medical condition, or socialization)?
*
Yes
No
FOR CAT ADOPTION:
Why do you want a cat? (Please check all that apply.)
Companionship
Mouser
Gift
Other:
Please explain what "other" reason you have for wanting to adopt a cat:
Are you planning to have the cat declawed?
Yes
No
Only if it scratches
I don’t know what this is
FOR DOG ADOPTION:
Why do you want a dog? (Please check all that apply.)
Companionship
Guarding/Protection
Gift
Other:
Please explain what "other" reason you have for wanting to adopt a dog:
Your dog experience. (Please check any that apply.)
I own a dog
I have owned a dog before
I have lived with a dog before
This would be my first dog
SIZE: I would like a dog that is no smaller than (lbs.):
leave blank if no preference
SIZE: I would like a dog that is no larger than (lbs.):
leave blank if no preference
AGE: I would like a dog that is no younger than:
leave blank if no preference
AGE: I would like a dog that is no older than:
leave blank if no preference
I would like a dog that: (Please check any that apply.)
Can live with children
Can live with other dogs
Can live with cats
Exercise required. I would be comfortable with a dog who: (Please check all that apply.)
Needs a couple of potty breaks but is otherwise a couch potato
Needs at least two 30-45 minute walks per day
Can join me when I go on runs
Other
Please explain what "other" exercise needs you would be comfortable with:
_________________________
Under what circumstances, if any, would you need to return the animal to PAWS? (Please check any that apply.)
Not enough time for pet
Sheds
New baby
Scratches furniture
Vet costs too expensive
If I or someone in my household becomes allergic
If the pet becomes aggressive
Litter box issues
Not allowed in new living space
Moving too far away to bring pet with me
Too playful/jumps on furniture, counters
Separation Anxiety / barking
Pulls on leash
Possessiveness (toys/food)
Other:
Please explain what "other" reason you may need to return a pet to PAWS:
I would like to discuss the following with an adoption counselor: (Please check any that apply)
Introducing children
Introducing other pets
Housebreaking
Litter training
Crate training
Obedience training
Scratching
Chewing
Dog parks
Other:
Please explain what "other" topic(s) you would like to discuss:
Do you have any questions?
How did you hear about PAWS?
Friend/Family Member
Community Event (please note below)
Online (please note site below, if known)
Radio/TV (please note station below, if known)
Other (please note below)
Event, Web Site, or Radio/TV station where you learned about PAWS, if any:
Conditions of Adoption (please check EACH item to indicate your acceptance):
1.
*
I will not sell, give away, or transfer this animal to another person or entity.
2.
*
In the event I can no longer keep this animal I will return him/her to PAWS.
3.
*
I will provide all necessary shelter, food, water and veterinary care for this pet.
4.
*
I will comply with all animal related city ordinances and state laws.
5.
*
As part of the adoption contract, I agree to allow a uniformed agent of PAWS to inspect the shelter arrangements of this adopted pet and its health. If such an inspection takes place it will be at a time convenient for both parties.
6.
*
Absolute ownership of this pet will remain with PAWS, therefore, if I am suspected, and found neglecting or abusing this animal, PAWS has the right to take the animal back into its care.
7.
*
I certify that I have never been charged with animal cruelty.
8.
*
I acknowledge that PAWS can make no guarantees with regard to the behavior or health of the animal I am adopting. I understand that this animal was a stray, unwanted or abandoned animal. It is possible that the animal did not receive veterinary care prior to his/her arrival at PAWS. Therefore, the animal could be harboring a disease that is not immediately detectable.
9.
*
I understand that adoption fees include sterilization (spaying/neutering), the first set of vaccines and microchipping. I understand that I may bring my pet to PAWS for up to 21 days post-adoption for medical evaluation. If the condition is beyond PAWS ability to provide care, I may either take my pet to a private veterinarian at my own expense or return ownership of the pet to PAWS. PAWS will not be responsible for any fees incurred by me should I choose to seek medical treatment elsewhere.
Please enter your name as your electronic signature, certifying that the information you have provided on this application is true to the best of your knowledge:
*
Enter the message as it's shown
*
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