Peaceful Paws - Application to Adopt
Sorry, but we don't adopt to families with kids under 10. return to
About You
I'm interested in
*
Adopting
Fostering
Full Name
*
First Name
Last Name
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
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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
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El Salvador
Equatorial Guinea
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Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
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The Gambia
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Greece
Greenland
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Indonesia
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Italy
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Japan
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Jordan
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North Korea
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Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
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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
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Uruguay
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Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Phone Number
-
Area Code
Phone Number
Cell Phone
*
-
Area Code
Phone Number
E-mail
*
Do you or anyone in your household currently run a business out of your home?
*
Yes
No
If yes, what type of business?
A Peaceful Paws volunteer is a reference for me
Yes
No
Name of Volunteer
About your Household
Are there children under 10 in the household?
*
yes
no
Will the dog come in contact with children under 10 frequently?
*
yes
no
People in household (including self)
*
Name
Age
Gender
Relationship to You
Activity Level
Adult
Adult
Adult
Child
Child
Child
Child
Child
Child
Will the dog have contact with
*
children under 12 are in the family
children under 12 visit frequently
children under 12 visit occassionally
neighborhood children on walks
children under 6 are in the family
children under 6 visit frequently
children under 6 visit occassionally
I am willing to gate/section off the dog from children when they are visiting
I am unwilling to gate/section off the dog from children when they are visiting
regardless of whether I have children, the dog must be ok with them
On a scale of 0 to 10, How busy is your household (0=not busy)?
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Does your home have
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a lot of stairs, inside and out
a lot of stairs inside
a lot of stairs outside but only a few inside
only a few stairs inside (maybe 4-5 total)
only a few stairs outside
only a few stairs inside and outside
Do you live in a
*
Townhouse
Condo
Row Home/Twin
Mobile Home
Detached single family home
farm
Other
Do you live in
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town
City
Suburb
Country
Other
Do you
*
own your home
rent your home
If rent, for how long have you been in this rental
If rent, have you talked to your landlord about adopting a dog over 80 lbs?
Yes
No
If rent, please provide contact info for your landlord
Is your yard fenced
*
Please Select
Yes
No
electronic - in use
electronic - not in use
Partially
Not allowed
If yes, please describe height and type of fence
If no, please explain how you intend to exercise and relieve the dog
On a scale of 0 to 10, How busy is your neighborhood (0=very quiet)?
*
About Your Pets
Do you have (please list below)
*
dogs
cats
other pets
no other pets
Animals in Household
Type (dog, cat, etc)
Name
Age
Breed
Gender
Spayed/Neuutered
Owned for how long?
Activity Level
Animal
Animal
Animal
Animal
Animal
Animal
Animal
Animal
Animal
If not currently, have you or anyone in your household had pets in the past?
*
Yes
No
If you've owned in the past, list name, breed, gender, spay/neuter, how long you had them and what happened to them
On average, how long are your dogs alone during the day?
*
Do you have a way to separate the new dog from existing pets during the transition period? If so, how
*
Does anyone let your pets out when you are gone for the day?
*
Yes
No
Where will the dog primarily live?
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inside, only outside for potty and play
inside, except during summer
in garage or outdoor building
outside if the weather is nice
outside
Any additional info that you want to explain
Do you currently crate your pets?
*
Yes
No
If your new dog required crating, would you do so?
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Yes
No
Where will you keep your dog when on vacation?
*
with family member/friend
at home, with daily visits
kennel at vet
kennel at kennel
Other
Where will your dog sleep at night?
*
in the bedroom with us
free run of house
in another room
About Exercise, Discipline, Food & Medical
Are you associated with any dog clubs, obedience clubs, rescue, shelter
*
Yes
no
Used to be, not any longer
If you are working with another rescue, please provide the name. We may be ableto share info for homechecks, etc
If so, provide name and contact #
How do you plan to exercise the dog?
*
If your dog grabs food from the counter, what will you do to teach him?
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If your dog pees in the house while you're gone, what do you do when you get home to teach him?
*
If you dog chews on your new leather shoes, why do you think he did that?
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He's bored
my shoes were laying out, so he chewed on them
he's being spiteful
he likes leather
If you dog chews on your new leather shoes, how will you ensure that he doesn't do that again?
*
show him who's alpha
pop him on the nose with the shoe so that he knows he's bad
grab him at the neck and make scht, scht noise
put shoes away
spray shoes with Bitter Apple(tm)
crate him when I can't supervise
exercise him more
give him something better to chew on, like a bone
Have you ever trained a dog before?
*
Yes, formally
Yes, informally
No
If you were to train your new dog, what methods would you consider using
*
we used a clicker to mark behavior we wanted
we used a scruff shake to stop behavior we didn't like
we said Yes! when the dog did what we wanted
we pulled up on the dog's choke chain when the dog didn't stop
we stared into the dog's eyes to make sure he knew we were alphas
we used a gentle leader to walk more easily
we used a choke chain
we used a prong collar
we pushed on the dog's butt to teach him to sit
we used treats to teach the dog what to do
we learned how to correct him if he did something wrong
we learned that if we couldn't get him to do something, maybe we weren't communicating well
we didn't use treats because the dog should want to do things for us
we learned to make the dog obey. We are dominant over him
If required, will you agree to take your new dog to an approved class?
*
Yes
No
How much do you think it will cost to feed a giant dog for a month?
*
How much do you think you will pay yearly in routine vet care for a giant dog?
*
Many giant dogs are prone to Bloat. How much do you think emergency bloat surgery will cost?
*
What do you plan to feed your new dog?
*
About the Dog You'd Like to Adopt or Foster
I'm interested in a specific dog (specify name)
I'd consider a giant dog of the following breed(s):
*
Borzoi
Bull Mastiff
English Mastiff
Great Dane
Great Pyranees
Greater Swiss Mountain Dog
Irish Wolfhound
Leonberger
Neopolitan Mastiff
Newfoundland
Saint Bernard
Scottish Deerhound
Tibetan Mastiff
I may be interested in adopting/fostering a dog that
*
is older
is deaf
has special needs
needs some training
needs someone home more often than not
needs an outlet for energy
needs a home like mine
doesn't like cats
doesn't like kids
doesn't like other dogs
needs some time to adjust
is a mixed beed dog
My ideal dog's AGE would be
*
under 6 months
1-2 years of age
3-5 years of age
6+
doesn't matter
Pretend we found you the perfect dog in every way but age. On a scale of 1 to 10, with 1 being not at all important, how important is it that your new dog be in the age range you selected above
*
Think about your lifestyle and your expectations of a dog. We'll be using this information to match you with a rescue dog.
My new dog's ACTIVITY LEVEL (check all that apply)
*
My dog is a couch potato, loves to lounge about
My dog has short bursts of energy, lasting not more than 15 minutes or so
My dog enjoys several walks a day
My dog is busy, she likes to go places and do things
My dog needs several hours of playtime a day, and is always raring to go
My mew dog's SOCIAL SKILLS WITH PEOPLE (check all that apply)
*
My dog loves to be out and about, meeting new people
My dog can be nervous in new situations but still loves people
My dog is comfy at home, loves when people come over
My dog is comfy at home, but needs time to warm up to visitors
My dog is protective of his home, and doesn't trust strangers
My dog needs to be gated when we have company
In all seriousness, just how important is it that your new dog absolutely loves other people, even total strangers? Rate the importance to you on a scale of 1 to 10, where 1 is not at all important and 10 is extremely importantant .
*
My new dog's SOCIAL SKILLS WITH OTHER DOGS (check all that apply)
*
my dog loves to meet new dogs of all shapes and sizes
my dog loves the dogs she lives with but not strange dogs
my dog can pass dogs on walks nicely but doesn't want to meet them
my dog is reactive to other dogs she sees while walking
my dog doesn't need to meet other dogs on walks
my dog can be picky about the dogs she likes
In all seriousness, just how important is it that your new dog absolutely loves other dogs even strange dogs? Rate the importance to you on a scale of 1 to 10, where 1 is not at all important and 10 is extremely importantant .
*
DOG Parks
*
I plan to take my dog to the dog park often
I plan to take my dog to the dog park occassionally
I don't need to take my dog to the dog park
I don't like dog parks, they are too dangerous
We can go to the dog park if my dog likes it there but otherwise we don't need to go
Pretend we found you the perfect dog in all things except that he couldn't go to the dog park. Rate the importance of your new dog being able to go to a dog park on a scale of 1 to 10, where 1 is not at all important and10 is extremely important.
*
Describe your ideal dog
*
Veterinary Information
Do you agree to allow Peaceful Paws to visit your home prior to adoption and to talk to your vet?
*
Yes
No
Vet name, address (incl city, state) and phone #
*
When was your last vet visit? (MM.YY))
Reason for last visit?
By signing below, I explicitly direct the vet listed in this application to provide information about services provided for animals in my care, under the name provided here to Peaceful Paws Rescue. (Type your Full Name )
*
Acceptance of Terms
By checking the box below, you have indicated that this is a valid and legal substitution for your written signature on this legal document titled "Peaceful Paws Application to Adopt"
*
I accept
I decline
By checking the box below, you are stating that you are financially and physically able to care for this dog. You understand that proper food and vet care can be costly, and you are able to meet these requirements
*
I accept
I decline
By checking the box below, you understand that if the information contained herein is found to be false, your application can be refused or said dog adopted shall be relinquished to Peaceful Paws without a refund of monies paid
*
I accept
I decline
By checking the box below, you understand that should you adopt from Peaceful Paws, the adoption fee goes toward the cost of caring for all of the rescue dogs, and that this fee is non-refundable
*
I accept
I decline
By checking the box below, you have indicated that you are fully aware of the risks that dogs pose and have voluntarily elected to meet one or more dogs in the care of Peaceful Paws. You knowingly assume all risks that exposure to dogs may pose, including but not limited to serious bodily injury.
*
I accept
I decline
Your Signature (Type your Full Name )
*
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