Your Full Name: Email Address: Home Address: City: State: Zip Code: Phone Number: Major Cross Streets: Current Employer: Number of Years With Employer: What physical characteristics are you looking for in your new pet?
Name of dog that you are interested in adopting (if known): Would you be interested in adopting a: Male Dog? No Yes Female Dog? No Yes What is the age range of the dog you are interested in adopting? Age 0 - 1 Age 1 - 2 Age 2 - 4 Age 4 - 6 No Age Preference Which color dog would you prefer? Other characteristics you'd like in a dog: What type of coat would you prefer your dog to have? Long Hair Medium Length Hair Short Hair What size dog would you prefer? Small Medium Large My new dog would stay: Outdoors Indoors Outdoors Mostly Indoors Mostly I'd prefer my news dog's activity level to be: High Low No Preference We want our new dog / puppy to do the following activities with us: Hike Relax in the Evening Travel Fly Jog Play with Children Camp Boating Bicycling Play Ball (catch) Swim Other Other Details: I would like my new dog/puppy to be: A Companion Protective Obedient A Performer (agility) A Service Dog Other Other Details:
The following are questions about your current and previous pets.
Will this be your first pet? Yes No Have you adopted from Desert Paws Rescue Before? Yes No If yes, did you adopt a cat? No Yes If yes, did you adopt a dog? No Yes Their Name(s)? What kinds of pets have you previously had but no longer have (Check all that apply)? Cat(s) Dog(s) Other Pet What happened to them? In the section below, please describe your current pets. (if applicable)
My first pet is a: Cat Dog Other (please explain) Breed Age What is this pet's gender? Male Female Is this pet spayed or neutered? Yes No Is this pet declawed? Yes No Has this pet been vaccinated? Yes No When are the pet's vaccinations due? My second pet is a: Cat Dog Other (please explain) Breed Age What is this pet's gender? Male Female Is this pet spayed or neutered? Yes No Is this pet declawed? Yes No Has this pet been vaccinated? Yes No When are the pet's vaccinations due? My third pet is a: Cat Dog Other (please explain) Breed Age What is this pet's gender? Male Female Is this pet spayed or neutered? Yes No Is this pet declawed? Yes No Has this pet been vaccinated? Yes No When are the pet's vaccinations due? In this section, please describe your residence.
Own House No Yes Rent House No Yes Rent Apartment No Yes Other Housing No Yes Explain Other Housing: Are there breed restrictions at your residence? Yes No If yes, which breeds are restricted? Does your landlord require a security deposit for pets? Yes No I don't know Does your home have a pet or dog door? Yes No No, but we are considering installing one. Is your yard fenced? Yes No If yes, how tall is the fence? What type of fence? Does your home have a pool? Yes No If yes, is your pool fenced? Yes No How Many people live in your home? What are their ages? How often do children visit your home? Daily Weekly Monthly Only on holidays Never Is anyone in your home allergic to dogs or cats? Yes No Miscellaneous Information Is this dog/puppy a gift? Yes No Approximately how many hours a day will your new dog / puppy be unattended while your family is at work or school? 0 Hours Unattended 1 - 3 Hours Unattended 3 - 6 Hours Unattended 6 - 9 Hours Unattended Over 9 Hours Where will your dog / puppy be kept during the day while you are away? Kept Inside Kept Outside Other If other, explain: Where will your dog / puppy be kept during the night? Inside Outside Other If other, explain: Our family's activity level is: Very Active Moderately Active Not Very Active Someone is Always at Home When I'm out of town I plan to: Take my dog with me Leave my dog with family or friends Leave my dog at home alone Hire a pet sitter or board my dog If I move out of town I plan to: Take my dog with me Find another home for my dog Return my dog Are you familiar with crate training? Yes No Will you crate train? Yes No Would you be willing to take your dog to obedience training? Yes No How much are you willing to spend on medical expenses per year for your dog?
$0 - $100 $100 - $200 $200 - $500 $500 - $800 No Limit Would you consider adopting an animal with special needs? Yes No Possibly How did you find out about Desert Paws Rescue(check all that apply)? Newspaper Special Event Friend or Relative Television www.petfinders.com Veterinarian Radio www.pets911.com Previous Adoption Other
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Dog Adoption Form