Dog Adoption Consultation Form
Click here for our adoption policy and form instructions


Desert Paws Rescue uses this form to help us understand your needs and expectations. This information will help us in selecting the animals we believe will be a good match for you and your family. Adopting an animal is a big decision and a lifetime commitment, so please help us in making this a successful adoption.

If you prefer to download a blank copy of the adoption form to fill out and fax or mail to us, please click here.


Please provide some information about yourself:

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?
Female Dog?


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?
If yes, did you adopt a dog?
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
Rent House
Rent Apartment
Other Housing
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


*Please only press the Create and Email PDF Button once in order to avoid multiple submissions.  Thank you!



After clicking the Create and Email PDF button, choose Save. Save the file to an area of your hard drive that's easy to find (like the desktop). An email will automatically be sent to the Desert Paws Rescue Adoption Coordinator and they will contact you as soon as possible. It's a good idea to print your own copy of the completed Consultation Form and bring it with you when you're ready to pick up your newly adopted dog.

Note: In order to view and print your own copy of the Dog Adoption Consultation Form, you will need to have Adobe Reader installed on your computer. You may download the free Adobe Reader here.