Rescue Paws | Thank You

First Name *

Last Name *

Email *

Phone *

Address *

Street Address

City

State

Country

Postal Code

Date of birth *

Employment Status *

Employer Name *

Time at Current Employer *

Months / Years

Residence Status *

List names & ages of all whom reside or stay in your home: *

If no children, do you plan on having children or will children bevisiting the household frequently? *

What is your reason for wanting to adopt a dog? *

If other, please explain:

Veterinarian information *

How many total hours will your new pet be left alone during the day? *

If adopting a puppy, where would the puppy be kept when alone? *

Do you have a fenced yard? *

Are any members of your household allergic to animals? *

Over the past 5 years, how many pets have you owned? *

List all pets living with you and those deceased: (name, species, age) *

Are your present pets up-to-date on their annual vaccines? *

Are your present pets spayed or neutered? *

How much are you financially prepared to spend forroutine/emergency medical care, licensing, etc? *

Do you have a swimming pool? *

If you have a pool, what steps will you take to ensure your new dog's safety?

What plans do you have for your new pet when you are on vacation? *

Which dog(s) are you interested in?

Can / will you provide your dog with monthly heart worm/flea/tick prevention? *

If your dog displays behavioral problems (such as jumping onpeople,excessive barking, potty accidents, etc.) how would you goabout correcting the behavior?

Is your entire immediate family in agreement with the decision to bringa new pet into your home? *

Where will your dog spend most of his/her time? *

Where will your dog eat? *

Where will your dog sleep? *

Please provide 2 personal references (only 1 can be a relative) thatcan testify to your responsibility and ability to care for your animals.This is required or your application cannot be approved. *

Reference 1
Reference 2

Name, Contact Info, Relation

Are you planning to adopt or foster? *

Signature *

Clear

Date *

I agree to terms & conditions provided by the Rescue Paws. By providing my phone number, I agree to receive text messages from the business.

Please remember, it may take approximately 2 to 3 business days for us to get back to you.

Thank you so much for wanting to rescue from Rescue Paws FL!