P.A.W.S
P.O. Box 2184
Riverview, MI 48193
Info@pawsofmichigan.com
____________________________________________________________
Dog ADOPTION APPLICATION
Date:
Interested in (circle one):
Dog Puppy Animal’s Name 2nd choice
Age of applicant: Age of co-applicant: Do live you with your parents?
Name: Address:
City, State, Zip
Home phone: Cell # E-Mail
How long have you lived at present address?
Do you live in a: House Apartment Condo Mobile Home
If renting, Landlord's name and phone number:
What is your reason for wanting to adopt an animal?
Are you adopting for: Yourself family others gift/surprise
Are you looking for an: House Pet Guard Dog Watch Dog Companion and Play Pal for Current Dog
Backyard Pet Gift Child's Pet Breeder Other
How many adults reside in your home? , children & ages ,,,,,
Are all household members in agreement with adopting this Dog?
Does any members of the household have any allergies?, If so, describe
Who will be responsible for taking care of the dog?
Do you presently have any pets? If yes list breed(s), age(s), sex and name(s):
yes
Who is your current/previous veterinarian? (clinic name & phone #)
What other pets did you have in the last ten years?
How long did you have them?
Where are they now?
How much time do your current/previous pets spend outside?
How much time would this new pet spend outdoors?
How many hours per day will this animal be left alone?
Where will the pet be kept when left alone?
Does your yard have a fence?
If so what is the Height of your fence?
If not what are your plans to keep the dog confined to your yard?
The average cost per year for providing preventive veterinary care is $300-350.
Additionally there are expenses of food, toys, grooming, boarding, emergency vet care, etc. to consider,
does your household budget allow you to comfortably cover these expenses?Yes No
Rescue animals require time to adjust to their new home. What amount of time do you consider to be reasonable for adjustment?
What behaviors would you be unable to tolerate from an adopted Dog/Puppy? (check all that apply)
Excessive Barking
Unfriendly toward other pets
Shy, Skittish, or Hides alot
Chewing
Digging
Getting on furniture
Getting into Garbage
Shedding Hair on Furniture/Clothes
Escaping
Fighting
Methods I plan to use to discourage unwanted behavior(s) (check all that apply)
Remove problem item
Distract Him / Her and reward good behavior
Yell
Put dog in other room
Put dog outside
I won't tolerate bad behavior
Swat/spank/hit with newspaper
Spritz with water
Throw something at dog
Other
Dog Obedience Classes
select all of the following that may cause you to give up your Dog/Puppy? (check all that apply)
Birth of a child
New roommate
Marriage
Divorce
Need regular medication
Unemployment
Allergies
The foregoing information that I have provided to P.A.W.S for the purpose of adopting an animal is accurate and complete.
By Typing Your Name you agree to The above
SIGNED:
DATE: