Adoption Application Paws Brave Hearts
This is the adoption form for Paws Brave Hearts. Please answer all questions completely to expedite your application processing!
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I would like to adopt:
Name *
Address (street, town/city, state, zip) *
Phone *
Cell Phone *
email
Occupation
Work Phone
Are you 18 years of age or older?
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For DOGS: Please select any applicable reasons for adopting:
If CAT: Please select any applicable reasons for adopting
What type of dwelling is your home?
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What best describes your living situation?
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How long have you lived at the above address?
Does your landlord allow pets?
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Landlord's name, address and phone number
How many adults live in your home?
How many children live in your home?
How many cats live in your home?
How many dogs live in your home?
What are the ages of children who live in or regularly visit your home?
Does everyone in your home know you plan to adopt?
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Do any members of your home have allergies to pets or dogs?
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Are you or is another member of your home a smoker?
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Who will be responsible for the care of the animal?
Where will your dog or cat live primarily?
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If you are adopting a dog, how will you restrain your dog while outdoors?
Do you travel often?
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If you travel often, how will you provide for your animal while you are away?
How many hours each day will the animal be left at home alone?
Where will the animal be kept while home alone?
Routine medical care, food and supplies for your new animal may be as high as $300 a year. Since most shelter animals have unknown medical backgrounds, are you prepared to pay these costs, as well as any additional medical treatments?
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How will you keep your animal free of fleas and worms?
Are you familiar with animal control laws in your community?
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Have you ever given up an animal for any reason?
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If yes, please explain
Are you willing to to make every attempt to correct any behavioral problems that may occur with the animal?
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Are you willing to give this animal all the love, attention and care they deserve?
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What made you decide to apply for adoption?
Have you applied to adopt from PAWS Brave Hearts before?
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If yes, were you approved?
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If yes, who did you adopt?
Required: Your veterinarian (current or most recent) name, phone and address. If you have never had a pet, list none. If you had pets in the past but don't currently, please list the previous vet. If there is no vet and you have pets, please explain. (Please call your vet to give consent as some require this before they speak to us) *
Please list two references  (Name and Phone Number) one who cannot be a family member
Please list all companion animals you currently own. Please include NAME, TYPE/BREED, AGE, If they are spayed or neutered, and if they are current on their vaccinations
Please list all companion animals you have owned in the past five years. Please include NAME, TYPE/BREED, AGE, If they are spayed or neutered, and if they are current on their vaccinations
PLEASE READ CAREFULLY BEFORE SIGNING: I, the undersigned, agree to the following statements: All information I have provided (verbally, in writing, and in any records) is true to the best of my knowledge.  PAWS Brave Hearts has permission to discuss this information with others and to deny the adoption of any animal for any reason. PAWS Brave Hearts cannot guarantee the health of its animals.  Many shelter animals have unknown histories and behaviors, and I understand that if I am approved for adoption, I am responsible for this animal’s care.  I am prepared to make this financial commitment.
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