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Adoption Application

ADOPTION PROCESS
Submit the online adoption application. A volunteer will review and contact you with a link to schedule an appointment to meet the dogs in our care. Appointments will only be available to book when we have dogs available and are made no more than a week ahead. Come at your appointment time to meet an adoption counselor and the dogs available at that time. Leave with your new best friend!!

    Please take a moment to tell us a little about yourself so that we can help you make the best match possible.

    Did you see a dog on our website that interested you...

    Which dogs/puppies are you interested in?

    Personal Information

    * PLEASE NOTE: Due to State Specific Animal import laws, we are currently limiting adoptions to the states we operate in - CT and NY residents only. In the text box below, please write out which state you reside in.

    * Full Name

    * Address

    * City

    * State

    * Zip

    Phone

    * Cell Phone

    * Email

    * Retype Email Address

    Home Information

  • Do you own or rent?

  • Type of Residence:

  • If you rent, have you contacted your landlord for approval and understand any breed/size restrictions they may have?

  • Are you over 21?

  • Are you employed?

  • How many adults reside at your home?

  • Please list the ages of each child in your home:

  • To the best of your knowledge, is anyone in your household allergic to dogs?

  • On a typical day, how long will this dog or puppy be alone?

  • Where will he/she be left when you are not there?

  • If your yard is not fenced, have you considered a safe way to confine your dog?

  • Home and living situations can change unpredictably. Would you still be able to care for this dog if your situation changed (divorce, relocation, baby)?

  • Please explain your answer above:

    • OTHER PETS

    Do you currently own any other pets?

    If yes, are they all spayed / neutered and medically up to date?

    If you selected NO to the above question, please tell us why:

    Tell us a little about the pets currently in your home. (if applicable)

    What happened to the last pet(s) in your care?

    We want to help you make a lifetime match! Tell us what you are you looking for...

    What are your preferences for age and sex? (Please check all that apply)
    BabyYoung AdultAdultSeniorMaleFemaleI am open to making the best match

    How would you describe your lifestyle?

    Briefly describe your preferences for activity level?

    Please tell us about your family and dog experience:

    What circumstances would be cause for you to surrender your dog?

    Have you ever adopted from a Humane Society / Rescue before? YesNo

    Have you ever surrendered or re-homed an animal in the past? YesNo

    If yes, what were the circumstances?

    LEGAL INFORMATION

    *** PLEASE READ ***

    You MUST check the boxes below that you understand and agree to the terms and conditions:

    Checking this box, I understand that while Pawsafe has made every effort to provide accurate history and assessment of the dog, Pawsafe is not able to guarantee the dog's health, age, breed, medical status, behavior or disposition and makes no explicit or implicit guarantees in any of the above.

    I agree to the adoption fee at the time of adoption

    Our adoption fee includes: Health examination(s), Spaying/Neutering (age appropriate and within Covid-19 accessibility), wormings (age related), age appropriate vaccines, Rabies Vaccination (If older than 4 months when adopted), Heartworm Test (If older than 7 months when adopted), Flea & Tick Treatment.

    Is there any additional information you would like us to know or questions you would like answered?

     

    Please add adoptions@pawsafe.org to your contacts so you receive our replies

     

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    Signature and Date

    Typing your name will serve as legal signature. By signing, I am attesting to the truthfulness of my answers. Falsification of any of the above information will be grounds for disallowing the adoption of rescue pet and possible removal of said adopted animal I understand and agree to the above mentioned:

    You MUST provide your digital signature below and today's date- These are REQUIRED FIELDS:

    Digital Signature

    Date