Dogs for Adoption
Please take a moment to tell us a little about yourself so that we can help you make the best match possible.
Email (again for verification)
Providing an alternate address will allow us to reach you if both are typed incorrectly.
Do you rent or own your home?
If you rent, please provide the name, email, and/or phone number of your landlord
Are you over 21?
Are you employed?
How many adults reside in your home?
Please list the ages of each child in your home:
Do you or family members have allergies? Is yes, describe.
On a typical day, how long will this dog or puppy be alone?
Where will he/she be left when you are not there?
Is your yard entirely and securely fenced?
If your yard is not fenced, have you considered a safe way to confine the dog when you are outside?
Would you still be able to care for this dog if your home or family situation changed (divorce, relocation, baby)?
Please explain your answer above:
Do you currently own any other pets?
If so, are they all spayed / neutered and medically up to date?
If not, why?
List names, breed, age and sex of each of your current pets (cats, dogs, etc.):
What happened to the last pet(s) in your care?
What are you looking for?
Did you see a particular dog or puppy(s) on the website that interested you? Who: *
What are your preferences for age and sex?
I am open to making the best match
How would you describe your lifestyle?
Please describe you preferences for activity level?
Please tell us about your family and dog experience:
What circumstances would be cause for you to surrender your dog? Please be specific: *
Have you ever adopted from a Humane Society / Rescue before?
Have you ever surrendered an animal you owned to a Humane Society?
If yes, what were the circumstances?
Vet's name and phone (if you have animals now or in the past)
Name and phone or email REQUIRED
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 $425 adoption fee at the time of adoption
Our adoption fee of $425 includes: Health examination(s), Spaying/Neutering, 30 days of FREE Pet Health Insurance, Wormings (age related), Distemper Combo Vaccination (number of vaccinations will be related to age), Rabies Vaccination (If older than 4 months when adopted), Heartworm Test (If older than 6 months when adopted), Flea & Tick Treatment.
Is there any additional information you would like us to know or questions you need answered?
PawSafe Animal Rescue
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