Peace Love & Dog Paws Rescue, Inc.

APPLICATION TO FOSTER OR ADOPT A DOG

Thank you for your interest in adopting a dog/puppy from Peace Love & Dog Paws Rescue, Inc. Please complete the form below to apply to adopt a dog. Peace Love & Dog Paws Rescue, Inc. reserves the right to accept or deny any applicant or application based on the requirements for adoption and the needs of the dog/puppy you are applying to adopt. Any false information provided by the applicant will result in a nullification of your application and contract. You must be 18 or older to complete this application.

Application Information

Application Type: Foster Adoption Both

Which dog are you interested in adopting?

Personal Information

First & Last Name: Age:

Street Address: DL #:

Street Address:

City: State: Zip:

Home Phone: Cell: Work:

Email Address:

How long have you lived at current Residence?

If less than year, please provide previous address:

Street Address:

City: State: Zip:

How many adults live in your house?

How many children live in your house? Ages:

Do you rent your home / apartment? Yes No

If Yes: Landlord Phone:

Are pets allowed? Yes No Not Applicable

Is a pet deposit required? Yes No Not Applicable

If yes, has it been paid? Yes No Not Applicable

Dog Environment

Has anyone in your home had an allergic reaction to a dog? Yes No

Who will be financially responsible for necessary vet care (if foster application, this question is not applicable)?

Who will be responsible for daily care and feeding?

Are you aware of the necessary annual shots for dogs? Yes No

Are you fimiliar with (check all that apply): Canine Parvovirus
Heartworm Prevention Heartworm Treatment Rabies

Are you aware of the common household products and plants that are toxic to pets? Yes No

Where will the dog live: During the Day?

At night?

Will someone be at home during the day? Yes No

Do you have a pet door? Yes No

Will the dog be alone for extended periods during the day? Yes No

If yes, how many hours at a time?

Do you have a fenced yard? Yes No

Type: Height:

Aproximate fenced area:

Is there direct access from house to fence?
Yes No Not Applicable

Is there shelter in fenced area? Yes No Not Applicable

If no fenced in yard, are you committed to leash walking?
Yes No Not Applicable

If leash walking, how many times a day will you walk the dog?

Do you have a crate for the dog? Yes No

How many hours a day will the dog be in a crate?

Will you travel out of town frequently? Yes No

If yes, will the dog travel with you? Yes No Not Applicable

Who will take care of dog, if they do not travel with you?

If adopting a puppy:
Have you had previous experience with puppies?
Yes No Not Applicable

How will you handle more frequent potty breaks while absent for over 4 hours?

Have you prepared your home for frequent puppy accidents and puppy chewing? Yes No Not Applicable

Previous pet history

Previous pet history, Pet 1:

Name: Type:

Spayed or Neutered? Yes No

Why is pet no longer with you?

Previous pet history, Pet 2:

Name: Type:

Spayed or Neutered? Yes No

Why is pet no longer with you?

Previous pet history, Pet 3:

Name: Type:

Spayed or Neutered? Yes No

Why is pet no longer with you?

Current pet information

Current pet 1:

Name: Type:

Breed: Age:

Gender: Male Female

Spayed or Neutered? Yes No

Heartworm prevention (type):

Flea / Tick Prevention (type):

Current pet 2:

Name: Type:

Breed: Age:

Gender: Male Female

Spayed or Neutered? Yes No

Heartworm prevention (type):

Flea / Tick Prevention (type):

Current pet 3:

Name: Type:

Breed: Age:

Gender: Male Female

Spayed or Neutered? Yes No

Heartworm prevention (type):

Flea / Tick Prevention (type):

Do you have a veterinarian? Yes No

Vet Name: Vet Phone:

Vet Address:

What name are the vet records listed under:

Have you ever taken an animal to a shelter? Yes No

If yes, please explain:

Foster Information (if adoption application, please skip this section)

Why do you want to foster a dog?

Do all members of your household agree to have a foster animal in your home?
Yes No

Do all members of your household understand and agree that each foster animal will be adopted into a new permanent home? Yes No

How long are you willing to foster an animal?

Is there any time of year during which you would typically not be able to foster an animal? Yes No

If yes, please explain:

Please describe any preferences or restrictions for the dog(s) you would like to foster (small, large, puppy, adult, etc..)

Do you need any of the following materials for the foster dog?
Dog Bed
Food
Treats
Toys
Dog Shampoo

*Please note, Flea / Tick prevention and Heartworm prevention will be provided by PL&DPR.

*Please note, approved medical expenses (at an approved veterinarian) are reimbursed by PL&DPR.

Temperament and behavior problems may emerge after an animal enters foster care. Are you prepared to handle behavioral issues with assistance and guidance from PL&DPR? Yes No

What behavioral or temperament issues would you find intolerable in a foster animal?

What circumstances would cause you to return a foster animal in your care?

Experience with Dogs (if adoption application, please skip this section)

The following questions help us evalute your experience so that we can place an appropriate dog in your home. You do not need experience in all areas to be approved as a foster home.

Mark all that apply and describe your specific experience:

Basic Training:

Modifying a behavior problem:

Caring for a pregnant dog:

Raising puppies until they are ready to be placed in new homes:

Socialization (exposure to otherpets, strangers, children and various experiences):

Other:

Are you comfortable with dogs you don't know? Yes No

Please describe all rescue-related experience you have:

Please describe other experiences that you feel will help you work with rescued animals:

Aside from fostering dogs, are there other ways in wich you would like to help our rescue efforts? Mark all that apply:

Talk to approved applicats about an animal you are fostering
Tansport foster animals
Assist with screening adoption aplications
Photograph foster and potential foster dogs
Evaluate an animal for rescue
Perform home checks

More Information

If dog of interest is unavailable, would you cansider another dog?
Yes No

If yes, please provide details of dog, size, age, gender, etc..

How did you hear about Peace Love & Dog Paws Rescue, Inc.?

I submit that the information provided on my apliction is true and accurate to the best of my knowledge. (This check box is used in place of a signature) Please make a selection.

Please note, the completion of the application does not guarantee adoption. Peace Love & Dog Paws Rescue, Inc reserves the right to refuse adoption, but will review each application very carefully.

After submitting application, someone will contact you within 48 hours of reciept of the application. If you have any questions, feel free to email us at PeaceLoveDogPawsRescue@gmail.com

Peace Love & Dog Paws Rescue, Inc. is a strong advocate of responsible pet ownership which includes and is not limited too; monthly heartworm prevention, monthly flea/tick prevention, annual vaccinations, spay/neuter of all current pets living with the person/persons applying to adopt a dog from Peace Love & Dog Paws Rescue, Inc. If person/persons applying to adopt have good reason why they do not meet the required criteria as a responsible pet owner, Peace Love & Dog Paws Rescue, Inc. will give the person/persons an opportunity to explain (e.g. health condition, age, etc). Any person/persons applying to adopt that do not meet the responsible pet ownership requirements set forth by Peace Love & Dog Paws Rescue, Inc. will have their application for adoption denied.

Again, thank you for your interest... our furry rescue friends thank you too!

If you have any further questions regarding our rescue and/or our rescue dogs, please do not hesitate to contact us!