Adoption

To apply for a rescue dog: Please copy and paste the app below and send it to our email address pawsforlifespringfield@gmail.com. We look forward to hearing from you. All dogs are spayed/neutered and up to date on vaccines. 

PAWS FOR LIFE K9 RESCUE 

Pre-Adoption Guidelines

• Must be at least 21 years of age 

• Have Identification showing your present address 

• Have the consent of your landlord (if applicable) 

• Be able/willing to spend the time/money necessary to provide training, medical treatment  and proper care for a pet 

• Live in Sangamon County or a bordering county. Will consider other adopters on case by case basis 

• Many of our dogs will require a fully functioning fenced yard.  

• All pets in home must be current on vaccinations and spayed/neutered 

• PFL reserves the right to decline any application at  any time during the application process

Pre-Adoption Application

ALL QUESTIONS MUST BE ANSWERED TO BE CONSIDERED TO ADOPT

Full Name: 

Date of birth 

Co-Applicant Full Name: 

Date of birth

Address:                                        City                                        State

___Own ___Rent 

How long at residence 

Phone numbers 

Email

Place of employment of applicant 

Place of employment of co-applicant

Dog applying for 

Family & Housing

How many adults in home          Relationship to you 

How Many Children             Children’s ages  

Type of home ___single family ___ condo ___Apt ___ Farm ____Mobile Home

 Is there a securely fenced yard ____Yes____ No ___Chain Link ____ Privacy ____ height   

If you rent, please give the landlord’s name                                      Landlord’s Phone # 

Do we have permission to call the landlord ___ Yes ___ No 

Are all family members in agreement with the decision to adopt a dog? 

Where will the dog spend the day? 

Where will the dog spend the night (describe) 

Number of hours (average) per day dog will spend alone  

Who will have primary responsibility for the dog’s daily care? 

What type of exercise are you planning to provide the dog and how often 

Do you agree to agree to keep the dog as an indoor dog? 

Please provide 2 personal references outside the home that are not relatives 

Name 

Phone #  

Relationship 

Name 

Phone# 

Relationship 

Other Pets

What other pets live in the home (Type of animal, age, sex) 

Are these pets up to date on vaccines ___YES ___NO 

Are these pets spay/neutered? ___YES ___NO If not please explain ________________ 

List all pets you have had in the last 5 years and their current location & Vet for each pet (including deceased pets in the last 5 years)  

If you adopt from Paws for Life will you agree to the following? 

To keep pet current on health check-ups, vaccines & preventatives? ____YES ____NO 

Purchase a properly fitted collar tag with your number & pets name upon adoption?  ____YES____NO 

Not to tie or chain pet as a primary means of confinement? ____YES ____NO 

Return pet to Paws for Life if you can no longer keep the pet? ____YES ____NO 

What do you consider a reasonable amount of time to allow a pet to adjust to your home?  

What would you do if behavior issues arise with your new pet?  

Veterinarian

Do you have a regular veterinarian?

Do you purchase preventatives for your current/past pets from your veterinarian or another source? 

Explain if other source 

Veterinarian’s name:

 Clinic name:  

Clinic Address: 

 Clinic Phone: 

Do you agree to provide regular healthcare by a licensed Veterinarian: _____Yes ______No Disclaimer and Signature 

I certify that my answers are true and complete to the best of my knowledge. This dog will reside in my home as a pet. I will provide it with good quality food, plenty of fresh water, indoor shelter, affection, training if required, annual physical examination and vaccinations under the supervision of a licensed veterinarian.

Signature of applicant ____________________________________________ 

Signature of co-applicant _________________________________________

PFL reserves the right to deny any application during the adoption process. Incomplete applications will result in a delay in processing.