To apply for a rescue dog: Please copy and paste the app below and send it to our email address firstname.lastname@example.org. We look forward to hearing from you. All dogs are spayed/neutered and up to date on vaccines.
PAWS FOR LIFE K9 RESCUE
• 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
ALL QUESTIONS MUST BE ANSWERED TO BE CONSIDERED TO ADOPT
Date of birth
Co-Applicant Full Name:
Date of birth
Address: City State
How long at residence
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
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?
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
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.