Paws of Dogs




KC Paws Adoption Application

Applying For:
Animals Name:

Applicant's Information:

Full name:
Phone Number:
Cell Number:
Your Email Address:

Are you over 18?

Household Information:

Where do you live?


How long have you lived at your present address?

Do you own your own home?

Do you rent?

If yes
Landlord's Name: Landlord's Phone number:

Do you have a fenced yard?

Type of fence:

Doggy door?

How do you plan to exercise your companion animal?

If you decide to move in the future, what will you do with yoru companion animal?

What provisions have you made for your companion animal in the event of your illness or death?

How many adults(over 21) live in your home?

Are there children in your home(under 21)?

If yes, how many and what are their ages?

Are all members of your household aware of your plans to adopt animal?

Are any members of your household allergic to animals?

Where will your companion animal sleep?

How many hours will your companion animal be alone?

Where will you keep your companion animal when he or she is home alone?

Do you have any health restrictions which could restrict your ability to care for an animal?

If yes, please describe:

Why do you want to adopt an animal?


How long at your present job?
Can you be contacted at your job?
If yes, work phone number:

Other Animals:

Do you have cats?
If yes, how many?
Cats live:
Are the cats declawed?
Are the cats altered?

Do you have dogs?
If yes, how many? and what breeds?

Dogs live:
Are the dogs altered?
Are your dogs on heartworm preventative?
How often do you give heartworm preventative to your dogs?

Other Animals
Do you have other animals?
If yes, how many and what kind?

Describe the living conditions of the other animals:

Are all of the animals in your household current on vaccinations?

Veterinarian Information

Name of Veterinarian:
Phone Number:


If no companion animals at this time, have you had any in the past 8 years?

If yes please describe them and what happened to them:

References: Please list people other than family who you have known for at least 5 years.

Phone Number:

Phone Number:

Thank you for taking the time to fill out the online application. Someone should get in touch with you within 48 hours.