PAWS of Austin

Date:

Name of PAWS pet you are interested in (if known):*

Contact Information

Applicant's Name:*

Street Address:* Apt #:

City:* State:* Zip:*

How long at this address?*

Home Phone:

Mobile Phone:

Work Phone:

Email Address:*

Questionnaire

Are you over 21 years of age?*

Occupation:*

Hours Away from Home:*

Type of Housing?* Own Rent Other Arrangements

Are you planning to move in the near future?*

If yes, what will you do with your pet(s)? *

Do you have a fenced yard?* Fence Type?* Fence height?*

Will others be handling or caring for this pet? * If yes, list Number of adults. Number of children.

Name and ages of all household members, including yourself: *

Do any members of your household have allergies?*

List all of the pets you have now, including roommates pets:*

(1) Name:Spay/Neuter? Male Female Age: Breed: Kept?

(2) Name:Spay/Neuter? Male Female Age: Breed: Kept?

(3) Name:Spay/Neuter? Male Female Age: Breed: Kept?

(4) Name:Spay/Neuter? Male Female Age: Breed: Kept?

(5) Name:Spay/Neuter? Male Female Age: Breed: Kept?

Do you have animals that are not listed above?* How many?* Type?*

Do you currently have pets, or have you previously had pets in your adult life (within the past 5 years)? *

If yes, please supply your vet information:*

Veterinarian Name:

Veterinarian Phone Number:

Have you had any other pets in your adult life that are not listed on this application? *

If yes, how long did you own them, and what happened to them?*

Have you adopted any pets from a rescue group or animal shelter in the past? *

If yes, Which rescue group(s) and/or shelters?*

Pet Specifics

What gender of dog are you interested in adopting?* Male Female No preference

What age dog are you interested in adopting? (check all that apply):*

Adult (over 1 yr.)
Older Puppy (5 mos. to 1 yr.)
Younger Puppy (younger than 5 mos.)
Senior
No preference as to Age

What size dog are you interested in adopting? (check all that apply):*

Toy (under 10 lbs.)
Small (11-25 lbs.)
Medium (26-50 lbs.)
Large (51-90 lbs.)
Giant (Over 90 lbs.)
No preference

How active would you like your dog to be? *

Very Active (needs lots of exercise)
Active (needs a moderate amount of exercise)
Sedentary (couch potato)
No preference

I want this pet for? (check all that apply):*

Breeding
Child's pet
Gift
Companion
Hunting
Guard Dog/Protection
Working/Farm
Companion for other pet
Other
If other, please explain:

How long have you been looking for a pet?*

What would you consider to be undesirable traits in a dog?*

What would you do if your adopted dog begins to display any of those undesirable traits
(or traits such as excessive barking, digging, chewing, etc.)?*

When you first began your search for a dog, what kind of dog were you looking for and
what traits were you interested in a dog having?*

Will you need time to prepare for your new pet? *

If yes, list number of days needed: *

My pet will be kept: *

Mostly indoors
Mostly outdoors
Equally indoor/outdoor
Undecided

How long will your pet be left by itself during the daytime?*

When your pet is left by itself, the pet will stay: *

Outside
Indoors in a crate
In a restricted area indoors
Allowed to roam free indoors

Where will your pet sleep at night?*

If your pet is left outdoors, what type of shelter will be provided?*

Do you currently own a doghouse? *

Will you be using a tie-out or chain to secure the dog? *

If you live on acreage in the country, how will you keep your pet confined to your property?

Do you or your neighbors have farm animals such as cows, horses, goats, chickens, etc.? *

Care and Training

Who will be responsible for the socialization, medical care and training of this pet?*

Would you be interested in attending training sessions? *

Who will be responsible for housetraining this pet?*

Are you interested in information on housetraining? *

Are you interested in information on obedience training? *

What brand of food will you feed your dog?*

On average, how much money do you expect to spend yearly on this dog?*

There are times when unexpected and often very expensive medical conditions occur.
Are you committed to providing whatever medical care your veterinarian deems necessary for your dog? *

List your personal reasons for wanting a dog:*

Are you willing to allow a representative of our group visit your residence? *

Additional Comments:

We do not ship dogs, you must come to Austin, TX to meet the dog you are applying for.

By clicking the "Submit" button below, you hereby certify that the information given above is truthful and correct.