SCPAW

Dog Adoption Application

Please fill out all the information on this application. It will be submitted to SCpaw and you will be contacted about the status of your application.

About You and Your Family

Name of Applicant #1:

Name of Applicant #2:

Email:

Address: City:

State: Zip:

Phone (H): Phone (other):

How did you hear about SCpaw:

Who will be primarily responsible for the dog?:

Are you prepared to make a 15-18 year commitment to your new animal companion?
Yes No

Do all adults in the household know you plan to adopt?
Yes No

Children: Yes No
If yes,ages: , , ,

Is anyone in your household allergic to dogs: Yes No

Do you live in a: House Apt Boat Dorm?

Do you Rent Own?

Do you have a yard? Yes No

Is it fenced? Yes No

Do you have a pool? Yes No

Is it fenced or secure? Yes No

(RENTERS) Do you have your landlord's permission to have a dog?
Yes No

Is your landlord aware of the size and kind of dog that you are adopting?
Yes No

Can we contact your landlord? Yes No

Landlord's Name:

Landlord's Phone#:

Please list the animals you currently have:

Species	Breed	Gender	Age	Is this pet spayed or neutered?
		M F		Yes No
		M F		Yes No
		M F		Yes No
		M F		Yes No

Please list pets you've been primarily responsible for in the past:

Species	Breed	Gender	What happend to this Animal?	Was this pet spayed or neutered?
		M F		Yes No
		M F		Yes No
		M F		Yes No
		M F		Yes No

About the dog you'd like to Adopt

Name of Dog(if known):

Breed:

Gender: Male Female

Age:

Color:

Why have you chosen this breed?

What is your primary reason for adopting a dog?:

Would you have this dog spayed/neutered? Yes No

Why or Why Not?

Will the dog be primarily Inside Outside Both

How many hours a day will the dog be left alone:

Where will the dog be when you are not home:

Where will the dog be in extreme weather?

Where will the dog sleep?

When on vacation, who will care for your dog?

How will you handle the training and socialization of your new companion with other animals, children, and people in general?

What will you do if the dog gets sick?

Please estimate monthly costs associated with this dog? $

What will you do if your new companion chews your favorite shoes or a piece of furniture?:

How will you exercise your companion?

Under what circumstances would you chain this dog?

Under what circumstances would you not be able to keep your companion?

What would you do with your companion if you were unable to keep him/her?

Does your city, county or state have breed specific restrictions?
Yes No

Do they include the breed you'd like to adopt
Yes No

If so what are they?

What prior experience have you had with this breed of dog?

Please provide three references not related to you (preferably your veterinarian and/or obedience trainer):

1)
Name:
Phone:
Relationship

2)
Name:
Phone:
Relationship

3)
Name:
Phone:
Relationship

THANK YOU FOR YOUR INTEREST IN ONE OF THE SCPAW RESCUE DOGS. IF THE ADOPTION GOES THROUGH WE WILL NEED TO DO A HOME VISIT, WE'LL NEED YOU TO SIGN AN ADOPTION CONTRACT AND THERE WILL BE A $95.00 ADOPTION FEE.