4 Paws Society, Inc. Dog Adoption Application
4 Paws Society, Inc.
465 Hardy Road
Sulphur, LA 70665
337-558-5184
Fax Number: 337-558-6331
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Welcome to the 4 Paws Society Adoption Program. The following information is requested so that we can assist you in this selection of a new dog. This form and a consultation with a 4 Paws Society representative are designed to help you find the dog most compatible with your lifestyle.
In order to be considered as an adopter you must:
- Be 21 years of age or older.
- Have identification showing your present address.
- Have the knowledge and consent of your landlord.
- Be able and willing to spend the time and money necessary to provide training, medical treatment (which includes monthly heartworm prevention) and proper care for the pet.
Completion of this application does not guarantee adoption of a 4 Paws Society dog.
Thank you!
Name:_______________________________________________________________________
Address:_____________________________________________________________________
City:________________________________State:___________Zip:______________________
Phone:____________________ Cell:__________________ Work:________________________
Email:_______________________________________________________________________
Drivers License #: ___________________________________Age:_______________________
Employer:_____________________________________________________________________
Name of Dog you are interested in adopting: __________________________________________
Would this be your 1st dog? ______________________________________________________
What kind of pets have you had in the past:___________________________________________
Which of these do you still have? (Include age, sex and breed)_____________________________
____________________________________________________________________________
Have they been spayed or neutered? ________________________________________________
Are they current on vaccinations? __________________________________________________
Are they current on heartworm prevention? ___________________________________________
If so, what type (name, brand)_____________________________________________________
What schedule are they on for heartworm prevention? ___________________________________
What happened to the pets you no longer have?_________________________________________
_____________________________________________________________________________
Have you ever turned your dog into a shelter? _______________If yes, please explain:___________
_____________________________________________________________________________
Have you had a pet euthanized? ___________________ If yes, please explain:_________________
_____________________________________________________________________________
If you have other pets, will they adjust to a new pet entering the household? ____________________
Was your last dog obedience trained? ________________________________________________
Why do you want this dog? ________________________________________________________
______________________________________________________________________________
How many adults are there in your family? ______________________________________________
How many children? ___________________ Children’s ages: ______________________________
Does any member of your household have an allergy to dogs? _______________________________
Is someone home during the day? Yes____ No _____ Who? _______________________________
How many hours each day will the dog be without human companionship? ___________ Explain:_____
_______________________________________________________________________________
Which do you live in? Home: ____ Mobile Home: _____ Apartment: ______ Other: ______ If other, please
explain: _________________________________________________________________________
Do you own or rent your home? __________ If you rent, may we contact the owner to obtain permission for
this animal to live in your home? _______________________________________________________
Owners name and phone number: ______________________________________________________
Will the dog be allowed in the house? Yes _____ No ______
Do you have a completely fenced yard? Yes ___ No ______
What kind of fence? Wooden ____ Hurricane ____ Other ______
Is there a gate? _________ If no gate, explain: ____________________________________________
If your property is not fenced, are you willing to leash walk your new pet?_________________________
Do you have a dog door? Yes ____ No ____
Are there times when the dog will be tied up? ____________ If yes, when? _______________________
Are there stairs that lead to your home? ____________ If yes, how many? ________________________
Will the dog spend any time in the garage? ________If yes, explain: _____________________________
_________________________________________________________________________________
Do you have a pool? ______________ If yes, is there a fence around the pool? ____________________
If your new dog/puppy is not housebroken, what method will you use to train it?_____________________
_________________________________________________________________________________
Will you keep the dog up-to-date on vaccinations? __________________________________________
Will you keep the dog up-to-date on heartworm prevention? ___________________________________
Who is your veterinarian? ____________________ City: ________________ Phone: ____-____-_____
Would you be able and willing to exercise the dog on a regular basis? Yes ___ No ____ Method:________
_________________________________________________________________________________
Where will this dog be kept during the day? ____________________ During the night?_______________
_________________________________________________________________________________
If you drive a pick-up truck, would you allow the dog to ride in the back? __________________________
If you go away for a few days, or on vacation, who will take care of the dog?________________________
__________________________________________________________________________________
If you move, will you take the dog with you? __________________ Explain:________________________
__________________________________________________________________________________
How much are you willing to spend on medical bills for your dog? ________________________________
What would you do if the vet bills go over this amount? ________________________________________
Have you ever applied to adopt an animal from 4 Paws Society in the past? _________________________
If so, when? ________________________________________________________________________
Details:_____________________________________________________________________________
___________________________________________________________________________________
Did anyone refer you to 4 Paws Society? ___________________________________________________
If yes, explain: ________________________________________________________________________
Have you visited the 4 Paws website? ______________________________________________________
Are you willing to allow a 4 Paws Society representative come to see where the dog will be living? (A home
visit is required before any adoption is finalized and before any pet is taken):__________________________
Are you willing to take the responsibility for this dog for the next ten to fifteen years?____________________
Do you agree to return the pet if the adoption does not work out for either you or the pet? Yes ____ No ____
What provisions will you make for the new dog should you become unable to care for it?________________
___________________________________________________________________________________
Is there anything else you would like us to know?______________________________________________
___________________________________________________________________________________
Please list two personal references:
Name: ____________________________ Address: _____________________ Phone: _______________
Name: ____________________________ Address: _____________________ Phone: _______________
Please tell us how you became aware of 4 Paws Society:
__ 4 PAWS WEBSITE __ ADOPTION EVENT __ ANIMAL CONTROL REFERRED __ FRIEND OR RELATIVE
__ INTERNET SEARCH __ NEWSPAPER AD __ PETFINDER.COM __VETERINARIAN
__ OTHER (PLEASE SPECIFY) _________________________________
Signature: _____________________________________________________ Date: ______________