PAWS of Dale Hollow - Adoption Application

Animal and Applicant

Tell us about the animal you are interested in and the person or family applying.

Animal name or ID *

Application date *

Applicant full name *

Co-applicant full name

Email address *

Primary phone *

Alternate phone

Home address *

City *

State and ZIP *

Current Housing

Housing type *

House Apartment Other

Do you own or rent? *

If you have an HOA, please provide the HOA contact information in the "Landlord or property contact" field below.

Landlord or property contact

Adults and children in household *

How long at the current address? *

Previous address if less than 3 years *

Yard, fencing, schedule, and other housing details

Current Pets

Do you currently have pets? *

Yes No

If "Yes" - list every current pet, including species, name, age, sex, and whether they are spayed or neutered.

Current pet list

How will the new animal be introduced and cared for?

Prior Pets

List prior pets and what happened to them

Veterinary Reference and Questionnaire

Please authorize your veterinary office to confirm your pets' care history.

Veterinary practice *

Veterinary phone *

Veterinarian or contact name

Veterinary email

Describe your pets' veterinary care, vaccinations, and heartworm/flea prevention *

May PAWS contact this veterinary reference? *

Yes No

Have you ever declined recommended veterinary care or had a pet with a serious medical condition? Please explain.

Personal References

Provide two people who are not relatives and can speak to your responsibility as a pet caregiver.

Reference 1 name *

Relationship *

Phone *

Reference 2 name *

Relationship *

Phone *

Adoption Plans

Why would you like to adopt this animal? *

How many hours will the animal be alone on a typical day? *

Who will be the primary caregiver?*

What will happen to the animal if you move, travel, have a baby, or can no longer care for it? *

Are all members of your household aware of your decision to adopt a pet and they agree with the decision? *

Yes No

Does anyone in the household have allergies? *

Yes No

If Yes, are they currently being treated? *

Yes No

Are you aware of the ongoing costs associated with pet ownership? *

Yes No

Additional information you would like us to consider

Digital Signature

By signing, you confirm that the information provided is true and authorize PAWS of Dale Hollow to contact the listed references.

Applicant signature *

Signature date *

After completing the form, choose “Save application as PDF” and email the PDF to adoption_inquiry@pawsofdalehollow.org.