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Adoption Application (Dog)
PPRwebsite
2021-03-25T13:58:27-07:00
Have You Met Our Alumni? Click here to read their adoption stories.
Panda Paws Rescue Dog Adoption Application
Dog you are hoping to adopt?
*
Why are you hoping to adopt?
*
Personal Information
Full Name
*
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Phone
Email
*
Living Situation
Rent or Own?
Rent
Own
Landlord Full Name
Landlord Phone Number
Please list any pet restrictions
Employment Information
Occupation
Place of Employment
Years at current job:
Phone
About Your Home
Please list breed(s), whether spayed/neutered, how long you have owned them. What happened to them if they are no longer with you. Please also list the pets that you have owned in the last 5 years.
Does anyone in your household have allergies to dogs or cats?
Yes
No
Would you consent to a pre-adoption and post-adoption home visit?
Yes
No
How many children live in your household?
Ages
Are there any children that visit frequently?
Yes
No
Ages
Is your yard secure?
Yes
No
How many hours per day will your dog be home alone?
Will outside shelter be provided if the dog(s) is left outside?
Yes
No
Do your pets tolerate other dogs?
Yes
No
Do you have a fence?
Yes
No
Please describe your yard and how you will "potty" your dog:
Current veterinarian
Phone
How you will care and train your dog
Who will be primarily responsible for this dog? (Check all that apply.)
My self
My significant other
My spouse
My children
You mean I have to care for this dog?
If needed for better control, would you be willing to take your dog through basic obedience class?
Yes
No
Your new dog may bark, chew or soil your home as it adjusts to its new surroundings. How will you handle this?
Please describe your training strategies and what crate training means to you:
Are you financially prepared to provide the necessary care for your pet, including proper food, vaccinations, parasite control (fleas, ticks, worms, etc.),licensing, adequate shelter, and veterinary care for yearly checkups or an after-hours medical emergency or illness, which could cost $500 or more?
Yes
No
What do you consider a good reason to give up your pet?
What concerns, if any, do you have about adopting a dog?
Anything else we should know about you, your family, lifestyle, etc?
Consent
*
I understand and agree to the terms of this application.
By clicking the box and "Submit" I certify that the above is true and understand that false information may nullify the adoption. I understand this is only an application and does not entitle me to adopt a dog from Panda Paws Rescue.
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