EmailMe Form - Pyr Paws N Fluffy Tails Rescue: Adoption App

How did you hear about us? *
Facebook
Petfinder
Adopt-A-Pet
Our Website
Written Response
Do you agree to share updates on your new fluffy butt should you adopt from us? *
Please understand that we, as well as the fosters, invest a lot of time in these dogs and every single one is dear to our hearts. So, we will reach out for updates every now and then.
Name *
First Last
Cell Phone *
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(Please note that our primary communication will be via text)

Confirm
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Email: *
*Note if your email is not accepted make sure that you do not have a "space" after your email.

Confirm
Occupation? *
Your Address: *

Street Address City State / Province / Region Postal / Zip Code

Household Information *

What is your age?
Name AND number of your Significant other or secondary caretaker of the dog, if applicable.
Who else lives in your household, and what are their ages?
Is anyone in the home opposed to a new dog?
Is anyone in the home allergic to dogs?

Reference #1 (Required): *
First Last
*Your application will NOT be considered if you do not provide us with information for your reference. You are welcome to list more than one if you prefer.
Reference #1 Cell (Required): *
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(Please note that our primary communication will be via text)

Confirm
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Reference #2 (Optional):
First Last
Reference #2 Cell:
### - ### - ####
(Please note that our primary communication will be via text)

Confirm
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Do you own or rent your current residence? *
Own
Rent

Landlord Information (Renter's Only.)

*Please alert your landlord that we will be reaching out. If you do NOT provide landlord contact information, your application will not be considered.*

Does your landlord allow pets?
Please list your landlord's Name: Phone: Email:
Please list your landlord's pet policy such as pet deposit, breed restrictions, etc to show that you are familiar with their policy

I live in a *
House
Condo
Apartment
Townhouse
Other
I am interested in adopting the dog named:

***Note: If the dog you're interested in isn't listed, it means they are currently pending adoption or have already been adopted. We do our best to keep this list up-to-date, but sometimes a dog you’ve recently applied for may have just found their forever home. We recommend having a second choice in mind, just in case!***

Just a friendly reminder: the location listed with the dog is where you’ll be picking them up from. *
My second choice dog in the case the one I wanted has been adopted or isn't a fit is: *
Are you looking for a Livestock Guardian Dog(LGD) that will stay primarily outside and watch over your livestock and/or poultry? *
Do you have Chickens?

If so, do they have their own area that the dogs do NOT have access to or do they share an outdoor space with the dogs? *
Are you wanting your new dog to spend the majority of its time inside with you or outside in the yard? *
Are you looking for a dog that is *
Active and Energetic
Calm and Laid Back
A mix of Calm and Playful
No Preference
Written Response:
Are you prepared to work with your new dog on potty training? *
Yes
No, I do not want to potty train my new dog.
Alternative Answer:
Are you ready for the possibility that your new dog might chew on items left out or even furniture, regardless of their age? *
Yes
No, I do not want to work with a dog that chews.
Alternative Answer:
Please tell us

*About Yourself/Family.
*What drew you to this particular dog.
*What your activity level/lifestyle is like. *
Are you prepared to keep this dog for the next 10+ years? *
Yes
It depends, I may return the dog if I get a new job, divorce, move, have a baby, or don't have time for it anymore.
Written Response:
Have you ever had to make the tough decision to return or rehome a pet of your own? *
No
Yes, please explain
What circumstances would cause you to consider rehoming the dog, and how would you handle such a situation? *
Do you have a fully enclosed physical fence in place? *
Yes
No
Other
Do you have a doggie door? *
Yes
No
Other
Fence Questions *

Is your fence connected directly to your house, allowing you to simply open the door and let your dog out?

What kind of fencing do you have?

How tall is your fencing?
Home Life
How many hours a day do you expect your dog to be alone for? *
0 hours (I work from home/am a homemaker)
1-4 hours
4-8 hours
8+ hours
Written Response:
Are you prepared for the possibility that your new dog may experience separation anxiety and show signs of destructive behavior, barking, or getting into things when you're not home? *
Yes
No, this is not something I am willing to work through.
Written Response:
Where will your new dog stay while you are away from the home? *
They will have free-reign of the house.
They will be kenneled.
They will stay outside.
They will stay in a designated room
Written Response:
Do you allow your pets on the couch? *
Yes.
No.
Written Response:
Where will the dog sleep at night? *
They will have free-reign of the house
In our bedroom
With The Kids
In the kennel
Outside
Written Response:
Please list ALL the pets in the home using the same format below:

Name
Age
Breed
Current on Vaccinations:
Spayed/Neutered:
--------------------------------------
Name
Age
Breed
Current on Vaccinations:
Spayed/Neutered: *
Vet Care:

We do require that any current dogs in the home be current on vaccinations AND heartworm prevention. If your dog(s) are not current, you will be asked to update them. Until they are current on everything we will NOT be able to keep processing your application.
Is your dog on heartworm prevention? *
No
Yes, name of brand?
Vet Clinic Name *
***Please alert your vet that we will be calling to confirm your pets are up to date on their shots and heart-worm prevention.***
Vet Phone: *
### - ### - ####

Confirm
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Address *

Street Address City State / Province / Region Postal / Zip Code

Is your fence connected directly to your house, allowing you to simply open the door and let your dog out?
What kind of fencing do you have?
How tall is your fencing?

Home Life

Vet Care: We do require that any current dogs in the home be current on vaccinations AND heartworm prevention. If your dog(s) are not current, you will be asked to update them. Until they are current on everything we will NOT be able to keep processing your application.

Vet Care:

We do require that any current dogs in the home be current on vaccinations AND heartworm prevention. If your dog(s) are not current, you will be asked to update them. Until they are current on everything we will NOT be able to keep processing your application.