[Pet Animal Welfare Society]

Dog Adoption Application

Thank you for your interest in adopting a dog rescued by PAWS. PAWS wants to make certain that every animal adopted goes to a loving home where it will be well cared for. Because of this, our application asks a number of detailed questions which are necessary for our screening process.

Two important notes:
1) PAWS has one location in Norwalk, Connecticut, and all prospective must live within a reasonable driving distance of the shelter.

2) A visit to our Norwalk shelter is required for all pet adoptions. This on-line form will save you time when you come to the shelter, but it is a long form, so please don't start unless you're sure you will have time to complete it. Any missing answers will be required when you visit the shelter to complete your application.

All information will be kept confidential. If you have any questions, please call us at (203) 750-9572 or use our contact form.

Please allow up to a week for processing your application. Thank you!

Questions in red are required for on-line submission

Name of dog you are interested in:
Your full name:
Your age:
  NOTE: You must be at least 21 to adopt from PAWS.
Proof of age will be required prior to completing adoption.
Are you able and willing to visit
the PAWS shelter in Norwalk, CT:
  NOTE: A visit to PAWS is required for all pet adoptions.
Do not submit this application unless you can commit
to a shelter visit to complete the application process.
Home address:
Home telephone:
Your place of employment:
Your work telephone:
Spouse or partner's name:
Spouse or partner's work telephone:


Please complete this section for the household in which your dog will reside.

1. Type of residence
House Condo Apartment
Mobile Home Boarding House Dormitory
2. Do you Own Rent Live w/parents Other:

3. If you are a renter or live in a condo, does your landlord/association allow dogs?
    Name of Landlord or Condo Association:
    Phone number:

4. How long have you lived at this address:
    Any any plans to move in the next few years?
    How many times have you moved in the past five years?
    What would you do if you moved to a residence where dogs are not permitted?


1. How many adults live in this household?
    How many children live in this household?
    Ages of children in this in household?
    Number of children who visit?
    Ages of children who visit?

2. Are all members of your household in agreement about adopting a dog?

2a. Is anyone in your houshold nervous or unsure around dogs?

3. For whom would you be adopting this dog?

4. Who will be the primary caregiver for this animal?
    Who will be financially responsible for this animal?

5. Are you willing to have all members of your household come to PAWS to meet the animal(s) in which you are interested?

6. Do any members of your household have asthma, or have allergies to dogs?
    If yes, who?

7. Describe your household activity/noise level:

8. How often do you travel?
    How will you care for your dog when you are away from home?

9. In the event of an emergency, who would care for your dog or what arrangements would you make?

10. For how many hours would the dog be alone during the day ?
    (please consider what time you leave for work and what time you return home)


Name Species/Breed Age Gender Spayed/
Had how long? Up-to-date
on vaccs?

1. If you have a cat, does it get along with dogs?

2. If you have a cat, is it declawed?

3. If you have a dog, does it get along with other dogs?

4. What veterinary hospital do your animals go to?
    May we call to verify vaccinations and spay/neuter status?

5. Are you experiencing any difficulties with your current pets in terms of health or behavior?
    If yes, please describe:


1. Have all of your family members been around dogs?

2. Have you had the experience of being primary caregiver to a dog?

3. Have you ever given a pet away, given it to a shelter or rescue group, returned it to a breeder or sold it?

4. Have you ever had a pet for a short period of time and it didn't work out?

5. Have you ever had an animal lost or stolen?

6. Have you ever had to retrieve your animal from a pound, shelter or animal control facility?

7. Have you ever had an animal die as the result of being hit by a car, being poisoned or from unknown causes?

8. Have you had a dog that gave birth?

9. Have you previously applied to adopt from PAWS?

10. Have you ever adopted from PAWS?

Pets owned over the past 10 years:
Name Species/Breed Spayed/
Owned how long? What happened
to this pet?
How long ago? Vet you used?


1. Will the dog live:
  Indoors mostly/Outdoors for elimination and exercise Outdoors only
  Outdoors mostly/Indoors on occasion Not sure

2. Where will the dog be when nobody is home?
     Indoors      Outdoors      Either Indoors or Outdoors

3. Do you have a fenced yard?

4. What veterinary practice do you plan to use?

5. If you adopt an animal who has not been spayed or neutered do you:
  Intend to have it spayed/neutered Intend to let it have puppies Not sure

6. Are you aware that some dogs require a period of weeks or even months
    to adjust to their new home/enviroment/family/other pets?

7. Are you willing to allow for this adjustment period?
  Yes No, I prefer a pet who will adjust quickly Not sure

8. Are you willing to bring your pet to a veterinarian for yearly exams, and for
    vaccinations per your veterinarian's recommendations?

9. Are you able/willing to pay for emergency care, which could result in a bill
    of $200 to $1,000 or more?

10. Are you able/willing to pay for pet expenses including veterinary care, supplies, toys,
      boarding/pet sitting, grooming, food, etc.?

11. Are you able to commit to providing a home for a dog for the life of the dog?

12. What circumstances might justify giving up a dog? (check all that apply)
  Baby Divorce Dog not getting along with other pets
  Moving Allergies New household member dislikes dog
  Shedding Behavior problems Housesoiling/urine marking
  Want to travel Dog becomes ill Destructive
  None Children lost interest Too time consuming

13. If your dog exhibits behavioral or adjustment issues, would you be willing
      to seek the advice of a PAWS representative?

14. Would you be willing to pay for obedience or behavioral sessions?


1. I prefer a dog that is: Small Medium Large Any size

2. Reasons for adopting: Companionship Watch dog Other

3. Energy level preferred: High Medium Low

4. I intend to (check all that apply):
  Walk dog on a leash Walk dog off leash
  Bring dog to a dog park Hunt with the dog
  Go jogging or hiking with the dog Let the dog exercise himself in the yard
5. I prefer a dog who is (check all that apply):
  Adult Senior Puppy
  Male Female Spayed/Neutered
  Indoor only Indoor/outdoor Outdoor only
  Mellow/quiet Lap dog Protective
  Very active/energetic Mainly an outdoor dog Happy to meet new people
  Hypoallergenic Likely to be housetrained

6. Breeds/mixes I prefer:

7. When it comes to relating to dogs, I consider myself:
  Strict, demanding, a strong leader (dog must sit for a cookie and follow my rules)
  Lenient, a little wishy washy, easily coerced by the dog (the dog looks cute so he gets a treat without sitting, can jump on the couch uninvited)
  Somewhere in between

8. My ideal dog would:

9. Bad doggie habits I cannot tolerate:

10. Please share with us anything you would like for us to know about the
      new dog that you would like to add to your family:


11. Would you be interested in learning about some of our 'special needs'
      or 'long-term resident' dogs?

12. Would you be willing to have an in-home visit by a PAWS representative
      after you have adopted from us?

Please provide three personal references:

Name Relationship Phone number

By clicking the Submit button below, I certify that: