Our goal is to match you with the best dog to fit your lifestyle. To get started, please fill out this brief adoption questionnaire and we will get back to you to set up a meet and greet. After meeting our dog(s) and you are ready to move forward with adoption, we will provide you with resources to help you get ready for your new dog and arrange a home delivery. A home inspection is required prior to delivery. Our suggested adoption donation is $400. This tax-deductible donation helps us continue our mission to help dogs in need.

Please note: Our dogs are available for adoption in the greater Los Angeles area. We occasionally have courtesy listings for dogs that belong to other rescue groups. Please read the pet’s bio and contact that group directly for more information. Completion of this application does not guarantee the adoption of a rescue animal.

ANIMAL ADOPTION APPLICATION

Completion of this application does not guarantee adoption of a rescue animal.
Date: *
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Interested in which dog/puppy?
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Name of Applicant*
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Occupation*
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Address *
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City
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State/Province
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ZIP/Postal Code
Home Phone*
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Cell Phone
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Email Address
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How many people in the household?

Adults
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Kids
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Which Age Bracket Applies to you?
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What are the ages of the kids in the household?

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Personal Reference
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Reference Phone
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Years Acquainted
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Do You Live in a House
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Other
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Do you
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If you rent, Do you have Landlord's permission to have pet?
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Landlord's name and phone number
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Please list the other animals in the home
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Are They

Spayed/Neutered
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Current on Shots
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Any Medical Issues
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How much time will the dog be outdoors?
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How much time will the dog be indoors?
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About what percent of the time will the dog be left alone?
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Where will the dog be when left alone?*
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What area(s) of the house will the dog be allowed?
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Where will the dog sleep at night?
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Do you have a fenced yard?
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If so, how high is the fence?
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Type of fence?*
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Are the gate(s) normally locked?
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Do you have a pool?
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If so, is it fenced separately from the yard?
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Why do you want a dog? (Check all that apply-see next page for options)*
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Other (specify)
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What pets have you had in the past?
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What happened to the ones you no longer have?
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What would happen to the dog if you moved locally? Out of state? Or country?
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Do you have a regular veterinarian?
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If so, vet’s name:
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Name of Clinic:
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Does anyone in your household have allergies*:
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What kind?
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How would you train this dog? (Check all that apply)*
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Other (specify)
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Will you be able to live with hair on your furniture, stains on your rugs, a warm body on your bed, and an animal that might be destructive at times?*
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Remember, pets are an investment of your time and money. Can you afford to provide medical care, grooming, proper diet, proper shelter and exercise for your new pet? *
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Are you able to make a long term commitment to care for your pet for its entire life span, which could be as much as 10-20 years?*
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Under what circumstances would you not be able to keep this dog?*
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Do you have a problem with returning the dog to Pawsitive outcomes if your lifestyle should change or you could no longer properly care for the dog?*
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How did you find out about Pawsitive outcomes?
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Which dog/puppy are you interested in adopting, should this application be approved?
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Why do you feel this would be the best choice for you/your family?*
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Our dogs are in our homes, socialized, exercised daily and come with various levels of training. They are microchipped, current on shots; they have been dewormed and treated with a monthly topical flea treatment. We have certain protocols for certain dogs. If protocol is not followed by the adoptee, this is a cause for concern for the best interest of the dog. We stay in touch with our adoptees, to ensure a smooth transition for the dog and you. We are here for you every step of the way. We offer an hour and a half of FREE training to each adoptee, which is usually provided in two 45 minute sessions. If you are approved to adopt from Pawsitive outcomes, do you agree to have open communication with Pawsitive outcomes with updates on the dog’s progress, reasonable amount of time to return phone calls from us and send pictures every so often to keep us in the loop on your happiness with the dog?*
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By submitting this form serves as an acknowledgment that this is a sincere inquiry, and that all the information provided is true and complete.

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