PAWS of Tulsa
Dog Application
Please hit the tab button between fields. DO NOT hit the enter key until you're finished filling out the form.
 You must be 18 years old to fill out this application.
First and Last Name:
Street Address:
Address (cont.):
City:
State/Province:
Zip/Postal Code:
Country:
Home Phone:
E-mail:
Employed: Full Time  Part Time  Retired
Do you live in a House Apartment Condo Mobile Home Townhouse
Do you Own Rent Live with parent Live with Relative
If you rent, are you prepared to pay a pet deposit? Yes  No
Landlord Phone #
(if renting)
How long at address?
Does anyone in your family have allergies? Yes  No
If Yes to the above question, please explain
Do you have a local Veterinarian? Yes  No
Vet's name, clinic, and phone number.
If you are not currently using a vet (don't have any pets), please list the number and clinic of the LAST vet you used.
What are your reasons for wanting a pet? Check all that apply: Companion Guard (Dog) To Breed Gift For Child
Playmate for Current Pet Replace Previous Pet 
Other (please describe)
Size Preference Small  Medium  Large  No Preference
Please specify the animal(s) from the website that you're interested in adopting:
Keep in mind the animal(s) you list may already have several applications out on him/her or even an adoption pending.
How many hours a day will this pet be alone (without a human)?
Where will this pet be kept during the day (be specific)?
Where will this pet be kept at night (be specific)?
Is your yard fenced? Yes  No
If yes, what type? Chain Link  Wood Iron Other
What height is your fence? 3 ft.  4 ft.  5 ft. 6 ft.
Have you ever sold, given away or put a pet in the shelter? If yes, why? No  Yes, because:

Please provide the following pet history for any pet you now own or have owned in the past 5 years.
Breed and Pet's Name Age Sex Spayed/
Neutered? Y or N		 Current on Vaccs?
Y or N		 Dogs on HW prevent.?
Y or N		 Owned how long? Location now
If your animal(s) are not spayed and/or neutered, please explain why?
How did you hear about us?
Any additional comments you'd like to add about your application or anything else?:
This questionnaire will be reviewed by a PAWS representative. You may be asked further questions in order to help match you with the best pet for your household. PAWS reserves the right not to adopt any particular pet to any particular home. Our goal is to make the best match between person(s) and pet(s) to help assure a successful long-term (life) adoption. Thank you so much for your interest in adopting one of our pets.


Electronic submission of this form is equivalent to a signature.