First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone*

Work Phone
x

Cell Phone

Please make sure the application is completed in full and no questions are left blank.  This will speed the process up for the volunteers and you.  

How would you prefer we contact you about your application?*
Choose one: Cell Phone Call Cell Phone Text Email Home Phone

How old are you? (Must be 21)*

What is your Driver's license Number?*

Please list all other adults and children living in the home. Include name, age, and relationship to you.

In what type of home do you live*
Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing

Do you own or rent your home? If you rent you must provide us with a copy of your lease stating you have permission to have dogs OR written consent from landlord. *
Choose one: Rent Own

If you rent or live in a condo, does you landlord or association allow pets?
Choose one: Yes No

If so, are there any restrictions? Is there a pet deposit?

If you rent or live in a condo, please enter your landlord's or association's name and phone number

How long have you lived at this address? Any plans to move?*

How many times have you moved in the past 5 years? What would you do if you moved to a residence where dogs were not permitted?*

Which dog are you interested in adopting? Please submit applications only for dogs that are currently listed as available on our website. If the dog is not listed here, that means the dog you are interested in is NOT yet available. If you submit an application for a dog that is not yet available, it will not be processed. So please watch our website until the dog you are interested in is listed and then you can submit an application.Thank you.*
Choose an animal: Chase Grandpa Chewy Tigress

How did you find out about the availability of this pet?*
Choose one: Current foster Current volunteer Print ad Adoption event Peace Love and Paws Facebook page Other Facebook page Peace Love and Paws website Adopt A Pet website From a PLP volunteer Word of mouth Other

What traits are you looking for in a pet

Most dogs require 30 minutes to an hour of exercise a day. How will you provide for this?

Will the animal be kept strictly inside, outside only, or both?*
Choose one: Inside Only Outside Only Inside and Outside

What breeds/mixes do you prefer, if any? Are you interested in a specific dog? If so, which one?*

When it comes to relating to dogs, I consider myself
Choose all that apply: Strict, demanding, a strong leader Lenient, a little wishy washy, easily coerced Somewhere in between

My ideal dog would*

Are there any bad habits that you could not tolerate in your dog? If so, what are they?*

What would you do if you disliked the dog you adopted? Would you consider training? How would you train or reprimand a dog?*

Would you be willing to pay for training if the adopted dog had a behavior you disliked? Please note: trainers can cost between $75.00 and $125.00 an hour for one-on-one training. Just like you would take your dog to a vet for illnesses, we expect you to get training for your dog or puppy. All dogs can benefit from training, and it is the responsibility of every dog owner. PLP does not have a kennel and neither directors or board members have space for dogs returned because adopted dogs have not been properly trained. Typically, most dogs only need one or two sessions to improve leash, or behavioral issues.

If the dog had an accident in the house, how would you handle it?*

Under what circumstances would you return the dog to this rescue group?*

Have you or anyone in your household ever given up a pet? If yes, please explain*

Would you give your dog up for any of the following reasons?
Choose all that apply: New Job Moving Divorce New Baby Moving Illness Other (please indicate below) I would never return this dog under any circumstances

Please explain reason if you selected "other"

Are you willing to take responsibility if this pet acquires an illness or is injured in any way?*

Are you willing to take the time to work with a dog on housebreaking or chewing, if the problem arises?*

Would you consider obedience training for your dog?*
Choose one: Yes No

How much time are you prepared to give your pet to adjust to his/her new home?*

Do you consider monthly heartworm preventative necessary and are you willing to spend the money on flea and heartworm meds? The cost can be $10-30 a month.*

Do you know that heartworm can kill your pet if infected?*
Choose one: Yes No

If your newly adopted dog required a special diet, would you be able to provide that? (i.e. grain free, premium or home cooked food)*
Choose one: Yes No

Which of these characterize your current housing location
Choose all that apply: In city limits Outside of city limits Very busy road Slight traffic Residential area Country road

Where will the animal sleep?*

How much time will the animal spend alone during the day?*

What is the longest amount of time you would leave your pet alone? If left alone, where will the dog stay?*

Is your yard fenced*
Choose one: No Yard Unfenced Yard Yard Partially Fenced Yard Completely Fenced

Will the dog be left outside unattended at any time?*
Choose one: Yes No

What is the activity level in your home?
Choose all that apply: Busy Noisy Moderate Quiet

Where will the dog go when you vacation?*

Do you board or kennel your dogs or have you in the past? If so, where?*

Do any children visit your household? What are their ages and frequency of visiting? *

Is anyone in your household afraid of or unsure around dogs?*

Who will be the primary caregiver of this animal?*

In the absence of the primary caregiver, who will care for the dog?*

Who is financially responsible for the care of the dog?*

In the event of an emergency, who would care for this animal and what arrangements would you make?*

Does anyone have allergies to pets in your household?*

Are you willing to bring your pet to a veterinarian for yearly exams and for vaccinations and routine care?*
Choose one: Yes No

Are you able to commit to providing a home for the life of the dog?*
Choose one: Yes No

If for any reason you are unable to continue caring for any animal adopted t?through Peace, Love, and Paws, do you agree to contact a representative and return the dog to the rescue? This means you cannot physically care for or provide vet care. We will do our best to help with a way to keep the dog in the home first. If you want to return a dog because of lack of training or behavior, you will need to contact a trainer first. We can help provide resources and trainer recommendations. We do not have a kennel and we are 100% foster based. We do not have a facility. It can take anywhere between days to over a month to find a foster home for a dog as we only use approved foster homes. *
Choose one: Yes No

Please complete the veterinarian information below for any animals you have ever owned even if they have since passed or are living with another family member.  Leaving this section blank will prolong the process.  Applications are processed in the order in which they are received.  

List any dogs you have had who are no longer with you. Include names, breed, age, and what happened to them.

Who is your past vet, if applicable? Include name and phone number

Please provide name, phone, and address of your current pets' vet

May we contact above listed veterinarian(s) for references?
Choose one: Yes No

Please list any pets your currently have, including name, type/breed, and how old

Do they get along with other animals?
Choose one: Yes No

Are your current pets up to date on vaccines?
Choose one: Yes No

Are you current pets spayed or neutered?
Choose one: Yes No

Please list two personal references who are NOT related to you with phone numbers. *

Please read each statement carefully and indicate your agreement by checking "yes." The words "dog" or "pet" refer to a single dog or multiple dogs being adopted.

I have read over the adoption process posted on the Peace Love and Paws website. I understand the dog i apply for may already have applications. Plp reserves the right to deny any applicant for any reason or false information. I agree to have my photo taken with my new pet if i adopt from PLP. *
Choose one: Yes No

I agree that I will not give away, sell, or otherwise dispose of this pet to any person, dealer, auction, retailer, institution, shelter, or any other entity. If the pet is ever lost, I will contact Peace, Love, and Paws immediately. I agree to return this pet to Peace, Love, and Paws, Inc if for any reason it does not work out or if I can no longer provide it with a good home. In these above circumntances, I agree to contact Peace, Love, and Paws at 843-424-0845 and/or at peacelovepawsinc@gmail.com so they can reclaim this pet. *
Choose one: Yes No

I understand that the animal is adopted “as is” and that while the rescue has done everything medically indicated at this time, it is not able to foresee and is not responsible for future medical needs. *
Choose one: Yes No

I agree to vaccinate as needed, feed, love, and keep my pet on all heartworm and flea preventative, exercise my pet as needed and to keep identification tags on him/her. I agree to keep my pet safe and out of harms way by all means.*
Choose one: Yes No

I agree to keep my pet's microchip information up to date and agree that Peace, Love & Paws, Inc will remain on the microchip as a contact. *
Choose one: Yes No

I agree never to allow this animal to be used for the purpose of the following: vivisection, breeding, experimentation, dog baiting or fighting, as a strictly outdoor guard dog, for the purpose of entertainment, or any other purpose except as a house pet and companion.*
Choose one: Yes No

I understand that previous temperament is not always an indication of future temperament. I agree to release, hold harmless and forever discharge Peace, Love, and Paws, Inc and its representatives and/or any affiliate from liability should this dog cause injury or damage to any person, including myself or children or other pet(s) in the household. I agree to release, hold harmless and forever discharge Peace, Love, and Paws, Inc and its representatives and/or any affiliate from liability and responsibility should this dog damage my own property or the property of others in the future. I take full responsibility for the care of this pet and any damage or injury he/she may cause or illness he/she may encounter. *
Choose one: Yes No

Typical adoption fee is $200-250 which includes all vaccinations, spay or neuter, microchips, and first month of flea and heartworm preventative. The fee may be more or less depending on medical cases and if the animal has been altered.

All pets must see a vet within 30 days of adoption. We spay and neuter every animal unless a veterinarian advises us to wait because of health reasons. Any animal that is adopted before being spayed or neutered must show proof of being spayed or neutered within 90 days of adoption. Failure to abide by this contract could result in the pet being returned to the rescue. Peace, Love, and Paws, Inc has the right to check on any adopted dog and Peace, Love, and Paws can reclaim if proper care is not being provided.

The following dog __________________________ is approved by this organization to be adopted to _____________________________________________________upon all terms of this contract agreed upon. _______________________________________Peace, Love & Paws , Inc. Representative

_________________________________________Adopter

______________________________________________Adopter

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