Dog Adoption Form – Hill County Paw Pals

Welcome to Hill County Paw Pals’ adoption program. We request the following information so that we can assist you in the selection of a new dog. This form and a consultation with a Paw Pals representative are designed to help you find the dog most compatible with your lifestyle. Dog adoption fees vary but start at $165.00.

To be considered as an adopter, you must:

Be 25 years of age or older
Have identification showing your present address
Provide a copy of your driver’s license or state ID
Have the knowledge and written consent of your landlord
Be able and willing to spend the time and money necessary to provide medical treatment and proper care of the dog.

To use this online form, please make your entries as complete as possible in ALL the form fields. Once you have reviewed all your entries, then press the submit button at the bottom of the form.

Your form will then be submitted electronically to Hill County Paw Pals and to you if you have entered your email address during form completion. Someone in our adoption office will then contact you to continue the adoption process.

Please dont’ hesitate to contact us at 254 580-0679 with any questions you may have regards our adoption program.

Completion of this application does not guarantee adoption of a Hill County Paw Pals dog. Thank you!

NOTE: Use the TAB key to navigate between input fields.

Dog Adoption

Date:

Applicant Name: *

Address (Street, City, State, ZIP): *

Main Phone Number: *

Alternate Phone Number:

Email:

Age: *

How long have you lived at this address? *

Who are you adopting for? *

Yourself

Someone else

Describe the dog you are looking for in detail, or give the name of the Paw Pals dog(s) you are interested in.

Will this be your first dog? *

Yes

What kind of pets have you had in the past?

Which of these pets do you still have? (Please include age, sex, and breed.)

Have your pets been spayed/neutered? *

Yes, all of them

Some of them

No, none of them

Are your pets current on their vaccinations? *

Yes, all of them

Some of them

No, none of them

What happened to the pets you no longer have?

Have you ever surrendered a dog to a shelter? *

Yes

If your answer is yes, please explain why.

Have you ever had a pet euthanized? *

Yes

If your answer is yes, please explain why.

If you currently have pets, will they adjust to a new dog in the house? *

Was your last dog obedience-trained?

How many adults are in your household? *

How many children are in your household? *

What are the children's ages?

Does anyone in your household have an allergy to dogs? *

Yes

Is someone home during the day? *

Yes

If your answer is yes, who?

How many hours each day will this dog be without human companionship, and why? *

Where do you live? *

Do you own or rent your home? *

Own

Rent

If you rent your home, may we contact the owner to obtain permission for this dog to live in your home?

Yes

Please provide the owner's name and phone number.

Do you have a completely fenced yard? *

Yes

Does your fence have a gate?

Yes

Please describe what kind of fence you have and include its height.

If you do not have a fenced yard, please explain why.

Do you have a dog door? *

Yes

Will there be times when this dog is tied up? *

Yes

If your answer is yes, when?

Will this dog spend any time in the garage? *

Yes

If your answer is yes, please explain why.

Do you have a pool? *

Yes

Is there a fence around your pool?

Yes

Please describe what kind of fence you have around your pool and include its height.

If your new dog/puppy is not housebroken, what method will you use to train him/her?

Will you keep this dog up to date on vaccinations? *

Yes

If your answer is no, please explain why.

Who is your veterinarian?

Veterinarian's Phone Number:

Veterinarian's City & State:

Are you able and willing to exercise this dog on a regular basis? *

Yes

If your answer is no, please explain why.

Where will this dog be kept during the day? *

At night? *

If your pet rides in a pickup truck, would you allow this dog to ride in the truck bed? *

Yes

If your answer is yes, please explain why.

If you leave home for a few days or go on a vacation, who will take care of this dog? *

What arrangements will you make for the care of your pets in an emergency? *

If you move, will you take this dog with you? *

Yes

If your answer is no, please explain why.

Have you applied to Paw Pals before to adopt an animal? *

Yes

If your answer is yes, when have you applied?

Have you ever brought animals to Paw Pals? *

Yes

If you have, please explain the circumstances.

Are you willing to have a representative of Paw Pals come to see where this dog will be living? *

Yes

If your answer is no, please explain why.

Are you willing to take responsibility for this dog for the next 10-15 years? *

Yes

If your answer is no, please explain why.

What provisions will you make for this dog, should you become unable to care for him/her? *

Please Provide two Personal References:

Reference 1 Name: *

Reference 1 Relationship: *

Reference 1 Address (Street, City, State, ZIP): *

Reference 1 Phone Nu:mber *

Reference 1 Email:

Reference 2 Name: *

Reference 2 Relationship: *

Reference 2 Address (Street, City, State, ZIP): *

Reference 2 Phone Number: *

Reference 2 Email:

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