Dog Adoption Interest Form

First name*

Last name*

Email*

Phone*

Address

Which Pawsitive Pathways pooch are you interested in?*

What type of home do you have?*

What type of yard do you have?

If you do have a fenced yard, how tall is the fence?

How many adults live in the home?*

How many children live in the home? (Under 16yrs old)*

Do you own or live with any other pets currently?*

Yes, other dog/s

Yes, cat/s

Yes, small exotic animals

Yes, livestock / farm animals

No other pets / animals

I have never owned pets before

Please select all that apply

What are you looking for in your new dog?*

Couch companion

Hiking/running partner

Dog sports / activities

Companion for children

Companion for other pets

Watch/guard dog

Other

Anything else you would like us to know?

Shelter and rescue partners, download
the program intake form here:

Use tab to navigate through the menu items.

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