Adoption / Foster to Adopt Application Adoption and Foster to Adopt Application 1Prior CAPR adopter?2Initial Disclosures3Adopter Information4Previous Adoptions5Application6About Your Home7Current Pets8Previous Pets9Veterinarian Information10Type of Companion Animal11References12Consent Have you adopted any pets from Claws and Paws Rescue between 2020 and now?(Required)If you adopted from CAPR before January 1, 2020, please answer NO to this question and complete the full application. No Yes INITIAL DISCLOSURESPlease read and check the checkboxes stating that you understand the following:Vetting Disclosure(Required)If your current and past pets have not been spayed or neutered, we will not review or approve your application. If there is/was a medical reason for not having them spayed or neutered, please explain WHY in the current and past pets sections of this application (Steps 5 and 6). If your pets are young and you have appointments upcoming, let us know. We require all applicant’s current and past pets to be spayed or neutered and consistently up to date on rabies and distemper in order to be approved to adopt. We will verify consistent rabies and distemper vaccines and sterilization. If your current and past pets have not been spayed or neutered and are not consistent with vaccines, we will NOT approve your application. Yes, I understand Claws and Paws Rescue Disclosure(Required)Claws and Paws Rescue does NOT adopt dogs out in any of the following cases: A home where current or past dogs and/or cats have not been spayed/neutered. A home located in a city or township with breed-specific legislation (we recommend you research your city’s animal-related ordinances prior to filling out this application). A home in which the dog’s or cat’s primary caregiver(s) is under the age(s) of 23. A home in which a resident has been convicted of abuse to a child or animal. Yes, I understand ADOPTER INFORMATIONName(Required) First Last Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone Number(Required)Email(Required) Are you employed?(Required) Yes No Name of Employer(Required)How many hours a week do you work?(Required)Are you a student?(Required) Yes No Are you retired?(Required) Yes No Do you have a disability or a physical limitation?(Required) Yes No Please explain(Required) YOUR CAPR PREVIOUS ADOPTIONSPlease tell us the following about the pets you previously adopted from Claws and Paws Rescue.What animal(s) did you adopt from CAPR?(Required)When did you adopt the animal(s)?(Required)(approximate month and year)Have any pets passed since you last adopted?(Required) No Yes Have you moved since you adopted from CAPR?(Required) No Yes Do you have a fully enclosed fenced in yard?(Required) Yes No What type of fence do you have?(Required) Chain link Wood Invisible Other Have the residents in the home changed since last adoption?(Required) No Yes Who is now currently living in the home? Please explain.(Required)Is there a specific animal(s) that you're interested in?(Required) Yes No Please specify the animal(s)(Required)Please share anything else you would like to tell us APPLICATIONAre you applying to adopt, to foster to adopt or to foster?(Required)NOTE: fosters must live within 60 miles of West Branch (to get vaccines and preventatives at the office along with meet-and-greets on your animal). (check all that apply) Adopt Foster to Adopt Foster Claws and Paws Rescue believes a successful adoption is achieved by matching the right home to the right pet. We will assist you in making a decision regarding which animal will best suit your family and lifestyle. Your answers to these questions will help us to identify the animal that can successfully become a loving member of your family.Is there a specific animal(s) that you're interested in?(Required) Yes No Please specify the animal(s)(Required)Please tell us as much information as possible about what type of animal you wish to adopt or foster.(Required) ABOUT YOUR HOMEType of home(Required) House Apartment Mobile Home Condo Do you own this dwelling?(Required)If no, you must provide a lease or other documentation to show permission from your landlord/association that you can own an animal. Yes No How long have you lived there?(Required)Are pets allowed?(Required) Yes No Landlord's phone number(Required)If you RENT or LEASE, please scan to PDF or take a photo of your rental or lease agreement regarding pets and upload it using the FILE UPLOAD field belowFile Upload(Required)Max. file size: 256 MB.Do you have a fully enclosed fenced in yard?(Required) Yes No What type of fence do you have?(Required) Chain link Wood Invisible Other How many people live in your household, INCLUDING YOURSELF?(Required)Please enter a number from 1 to 10.Please list the names and ages of everyone in the household INCLUDING YOURSELFPerson #1(Required)NameAgeRelationship to you (self, spouse, son, daughter, etc.)Person #2(Required)NameAgeRelationship to you (self, spouse, son, daughter, etc.)Person #3(Required)NameAgeRelationship to you (self, spouse, son, daughter, etc.)Person #4(Required)NameAgeRelationship to you (self, spouse, son, daughter, etc.)Person #5(Required)NameAgeRelationship to you (self, spouse, son, daughter, etc.)Person #6(Required)NameAgeRelationship to you (self, spouse, son, daughter, etc.)Person #7(Required)NameAgeRelationship to you (self, spouse, son, daughter, etc.)Person #8(Required)NameAgeRelationship to you (self, spouse, son, daughter, etc.)Person #9(Required)NameAgeRelationship to you (self, spouse, son, daughter, etc.)Person #10(Required)NameAgeRelationship to you (self, spouse, son, daughter, etc.)Has anyone in your household been convicted of a felony?(Required) Yes No Please explain(Required)Does anyone in your household have allergies to animals that you are aware of?(Required) Yes No Please explain(Required)Is someone home during the day?(Required) Yes No How many hours per day will the animal be home alone?(Required)If you were gone more than 4-5 hours from the home, how would you accommodate your pets care needs?(Required)Where will the animal spend most of his/her day when you ARE HOME?(Required) Indoors Yard Indoors/Outdoors Garage Indoors and crated Other Where will the animal stay when you ARE NOT HOME?(Required) Indoors/Outdoors (via a doggy door) Inside only Outside Only Other Inside only: please specify(Required) Run of the house Crate Specific room(s) Outside only: please specify(Required) Yard Garage Other Where will the animal sleep at night?(Required)This animal most likely will live 15+ years, what would you do if you could no longer care for this dog or cat?(Required)Under what circumstances would you NOT keep a dog or cat?(Required)(check all that apply) NONE/PETS ARE4LIFE Divorce Illness in family Move New Baby New Job Allergies Shedding Too Big Illness in the animal Housetraining issues Chewing/Barking/Digging Not obedient enough Other Please explain(Required) CURRENT PETS IN YOUR HOMEThis section is for ALL current pets. Do NOT include previous/past pets.Rescue requirements are that ALL CURRENT and PAST pets in a foster or adopter home MUST be fixed (spayed or neutered) and consistent on rabies and core vaccines (Distemper, Hepatitis, Parainfluenza and Parvo for dogs) in order to adopt or foster. Please tell us about your CURRENT pets.How many pets do you CURRENTLY have?(Required)Please enter a number from 0 to 10.Pet #1(Required)NameBreedGenderAgeHow Long OwnedPet #2(Required)NameBreedGenderAgeHow Long OwnedPet #3(Required)NameBreedGenderAgeHow Long OwnedPet #4(Required)NameBreedGenderAgeHow Long OwnedPet #5(Required)NameBreedGenderAgeHow Long OwnedPet #6(Required)NameBreedGenderAgeHow Long OwnedPet #7(Required)NameBreedGenderAgeHow Long OwnedPet #8(Required)NameBreedGenderAgeHow Long OwnedPet #9(Required)NameBreedGenderAgeHow Long OwnedPet #10(Required)NameBreedGenderAgeHow Long OwnedHave ALL of your current pets been fixed (spayed or neutered)?(Required) Yes No Please explain WHY they haven't been fixed(Required)Have any of your current dogs or cats ever had puppies or kittens?(Required) Yes No What did you breed for?(Required) Fun Profit Show Accident PREVIOUS/PAST PETS THAT YOU HAVE OWNED IN THE LAST SEVEN (7) YEARSThis section is for ALL previous/past pets that you have owned in the last SEVEN (7) years. Do NOT include your current pets.Rescue requirements are that ALL CURRENT and PAST pets in a foster or adopter home MUST be fixed (spayed or neutered) and consistent on rabies and core vaccines (Distemper, Hepatitis, Parainfluenza and Parvo for dogs) in order to adopt or foster. Please tell us about your PAST pets.NOT counting your current pets, How many PREVIOUS/PAST pets have you had in the last SEVEN (7) years?(Required)Please enter a number from 0 to 15.Pet #1(Required)NameBreedGenderAgeHow Long OwnedYear PassedWhat happened (Pet #1)(Required)Pet #2(Required)NameBreedGenderAgeHow Long OwnedYear PassedWhat happened (Pet #2)(Required)Pet #3(Required)NameBreedGenderAgeHow Long OwnedYear PassedWhat happened (Pet #3)(Required)Pet #4(Required)NameBreedGenderAgeHow Long OwnedYear PassedWhat happened (Pet #4)(Required)Pet #5(Required)NameBreedGenderAgeHow Long OwnedYear PassedWhat happened (Pet #5)(Required)Pet #6(Required)NameBreedGenderAgeHow Long OwnedYear PassedWhat happened (Pet #6)(Required)Pet #7(Required)NameBreedGenderAgeHow Long OwnedYear PassedWhat happened (Pet #7)(Required)Pet #8(Required)NameBreedGenderAgeHow Long OwnedYear PassedWhat happened (Pet #8)(Required)Pet #9(Required)NameBreedGenderAgeHow Long OwnedYear PassedWhat happened (Pet #9)(Required)Pet #10(Required)NameBreedGenderAgeHow Long OwnedYear PassedWhat happened (Pet #10)(Required)Pet #11(Required)NameBreedGenderAgeHow Long OwnedYear PassedWhat happened (Pet #11)(Required)Pet #12(Required)NameBreedGenderAgeHow Long OwnedYear PassedWhat happened (Pet #12)(Required)Pet #13(Required)NameBreedGenderAgeHow Long OwnedYear PassedWhat happened (Pet #13)(Required)Pet #14(Required)NameBreedGenderAgeHow Long OwnedYear PassedWhat happened (Pet #14)(Required)Pet #15(Required)NameBreedGenderAgeHow Long OwnedYear PassedWhat happened (Pet #15)(Required)Have ALL of your previous pets been fixed (spayed or neutered)?(Required) Yes No Please explain WHY they were not fixed(Required)Have any of your past dogs or cats ever had puppies or kittens?(Required) Yes No What did you breed for?(Required) Fun Profit Show Accident VETERINARIAN INFORMATIONThis section is for ALL Veterinarians used for ALL of your pets sterilizations and vaccines, even if out of state.Please provide us with the NAME and PHONE NUMBER of ALL veterinarians you have used for your CURRENT (and PAST pets if this is your first time adopting from CAPR) for sterilization, Rabies, and Distemper vaccines. Provide the human and pet name that the records will be under. PLEASE MAKE SURE YOU CALL ALL OF YOUR VETERINARIANS TO TELL THEM IT IS OK TO SPEAK TO US. Not doing so will slow down the adoption process.How many veterinarians have you used for all current and past pets that you listed for Rabies, Distemper and Sterilization?(Required)We will be calling each vet listed to confirm this information. We are looking for CONSISTENT vaccine history and sterilization for each current (and PAST pets if this is your first time adopting from CAPR) during their life. Any gaps in vaccine history that we can not verify may cause a delay.Please enter a number from 0 to 10.Veterinarian #1(Required)Veterinarian office namePhone numberName of petHuman name records are underVeterinarian #2(Required)Veterinarian office namePhone numberName of petHuman name records are underVeterinarian #3(Required)Veterinarian office namePhone numberName of petHuman name records are underVeterinarian #4(Required)Veterinarian office namePhone numberName of petHuman name records are underVeterinarian #5(Required)Veterinarian office namePhone numberName of petHuman name records are underVeterinarian #6(Required)Veterinarian office namePhone numberName of petHuman name records are underVeterinarian #7(Required)Veterinarian office namePhone numberName of petHuman name records are underVeterinarian #8(Required)Veterinarian office namePhone numberName of petHuman name records are underVeterinarian #9(Required)Veterinarian office namePhone numberName of petHuman name records are underVeterinarian #10(Required)Veterinarian office namePhone numberName of petHuman name records are underPlease explain why you have no veterinarian for your current and/or past pets(Required)Please explain why you have no veterinarian for your current pets(Required)Is there anything you would like to tell us about your pet vaccination history?(Required)(Ex., Distemper done at home or at TSC, flea/tick, Heartworm preventatives, etc.) Yes No Please explain(Required)Do you use flea/tick/heartworm prevention on all of your pets?(Required) Yes No What product of flea/tick/heartworm prevention do you use?(Required) TYPE OF COMPANION ANIMALPlease tell us about the type of DOG or CAT you are looking for(Required) Dog Cat Why are you considering a new pet?(Required)Gender Preferred(Required) Male Female Either male or female Age Preferred(Required)Breed Preferred(Required)Are there any qualities/personality traits that you are looking for?(Required) Yes No Please specify qualities/personality traits(Required)What is your lifestyle?(Required) Active Moderately Active Quiet/Low Activity If the animal becomes destructive at your home, what would you do?(Required)If the animal has “accidents” what would you do?(Required)If the animal becomes aggressive to people or other animals, what would you do?(Required)If the animal shows signs of separation anxiety, what would you do?(Required)If the animal becomes ill or injured are you able to cover medical care costs?(Required) Yes No Is there anything else you would like to tell us about yourself?(Required)This is your opportunity to tell us about something we didn’t ask about. Yes No What would you like to tell us?(Required)This is your opportunity to tell us about something we have not asked about. REFERENCESPlease list three PERSONAL REFERENCES and how do know this person. These references CANNOT be spouses, partners, significant others, relatives or roommates. Please let your references know we will be calling and please ask them to call us back if we leave a message.First Reference(Required)NameHow you know this personPhoneSecond Reference(Required)NameHow you know this personPhoneThird Reference(Required)NameHow you know this personPhone CONSENTPlease read and check the checkbox under each statement below:I understand that there will be a virtual or home visit prior to final placement. Visit does not guarantee placement.(Required) Yes, I understand Lack of or missing information will slow down the adoption or foster process or void your application completely.(Required) Yes, I understand All of our applications are processed by volunteers. Please be patient with us as we review your application and call your veterinarians and references. If you have questions, please use email instead of calling the office. Email: clawsandpawsrescue1@gmail.com. Thank you for taking the time to fill out an app. We take pride in being thorough with our pet adoptions.Consent(Required)The information provided on this application is to the best of my knowledge, true and complete. I understand that falsifying answers on this application, or at any time during the adoption process, will disqualify me from adopting an animal through Claws and Paws Rescue (CAPR). By submission of this application, I grant permission to CAPR to verify information through my landlord/association, if applicable, and through my veterinarian. I further grant permission to said landlord to release such information upon request by an authorized CAPR representative. I understand that by submitting this application, I am electronically signing this application. I understand and agree.
