Adoption Application
Powell Animal Welfare Society (PAWS) (sometimes referenced as “we,” herein) is a non-profit 501(c)(3), all-volunteer, foster-based rescue organization dedicated to saving homeless dogs from unnecessary euthanasia. We are committed to reducing overpopulation, providing education about dog behavior, safety, and appropriate veterinary care, and securing permanent, nurturing homes for the dogs we rescue.

Please read the agreement and requirements below before filling out the remainder of this application.

•I agree that all of the information contained in this application and any other forms or requests for information from me is true and accurate, and that if I knowingly provide false, misleading or inaccurate information to PAWS in the course of my efforts to adopt a dog from PAWS, I have committed a fraud upon PAWS which carries legal consequences.
•I am at least 21 years of age and live within central Ohio
•I am willing and able to make a lifetime commitment to the dog I wish to adopt which may be as long as 10 – 20 years.
•I have the financial means to appropriately provide for a dog’s veterinary care, including yearly wellness exams, preventative care (vaccinations, dental cleanings, monthly heartworm, and seasonal flea & tick preventatives), and emergency care, as well as quality food, treats, chew toys, and as needed, training, grooming, day care, boarding, etc.
•I have the necessary time (at least 90 dedicated minutes per day, every day) to provide for a dog’s daily need for a combination of attention, socialization, and physical & mental exercise
•My dog will be an indoor companion, never left outdoors unsupervised or in any environment that doesn’t have climate control suitable for humans
•I have either a securely fenced yard, secure tether system, or will take my dog on multiple on-leash walks and bathroom breaks every day
•I have homeowner’s or renter’s insurance and will contact my insurance agent or company prior to adoption to confirm that my policy covers ownership of the particular dog breed or mixed breed I want to adopt.
•I have not been charged – whether civilly or criminally - with any claim or offense pertaining or relating to the mistreatment, abuse, or neglect of any animal, including but not limited to claims or charges of: a) conspiracy to commit any such offense; b) aiding or abetting any such offense; c) acting as an accomplice in connection with any such offense; and/or, d) allowing an animal to run at large or in violation of the public peace.
•I do not live in a jurisdiction that prohibits the ownership, possession, control, keeping or harboring of specific breeds of dogs that include the dog I am adopting.
•If I rent my home, I will provide PAWS written proof of landlord approval for me to own and keep the dog I wish to adopt on my rental property, and will abide by any size or breed restrictions.
•As the dog’s keeper, harborer, and owner, I will assume full legal and financial responsibility for my dog, and am not adopting this dog as a gift for someone else; prior to adoption, all household members must meet and agree that they want and will care for the dog.
•All of my current household pets are spayed or neutered and current on all vaccinations, for which I will provide written proof if this can not be verified via a veterinary reference check; PAWS dogs will be spayed or neutered, up-to-date on vaccinations, heartworm tested, on monthly heartworm preventative and seasonal flea & tick preventative, microchipped, and licensed prior to adoption.

I agree to and/or meet the above requirements and conditions for adopting a dog from PAWS. I understand PAWS will do its best to help me adopt a dog that matches my desires with a dog’s needs. PAWS reserves the right to deny any application without explanation.

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Email *
Adopter's Full Name *
In the next question, please list up to three dogs that you are applying for. If you do not have a specific dog in mind, list some of the characteristics you are looking for.
Dog Applying For *
House Number & Street *
City *
State *
Zip Code *
Phone Number *
Primary Adopter's Date of Birth *
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Driver's License Number
Driver's License Issuing State
Occupation *
Partner's Name (If Applicable)
Partner's Occupation (If Applicable)
Partner's or Secondary Email Address
Partner's or Secondary Phone Number
Do you rent or own your home? *
If you rent, what is your landlord's name?
Landlord's Email Address (if applicable)
Landlord's Phone Number (if applicable)
Below, please list all human family members who live in the household. Include yourself and your partner (if applicable).
Human Family Member #1: Name, Age, and Gender *
Human Family Member #2: Name, Age, and Gender
Human Family Member #3: Name, Age, and Gender
Human Family Member #4: Name, Age, and Gender
Human Family Member #5: Name, Age, and Gender
Human Family Member #6: Name, Age, and Gender
How did you find out about PAWS or the specific dog you are interested in adopting? *
Do you or any of the family members listed above have allergies to dogs? *
If you or a family member has allergies to dogs, are they controlled through medication?
Please list all current animals under your care (any dogs, cats, birds, rabbits, reptiles, rodents, or outdoor animals) below:
Pet #1: Name, Species or Breed , M / F, Age, Weight , Spayed/Neutered? (Yes/No), Energy Level (Low/Med/High), Date of Last Vet Visit. If you do not own a pet, write N/A *
Pet #2: Name, Species or Breed , M / F, Age, Weight , Spayed/Neutered? (Yes/No), Energy Level (Low/Med/High), Date of Last Vet Visit
Pet #3: Name, Species or Breed , M / F, Age, Weight , Spayed/Neutered? (Yes/No), Energy Level (Low/Med/High), Date of Last Vet Visit
Pet #4: Name, Species or Breed , M / F, Age, Weight , Spayed/Neutered? (Yes/No), Energy Level (Low/Med/High), Date of Last Vet Visit
Pet #5: Name, Species or Breed , M / F, Age, Weight , Spayed/Neutered? (Yes/No), Energy Level (Low/Med/High), Date of Last Vet Visit
Important: All dogs, cats, and small animals living in your home must be spayed or neutered and current on vaccinations prior to the adoption of a PAWS dog unless there is a documented reason from a veterinarian.
Below, please list the veterinarian that cares for your current and/or previous animals. Please contact your veterinarian and provide them permission to speak to us. If you (or your parents) have never had animals, please list a personal reference that is a responsible pet owner.
Vet clinic info (name, address, phone number) if applicable *
Other vet clinics used (name, address, phone number) if applicable
Please describe the last two dogs or cats that your family has owned and are no longer living with you (if applicable). Otherwise, write N/A. *
Please describe any characteristics of a dog that are important to you, such as age, sex, size/weight, breed, and energy level. *
Who will the dog need to get along with? *
Yes
No
Children
Adult females
Adult males
Cats
Small dogs
Large dogs
Important: Matching a dog's energy to its human's is extremely important to ensure a mutually fulfilling relationship. Though all dogs need some amount of daily exercise and stimulation, the amount of attention required of the human guardian to allow a dog to remain calm and balanced varies widely. Higher energy and younger dogs need to drain energy every day, especially in the morning if they’ll be on their own all day while their humans are away. If you won’t consistently have the time and energy needed for such a dog, look for a lower energy or older dog.
How much time and energy can you comfortably provide your dog every day? *
What kind of exercise and enrichment activities would you like to do with your dog? *
Is there usually lots of activity in your home, with friends coming and going, or is your home more calm and quiet? *
Do you have any family members or pets with special needs? If yes, please explain.
Where do you plan for your dog to sleep at night? *
Dogs are social animals and most want to spend as much time as possible with their human family. Are you and your family often on the go to places your dog can't accompany you? How many hours per day will your dog be without a human companion? *
How will your dog get its needs met (elimination, exercise, socialization) when you need to be away for more than 9 hours? *
Do you have a securely fenced outdoor area? If so, please describe (type and height of fence). If not, please explain how you will ensure that your dog does not run away. *
How will you teach your dog which behaviors you deem unacceptable? *
What will you do if your dog inappropriately chews, digs, barks, or eliminates? *
What will you do if your dog is inappropriately reactive to other animals or people? *
Who will care for your dog when you are out of town or on vacation? *
Important: Proper care for a dog includes annual veterinary exams and vaccinations, monthly heartworm prevention, seasonal flea & tick prevention, periodic dental cleanings, healthy food and treats, toys, training, grooming, pet sitting, doggie day care, boarding, etc., as well as any non-routine or emergency veterinary care. Be sure to factor in additional costs like pet rent, carpet cleaning, and potential repairs to property damage. These expenses can easily add up to more than $2000 per year.
Are you financially prepared to handle the common costs associated with a dog's care? *
Are you prepared to make a commitment to care for your dog for its lifetime of 10 – 20 years? *
Should something unforeseen happen whereby you are no longer able to serve as your dog’s guardian, who will take over this responsibility? *
Under what circumstances would you no longer be able to keep your commitment to be your dog’s life long owner? Please check all that may apply. *
Required
Adoption Information
PAWS strives to do what is in the best interest of the dogs in our care to ensure that a potential adopter's environment, energy level, knowledge, experience, and commitment are a match for what's PAWS has assessed to be the care and leadership needs of each dog rescued. Our goal is for each dog's adoption to be its last, so we take time to determine whether a particular dog will thrive with a particular person or family.

It can take several days or even weeks to finalize an adoption once we receive this application from you. We review your application and do a veterinary reference check. If you rent your residence, we check that your landlord or property manager approves of you having a dog. Your application is then forwarded to the volunteer who is fostering the dog you are interested in adopting. The foster will contact you to arrange an initial meeting if you haven't yet met the dog at one of our adoption events.

If you are interested in pursuing adoption after meeting the dog and hearing the foster's observations, we'll schedule two PAWS volunteers to bring the dog to your home at a time when all members of your household can be present. We do our best to ensure that all issues known to PAWS are disclosed. We will provide all veterinary records we have. To give dogs less than 6 months old and their adoptive families the best shot at enjoying a great life together, adopters must commit to attending a positive reinforcement-based puppy class within 30 days of adoption. If you desire to adopt a dog with a known behavior issue, we may make the adoption contingent upon your agreement to hire a professional positive reinforcement-based dog behaviorist if you aren't able to sufficiently modify or manage the dog’s behavior.

Even if everyone agrees that the dog seems like a perfect match after the home visit, we will ask that you contemplate overnight your desire to adopt to take into consideration that the lifelong commitment that will require your significant time, energy, and financial resources. Should you still decide that you're willing and able to make this commitment, we'll schedule a time and place to finalize the adoption. We strongly advise that the adoption allows for a responsible adult to be continuously available to your new dog for the first 72 hours to optimize the transition for both you and the dog.

Our adoption fee is $250. PAWS dogs are assessed by a veterinarian, spayed or neutered, microchipped, licensed, current on all vaccines, heartworm tested, and on monthly heartworm and seasonal flea & tick preventatives. The average cost of these services at a veterinary clinic in the Midwest is over $450.
Right of First Refusal, Return, and Adoption Fee Refund Information
Our goal is to make every adoption a permanent one that is fulfilling for both you and your dog. We undertake special effort to ensure each adoption is a great match between the dog and adopter.

You agree to contact PAWS before giving away or otherwise permanently transferring custody or ownership of your dog, or surrendering or relinquishing the care and control of your dog. By adopting a dog through PAWS, you agree that PAWS retains the first option and right to reacquire your dog in the event you contemplate the dog will leave your care, custody and control.

It may take several weeks before we can take possession of the dog, as time may be needed to secure an appropriate volunteer foster home. We will advise you on how to manage any issues short-term in order to keep your dog, humans, other pets, and property safe during this period. Should you be unable to continue to care for your dog in your home, you may choose to board your dog at a reputable boarding or veterinary facility at your expense until a foster home can be secured. If PAWS does not have the resources to adequately care for your dog, we will do our best to assist you in finding an appropriate alternative.

If you have made every reasonable effort to find a way to keep your dog, PAWS' Board of Directors will consider your request to receive a partial refund of up to 50% of the adoption fee if your request is made between 3 and 8 weeks of adoption. PAWS will not reimburse any expenses you incurred after accepting the return and relinquishment of your dog after signing our Adoption Contract. Please submit your request via email or postal service, thoroughly detailing the circumstances and steps taken in an attempt to remedy the situation. You will be notified of the Board's decision via email or postal service within 4 weeks.
Should I choose to adopt a dog from PAWS...
I will affirm to the best of my ability to commit to being the dog's owner and caretaker for its lifetime to the best of my ability. I acknowledge my sole financial and legal responsibility for all aspects of my dog's life, which include providing appropriate nutrition, shelter, healthcare, exercise, training, socialization, enrichment, affection, supervision, and control.

I understand PAWS has made every effort to address any known health issues and to provide all appropriate preventative care for this dog while in its care. PAWS has shared with me all known medical and behavioral issues known to PAWS about this dog, and I agree PAWS is not legally responsible to disclose conditions of this dog which were not present before, which arise after, and/or which were unknown at the time of adoption. I agree to make an appointment with a licensed veterinarian within 30 days of adoption for an introductory meeting to establish a veterinary relationship for this dog, and give them my dog's previous vet records provided by PAWS at time of adoption. I also agree to get a prescription for monthly heartworm preventative to be given year round, and to give my dog flea & tick preventative seasonally. I understand wellness checks should be done annually and vaccinations need to be kept up to date.

I recognize that the joy and benefits of having a canine companion are optimized when a dog's caretaker invests sufficient time, energy, and resources, particularly in the first days, weeks, and months, to establish themselves as the dog's trusted and respected leader.

I acknowledge that dogs are a species separate from humans with different means of communication, though like us, are capable of experiencing and expressing a range of emotions and behaviors like calmness, happiness, and joy, as well as over-excitement, anxiety, insecurity, fear, and aggression. I understand dogs may express unwanted and potentially dangerous behaviors that may need to be safely and respectfully addressed and/or managed.

I recognize that there is potential risk and liability in serving as a dog's owner, and understand that dogs can be destructive to property, and can cause injury and even death to other animals, including humans.

I am aware that every dog has the potential to bite, and that statistically, children under 12 years of age are most at risk. I understand that close adult supervision is always necessary when dogs and children are in each other's presence.

I understand that a dog's owner, harborer, and/or keeper are legally responsible for the actions of any dog under their care, custody and/or control.

I recognize that dogs are highly social animals that require daily focused attention, exercise, and training. I accept that one may need to further develop their canine training skills and knowledge of canine body language and behavior management through books, videos, training classes, and consultation with a professional canine behaviorist who utilizes positive reinforcement techniques.

I agree that a dog's owner should make every reasonable effort to resolve any issue that would prevent them from keeping their dog and providing it a good quality of life.

I will not sell my adopted dog to a “dog broker” or a “pet store,” as those terms are defined by Ohio Revised Code §956.01 (as amended by 133rd General Assembly, HB 166, §101.01, eff. 10/17/2019). I further agree I will not otherwise sell, give, or release the Dog to a pet shop, retail store, dog dealer, animal testing facility, research facility, or an agent for any such business or facility.

I agree to contact PAWS before giving away or otherwise permanently transferring custody or ownership of my dog, or surrendering or relinquishing the care and control of my dog. By adopting a dog through PAWS, I agree that PAWS retains the first option and right to reacquire my dog.

I agree that if any action or failure to act on the part on my part or behalf shall result in any claim, suit, loss, damage, injury, death, or liability, I agree to defend, indemnify, and hold PAWS harmless and to pay all of PAWS’s costs and expenses, including reasonable legal fees, any amount paid in settlement and any award or judgment with respect thereto. I release PAWS from any and all liability, costs or damages caused by the dog after placement with me, including but not limited to damage to or destruction of property, and injury to any person. I agree that any action or claim brought by me against PAWS for breach of this Agreement, for any statutory liability, or for loss due to negligence must be brought within one (1) year of the date such claim or loss occurs. I agree and acknowledge this agreement was entered into in Ohio and shall be governed by and construed in accordance with the laws of Ohio.
By typing my full name below, I affirm that all of the information I have provided in this application is true and complete to the best of my knowledge and that I agree to all of the conditions and responsibilities described in this document should I choose to adopt a dog from Powell Animal Welfare Society (PAWS). *
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