Closter Animal Welfare Society (CLAWS)
Online Adoption Application

NOTE: You must be over 21 to submit an application with CLAWS.

Date:
Dog's Name:

CONTACT INFORMATION
First Name:
Last Name:
Address1:
Address2:
City:
State:
Zip:

Daytime Phone:
Evening Phone:
Email:

Spouse's name:

HOUSEHOLD INFORMATION
Please indicate how many of the following live in your household:
Adults (over 18):
Children (under 18):   What are their ages?
Are all members of the household in agreement about adopting a dog? Yes   No

Do you rent or own? Rent   Own
If you rent, please provide landlord's name and phone number so we may verify that you are allowed to have pets:

Please describe your home. Apartment, single family detached, duplex, etc. Do you have a backyard? If so, is it fenced in? What height is the fence?
Please note that a fenced-in yard is NOT a requirement for adoption unless specifically stated in the dog's description.

EXPERIENCE
Please note that experience with dogs is NOT a requirement for adoption unless specifically stated in the dog's description.

Have you ever lived with a dog before? Yes   No
If yes, please describe your experience(s) and a brief history of what happened to the dog(s). If your last dog died, please state dog's name and date deceased. Has your dog ever produced puppies?

Have you ever given a dog up to a shelter or rescue organization? Yes   No

Do you currently have any animal companions at home? Yes   No
If yes, please indicate type of animal and how many:

CARE OF THE DOG
how do you plan to have your new dog relieve itself?

Do all adults work full time? Yes   No
How many hours each day will your new dog be alone?
How many hours each day will you spend time with your dog?

Where will your new dog be kept when it is alone?

Where will your new dog sleep?

What sort of training do you plan on providing the dog?

REFERENCES
Please provide your veterinarian's name and phone number (if you have one). We will call them as a reference. If you do not have a veterinarian, please provide the name and number of a non-family member that we may contact.

ALMOST DONE!
Finally, please be advised that CLAWS asks for a monetary donation per adoption to help defray medical and rescue effort costs. Is this acceptable? Yes   No
Please realize that dogs need vet care throughout their lives, including yearly boosters, heartworm and flea/tick preventive meds, etc. If you cannot afford a donation, can you afford the appropriate vet care? Please consider this before adopting.

Is there anything additional you'd like us to know about your needs or circumstances?