Dog Adoption Application

To adopt a dog, please complete the application below. Adoption requests will be processed on a first-come, first-served basis. **We normally respond promptly to your application via email, so please check your email account for our reply.** If you need more information, please email the Dog Adoption Team at dogadoptions@pawsofcoronado.org.

Please note that a home visit by our Dog Adoption Team is required as part of the adoption process.
Your Name*
First Last
Spouse / Roommate's Name
First Last
Email*
Home Phone
Cell Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Occupation & Employer*
Does your CA driver’s license or ID card have the word “VETERAN” printed on its face? Or do you have other proof of veteran status such as a copy of your DD 214?*
- Yes
- No
Do you have any trips planned for the next 60 days? If so, please explain.*
Will this be your first time owning a dog or are you an experienced dog owner?*
- First time
- Experienced dog owner
Desired Dog
Dog's Name*
Breed
Color
Age
Sex
- Male
- Female
Have you visited the Coronado Animal Care Facility and spent time with this dog?*
- Yes
- No
Comments
About Your Home
Do you live in*
How long have you lived there?*
If less than 2 years list your previous address*
Street Address Address Line 2 City State ZIP Code
Do you rent or own?*
- Rent
- Own
If you rent, are dogs allowed?*
- Yes
- No
May we contact your landlord or property manager?*
- Yes
- No
Landlord / property manager's name*
Landlord / property manager's phone number*
Does your home have a pool?*
- Yes
- No
Does the pool have a fence?
- Yes
- No
Your Veterinarian's Name
Your Veterinarian's Phone Number
Will you agree to license this dog in your jurisdiction?
- Yes
- No
What other animals do you own?
Do you have any current pets?*
- Yes
- No
List your current pets
Type/Breed Male/Female Age

Click on the "+" icon to add additional pets
Are your pets spayed/neutered?
- Yes
- No
Are your pets up to date on their vaccinations?
- Yes
- No
If you previously owned a dog, please check all that apply
- Still Have
- Gave Away
- Sold
- Strayed Off
- Stolen
- Died
If your dog(s) died, please state cause of death and how long ago
Family Information
List all members of the household & ages of children (if any)*
Family Member Age

Click on the "+" icon to add additional family members
Is anyone in your household allergic to dogs?*
- Yes
- No
Why do you want a dog? (Please check all that apply)*
- Companion
- For Spouse
- For Children
- For other Pet
- As a Gift
- Other
Caring For Your Dog
How many hours per day will the dog be left alone? Please also provide the reason.*
Do you have a fenced yard?*
- Yes
- No
If yes, how high is the fence? What is it made of?*
How are you going to exercise this dog?*
Where will the dog stay when you are home?*
- Inside
- Outside
- Both
Where will the dog stay when you're not home?*
- Inside
- Outside
- Doggie Door
If outside, is there shade and protection from rain? Please explain.*
There is a critical adjustment period for a new dog. How long would you stay with the dog before you leave it completely alone? Hours? Days?*
Who will be responsible for feeding, grooming and training your new dog?*
Where will the dog sleep? (Please be specific)*
Are you a frequent traveler?*
- Yes
- No
If out of town, how would you provide for the dog's care?*
We are not aware if this dog will dig, bark or chew when left alone. How would you deal with it if this happens?*
Other Information
How did you learn about this dog?*
Routine annual medical care can be expensive. Are you prepared to accept this responsibility for the life of a dog that may live 10 years or longer?*
- Yes
- No
What would you estimate the annual medical costs to be?*
What will happen to the dog if you move locally?*
What will happen to the dog if you move out of state?*
What would happen to the dog if you move overseas?*
Agreement
I am 18 years of age or older.

The adoption of an animal should never be impulsive, but rather a well thought-out decision made by the entire family or household and always with the best interest of the animal in mind. The goal of PAWS of Coronado, the City of Coronado and the Coronado Animal Care Facility is to place animals into permanent, responsible homes. I certify that the information given on this application is true and correct. If I am approved to adopt an animal, I agree to be responsible for providing proper shelter, food, water, exercise, medical care and humane treatment at all times. I understand that failure to comply with any of the requirements will result in confiscation of adopted animal.

I recognize that animals may act in an unpredictable manner, an interaction may be dangerous to people and/or animals and may cause injuries or illness, and I accept those risks and dangers. I waive any claims that I or any of the minors in my household may have against PAWS of Coronado, the City of Coronado or the Animal Care Facility or any of their respective employees, agents or volunteers arising from the adoption of an animal or the behavior of the animal, including the animal’s interactions with me, other people or other animals. I also agree to indemnify and hold harmless PAWS of Coronado, the City of Coronado and the Animal Care Facility and their respective employees, agents and volunteers from and against any and all such claims arising from the adoption of an animal or the animal’s behavior, whether caused by negligence or otherwise. I also understand that no City employee or agent is authorized to modify this waiver. I have personally read and understand this waiver.
Signature*
Date
Date Format: MM slash DD slash YYYY
Phone
This field is for validation purposes and should be left unchanged.

Desired Dog

About Your Home

What other animals do you own?

Family Information

Caring For Your Dog

Other Information

Agreement

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Type/Breed	Male/Female	Age

Family Member	Age