Vixen Age: 12 weeksGender: FemaleBreed: Coonhound x Heeler x StaffyHi, I’m Vixen! I came to PAWS with my mom and four siblings. We are now doing great, and I am looking for my forever home! Can you be my forever family?! Vixen's Adoption Application PAWS Dog Adoption Application Step 1 of 6 16% Thank you for taking the time to fill out this application carefully and thoughtfully. We use this application as a starting point to match your lifestyle, needs and experience with the animals we know so well. We are committed to finding each P.A.W.S. animal the perfect match forever home.Personal InformationName* First Last Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe 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LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Phone*Email* Household DescriptionDo you live in a...*Single Family HomeTownhouseCondo/Apt/SuiteFarmDo you have access to a yard?*YesNoDo you own your home?*YesNoDo you have your landlord's permission to keep a pet?*YesNoLandlord's InformationLandlord's Name* First Last Landlord's Phone*Is your residence as STRATA?*YesNoDo bylaws allow pets?*YesNoNumber of pets allowedPAWS must obtain permission from landlord for application to be approvedWhy do you want to adopt this animal?Please check all that apply Companion Companion for other pet Guard Dog Working Dog Hunting Please list the number of adults in your household*Are there children in your household?*YesNoPlease list the number of children in your household*Please list the ages of the children*At what age do you feel children can be responsible for at pet without assistance?*Does anyone in your family suffer from allergies?*YesNo Tell Us About Your Current & Past Pets **PAWS has the right to disapprove an application if current pet older than 6 months old and not spayed/neuteredHave you had pets in the past?*YesNoList the pets you've had in the past.*Please enter one line per pet in this format: Species / Name / Breed / Gender / Spayed Or Neutered / Age / Vaccinations Up To DateDo you have pets currently?*YesNoList the pets you current have.*Please enter one line per pet in this format: Species / Name / Breed / Gender / Spayed Or Neutered / Age / Vaccinations Up To DateList each Veterinarian and Veterinary Clinic that has cared for your animals.Please enter one line per vet in this format: Name Of Clinic / Name Of Veterinarian / Phone Number / Name Under Which Records Are Listed Describe Your Lifestyle & Care For This DogHow do you feel your current pets will adjust to new dog?*What are most important responsibilities in caring for dog?*How long have you been considering adopting a dog?*Where will the dog spend its DAY and NIGHT*How many hours a week will you spend exercising, training, grooming, playing etc.*Describe how you will keep this dog safe from any harm?*What hobbies/activities does your family enjoy doing?*How many hours on average will this dog spend alone?*Where will this dog stay while you are on vacation?* Please List The Anticipated Annual Expenses Involved In Caring For This DogVeterinary*Food*Boarding*Supplies/Toys*Who will be the primary caregiver for this dog in your household?*What challenges do you expect?*Which of the following scenarios would force you to have to surrender you pets?Please select all that applies Move where pets weren't allowed Divorce/Separation Barking/Training issues Marry someone with allergies Large Vet Bills Planning on having a baby Dog develops chronic illness Pets do not get along Does not apply Have you ever had to surrender an animal to WAG/PAWS/SPCA or another rescue unit?*YesNoPlease Explain*Have you ever been charged for animal cruelty?*YesNoPlease Explain*Are you willing to allow PAWS to do a home visit by appointment?*YesNoPlease Explain* References * One of the references must be an employerReference #1 Name* First Last Reference #1 Phone*Reference #1 Relationship*Reference #1 Company (for employment)Reference #2 Name* First Last Reference #2 Phone*Reference #2 Relationship*Reference #2 Company (for employment)Terms*By agreeing with the terms and applying for this adoption application, you certify that the above information is correct and reflects your true beliefs and intentions regarding caring for this dog. You understand any misrepresentation of the truth in this application will invalidate any subsequent adoption agreement and give PAWS the right to reclaim the dog. You understand that submission of application does NOT guarantee approval for adoption. I agree with the terms above Privacy And Protection Of Personal Information The personal information collected on this application will be used solely to determine the applicant's suitability for adoption of a PAWS animals. By providing information on this application, you are voluntarily consenting to the collection and use of your personal information by PAWS. This information will not be used for any other purpose by PAWS without your written consent. This information will not be disclosed to any other organization. All information provided will be kept in such a manner to ensure confidentiality.PhoneThis field is for validation purposes and should be left unchanged. 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