Name

First Name

Last Name

Phone Number

Address

What dog are you interested in?

Is everyone in your family on board with adopting?

List all current animals and if they're fixed/up to date on vaccines:

What is your ideal dog? ex. age, breed, gender, size, energy level

List all names and ages of everyone who is in the house:

What is your name on Facebook?

Have you ever re-homed a pet? If yes, please explain:

List employer and job title of all adults in household:

Do you own your home or rent? If rent, please add your landlords contact information:

Do you have a fenced in yard?

Copper Paws Rescue Inc.

Thank you for your interest in our rescue! We work hard every single day to provide the best care for our animals.

We look for the best homes out there for dogs, so we take this application very seriously. If you have any questions, please contact us on our Facebook page or at our email: copperpawsrescue@gmail.com. Please note that priority will be given to those inquiries that have applications filled out.

After your application has been submitted, please allow us 48 hours to review and make contact with you.