Adoption Application

Elder Paws is always looking for loving forever homes for our seniors! We will give you the information on any dog you may be interested in and help you choose the right dog for your family. If you are interested in adopting one of our amazing senior dogs and you live within 2 hours of the Fresno area you can start the process by filling out the adoption application linked below. Adoption Fee is $150.

Once completed, one of our adoption specialists will reach out to you regarding the next step in the adoption process.

A PDF of the application may also be downloaded here: 2023 Adoption Application

ALL FIELDS ARE REQUIRED: If there are any fields that are not applicable, please fill with n/a or fill with 0’s for numerical fields.

Adoption Application

Name of dog I am interested in adopting:

Senior Dog's Name(Required)

Adoptor Name(Required)

First Last

Adoptor Address(Required)

Street Address Address Line 2 City State ZIP Code

Enter your email address:

Adoptor Email Address(Required)

Adoptor Cell Phone Number(Required)

Adoptor Home Phone Number

Adoptor Work Phone Number(Required)

Best number to reach you at:

Adoptor phone number type(Required)

Home Phone Number

Work Phone Number

Cellular Phone Number

Best time to reach you:

Best time for Adoptor Callback(Required)

Hours

Minutes

AM/PM

YOUR ADOPTED DOG'S ENVIRONMENT:

Do you own or rent?

Do you own or rent?(Required)

Own

Rent

Is your yard securely fenced?

Is your yard fenced?(Required)

Yes

Do you have a pool?

Do you have a pool?(Required)

Yes

If you have a pool, is it fully fenced?

If you have a pool is it fenced?

Yes

Are all members of your household in agreement about adopting this dog?

Is everyone in the household agreement?(Required)

Yes

How many people live in your home?

How many people in home(Required)

Who are the people living in your home? Please list the ages and genders:

Who are the people living in your home?(Required)

How many pets live in your home?

How many pets are living in your home.(Required)

Please describe and list the type of animal (i.e., Cat, Dog, Lizard) breed, age, sex, and spayed/neutered of each pet living in your household:

Breed and sex of animals in the home-Descriptions(Required)

List all pets previously owned by you and/or your family over last 8 years. Include breed, length of ownership and what happened to them.

Adoptor's previously owned pets(Required)

Have you ever given up a pet? If yes, please explain:

Have you ever given a pet up?(Required)

What are you looking for in a K-9 senior family member?

What you looking for in senior K-9?(Required)

What are your expectations for this dog fitting into your family/lifestyle?

Adoptor expectations lifestyle(Required)

PLANS FOR YOUR ADOPTED DOG:

Where will the dog sleep at night?

Where will the dog sleep at night?(Required)

Where will the dog be kept when you are not at home?

Where will the dog be kept when not at home?(Required)

Indoors

Outdoors

How many hours a day will the dog be left alone?

How many hours will the dog be left alone?(Required)

Are you willing to accept a dog with physical challenges (i.e., hearing/sight impaired, weakness in legs, or other treatable age-related health condition)?

Are you able to accept physically challenged dogs?(Required)

Yes

Are you able to provide any ongoing medical treatment for the dog (i.e. medication, special diet)?

Are you able to provide on-going treatment?(Required)

Yes

Do you have any experience caring for senior dogs? If so, please describe:

Do you have experience caring for senior dogs?(Required)

Do you agree to a home inspection before adopting the dog?

Do you agree to home pre-inspection?(Required)

Yes

Do you agree to allow Elder Paws to periodically check to confirm dog's well being?

Do you agree to periodic checks?(Required)

Yes

In addition to times when your pet is sick will you take the dog to the veterinarian for routine check-ups and vaccinations?

Do you agree to maintain periodic check-up and vaccinations with veterinarian?(Required)

Yes

VETERINARIAN INFORMATION:

(If you have personal pets you must list a vet, if you have recently moved please list prior vet)

Your current Veterinarian's Name(Required)

Your veterinarian's address(Required)

Street Address Address Line 2 City State ZIP Code

Your veterinarian's phone number(Required)

Length of time you've being going to/have known this veterinarian?

Years with your Veterinarian(Required)

If for any reason I am unable to care for the dog any longer I agree to return the dog to Elder Paws, giving them at least 48 hours notice.

Elder Paws Senior Dog Foundation and it's representatives accept no responsibility for damage or injury caused by any dog adopted nor does Elder Paws Senior Dog Foundation make any representation or guarantee as to any dog's future medical condition.

Thank you for applying to adopt one of our senior companion animals!

Application Signed Name(Required)

First Last

*By typing in your name and today's date above, you agree that all information within this application is true and correct and agree to the statements of care above.*

Application Signed Date(Required)

MM slash DD slash YYYY

Terms and Conditions of Adoption

1. The ADOPTER agrees to allow ELDER PAWS to periodically check to confirm dog's well being and to ensure compliance with all Adoption Agreement conditions during the first 12 months. This may include a home visit. ELDER PAWS retains the right to reclaim dog when neglect, abuse, inadequate home or veterinary care or breach of contract are found. The ADOPTER agrees to relinquish dog to ELDER PAWS immediately upon request without legal writ or order should such neglect abuse or inadequate home or veterinary care be determined at the sole discretion of ELDER PAWS.

2. The ADOPTER agrees that should ADOPTER for any reason be unable to keep the dog or to provide necessary vet care or adequate housing the dog will be returned to ELDER PAWS, and not given or sold to another party or abandoned or relinquished to a shelter.

3. The ADOPTER agrees that there are costs involved in maintaining a dog and agrees to assume full responsibility at time of adoption for food, health care, licensing and training of said dog.

4. The ADOPTER agrees the dog will be kept in a safe environment when left alone and will not be left chained or tied unattended or allowed to run loose or off lead anywhere his safety or well being maybe jeopardized.

5. The ADOPTER agrees to provide dog with an identification tag with ADOPTER'S name and telephone number and to affix same to a well fitting collar which the dog shall wear at all times. The ADOPTER also agrees to contact microchip company and add their name as primary contact, (ELDER PAWS will remain as alternative contact), and to keep microchip information up-to-date at all times.

6. The ADOPTER agrees the dog will not be attack trained, allowed to engage in any fighting activity nor will the dog be used in experiments or research of any kind.

7. The ADOPTER agrees to provide appropriate veterinary care as dictated by a licensed veterinarian. Should the ADOPTER be faced with a large vet bill that they are unable to pay ADOPTER will contact ELDER PAWS to ask about available financial assistance funding. ADOPTER also agrees to cover the cost of regular grooming appointments for long haired dogs.

8. The ADOPTER agrees that upon adoption, [the physical taking of the dog] that he/she (the ADOPTER) is fully responsible for the dog, including all vet care, and he/she (the ADOPTER) forever releases, discharges and holds harmless ELDER PAWS from any and all damage, costs or expenses, liquidated or otherwise, incurred by the ADOPTER resulting from the adoption of the dog, including but not limited to damage or injury of persons or property by the dog. ADOPTER holds ELDER PAWS and any other persons harmless from any and all liability of any nature and cause directly or indirectly relating to this adoption.

9. Should euthanasia become necessary, ADOPTER will not turn dog over to any shelter but instead have the dog humanely put down by a qualified veterinarian. ELDER PAWS is always available for consultation and assistance in this and all other areas pertaining to the health and training of the dog.

10. The ADOPTER agrees that any changes or additions to these Terms and Conditions of Adoption must be in the form of an addendum and signed by all parties.

11. The ADOPTER agrees that the dog being adopted is a companion animal and while it may be capable of performing other functions, no warranty is given as to its fitness for any special purpose.

12. The ADOPTER agrees that the dog may NOT be kept outside exclusively, but must be an inside/outside dog and must have ample house and “people” time. If any provision of this contract is or becomes void or unenforceable by force or operation of law, the other provisions shall remain valid and enforceable. The entire agreement between the parties is contained herein.

13. The ADOPTER understands that adoption fees are ONLY refundable if the dog becomes critically ill, as confirmed by a licensed vet, and is returned to ELDER PAWS within 30 days of adoption. After 30 days adoption fees are non refundable and are considered a donation to Elder Paws. However, adopter may return the dog at any time and be assured that Elder Paws will take the dog back.

ELDER PAWS AND ITS REPRESENTATIVES ACCEPT NO RESPONSIBILITY FOR DAMAGE OR INJURY CAUSED BY ANY DOG ADOPTED NOR DOES ELDER PAWS MAKE ANY GUARANTEE AS TO THE DOG'S PRESENT OR FUTURE MEDICAL CONDITION OR TEMPERAMENT. ADOPTER UNDERSTANDS THAT ANY SENIOR DOG MAY BE PRONE TO MEDICAL OR GENETIC CONDITIONS NOT READILY EVIDENT, SUCH AS DEGENERATIVE JOINT DISEASE, LIVER AND/OR HEART CONDITIONS, ETC. I/WE, THE ADOPTERS, HAVE READ AND UNDERSTAND ALL THE TERMS AND CONDITIONS OF THIS ADOPTION FORM AND AGREE TO ABIDE BY ALL THE TERNS AND CONDITIONS STATED HEREIN.

Terms & Conditions Signed Name(Required)

First Last

*By typing in your name and today's date above, you agree that all information within this application is true and correct and agree to the statements of care above.*

Terms & Conditions Signed Date(Required)

MM slash DD slash YYYY

This field is for validation purposes and should be left unchanged.

We strive to establish a compassionate community where dogs and people are valued and respected. We are 100% volunteer based, a California 501c3 non-profit, and exist solely on donations to continue our services.