Patriot PAWS Adoption Application

Date (mm/dd/yyyy)

Dog of Interest (if applicable)

Adoptions

At Patriot PAWS Service Dogs, we strive to place Service Dogs of the highest quality with disabled Veterans. As a result of these high expectations, some of the dogs are not able to complete the program to become a Certified Service Dog. These dogs are transitioned into different capacities—some receive a “career change” and become Facility Dogs or work in law enforcement, others become In Home Working Dogs and still others become wonderful family pets. These dogs have been through some of the same exceptional training as all Patriot PAWS Service Dogs, but due to medical, behavioral, or temperamental reasons, they do not meet the standards for becoming a Certified Service Dog.

If you are thinking of adopting one of our lovable dogs as a family pet, please consider the following:

Patriot PAWS Service Dogs acquires dogs from a variety of sources. These include, but are not limited to: breeders, rescues, donations, and shelters. Consequently, some of our dogs are purebred while others are mixed breeds.
The dogs that are offered for adoption may have some type of medical, behavioral, or temperamental problem. These issues will be disclosed to you before the adoption takes place.
Upon adopting a Patriot PAWS dog, you will receive a description of the cues he/she has been taught.
We review all applications received. Dogs are paired with families based on the information provided in your application and on an evaluation our trainers will perform. This information will allow us to find the best match for our dogs and your family.
Patriot PAWS reserves the right to deny an applicant based on information provided to us about a potential adopter or adoptive home.
Dogs adopted from Patriot PAWS are adopted out as companions only. The person adopting the dog agrees to assume all responsibility and liability for the dog, and will not take the dog in public as a service animal in any way or form.

General Information

You must be willing to facilitate an in-home visit with a Patriot PAWS representative. This may be in person or virtual.
You must provide up to date vaccination history on any current dogs and cats at your residence.
If selected, you must be willing to travel to Rockwall, Texas for the adoption. These dogs will not be allowed on flights, please keep this in mind for travel planning.
If selected, you must be willing to bring any current children and dogs with you to the adoption.

Please Initial: I have read and understand the above information.

Personal Information

Name (First Last)

Date of Birth

Street Address

City

State

Zip Code

Phone Number

Text (Y or N)

Please tell us why you would like to adopt a Patriot PAWS dog:

Do you have any experience with dogs? If yes, please explain:

Where/how did you hear about Patriot PAWS Service Dogs?

Home Environment

Where do you currently reside?

Other:

If renting your home, do you have written permission from your landlord to own a dog? You will be asked to provide proof of written permission before adoption is completed.

Please list anyone currently residing in your household: (Name, Gender, Age)

Other than the children residing in your home, will the dog be exposed to children on a regular basis? If yes, please explain:

Please list any pets currently residing in your household: (Type, Breed, Age)

Do you have a fenced in yard?

Who will be the primary care-giver of your Patriot PAWS adopted dog?

Where will your dog be kept during the day? How long will dog be alone?

Where will your dog be kept at night?

Please tell us any other information you would like us to know when considering placing a Patriot PAWS dog in your home:

Veterinarian

Do you have a veterinarian? If yes, please provide the clinic name:

Veterinarian Address:

Veterinarian Phone Number:

Media Release

Patriot PAWS Service Dogs periodically uses forms of media (i.e., photography, video, audio, footage, testimonials) for publicity, social media (Facebook, Twitter, Instagram, YouTube, Tik Tok, LinkedIn) and/or educational purposes. By signing, I acknowledge that I have received this document and give permission to Patriot PAWS Service Dogs to use my likeness (including first name, pictures, and video) in the above forms of media.

E-Signature

Date (mm/dd/yyyy)

I understand that I have the right to revoke this authorization at any time, and it must be submitted in writing to the Compliance Officer at:

Terri Stringer/HIPAA Compliance Officer

Patriot PAWS Service Dogs

254 Ranch Trail

Rockwall, TX 75032

Contact Information