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Dog Application | Dusty Paws Rescue 

Dog Adoption: $150.00 - Puppy Adoption: $350.00 ($50 will be refunded upon proof of completion of a dog training class within four months of adoption). A puppy is a dog 12 months old or younger.

You may complete the application form below and submit it or you can print out the application and send it to:
Dusty Paws Rescue, P. O. Box 2794, Castro Valley CA 94546


How did you hear about Dusty Paws Rescue?
Name of foster dog you're applying for?
How long have you been looking for a pet?
First and Last Name *
Email *
Do you own or rent?
If renter, do you have permission to have a pet?
Your landlord's name and contact info:
Do you have a secure fenced in yard?
Fence Height:
How long have you lived at your present address?
How long have you lived in the area?
Are you moving or relocating in the next six months?
Is everyone in the household agreeable to adopting a dog?
Number of adults in household:
Number of children in household:
Ages of children in household:
Will you have children visiting?
If yes, how often?
Number of children visiting:
Ages of children visiting
Who will be ultimately responsible for the care of this dog?

What is your level of experience with dogs?

First time guardian?
Knowledgeable / Experienced?
Does anyone in your household have allergies and/or asthma?
What would you do if someone developed allergies to your adopted dog?
Reason for adopting (companion, security, company for another animal, etc.):
Are you willing and able to make a life-long commitment to a dog as a family member for the next 15 years (or so)?
Are your animals allowed on couch/chairs?
What will you do if your dog develops behavior problems that are unacceptable to you?
Are there ANY behaviors you would not tolerate and therefore would not be able to continue your guardianship of this dog?
If yes, please explain:
How many hours will the dog be home alone?
Where will the dog be kept when no one is home?
Where will the dog be kept when someone is home?
Where will the dog sleep at night?
Are you willing to work with a dog that is not housetrained?
What will you do with the dog if you will be gone for a few days?
Have you ever relinquished a pet to an animal shelter or anyone else?
What is your estimate of the annual cost to care for this dog? (i.e., food/shelter/veterinary care, etc.)
Do you currently have a veterinarian?
May we contact him/her?
Name of vet:
Vet contact info:
List all animals you currently have or have had in the past five years. Include: 1. Type of pet, 2. Age, 3. Spay/Neuter status, 4. Length of time, 5. Current status of pet.
Is there any other information that you feel is important for us to know in consideration of you adopting this dog?
Will you allow a DUSTY PAWS RESCUE representative to do a home visit?
Do you understand that the adoption fees are as such? Dogs: $300.00, Puppies: $350.00

Adoption fee includes: Spay/neuter, vaccinations, collar, and ID tag.

For puppies, $50.00 is refunded upon proof of completion of a dog training class within four months of adoption.

I am 18 years or older?
Are you prepared at this time to have a dog come into your home, i.e. bowls, blankets, crates, food, toys, etc?
I am 65 years or older and would like to receive a 10% discount on the adoption fee

I understand that completion of this adoption application does not guarantee adoption of the dog/cat I am applying for and that DUSTY PAWS RESCUE reserves the right to deny adoption for any reason. I certify that the above information is true and correct, I am over the age of 18, and that any false information may void this application.

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