Perfect Pets Rescue, Inc

Perfect Pets Rescue, Inc.

ADOPTION APPLICATION

NOTE: You must be over 21 to submit an application with PPR

Date:

CONTACT INFORMATION

First Name:

Last Name:

Address1:

Address2:

City:

State:

Zip:

Daytime Phone (with area code):

Evening Phone:

cell or daytime

Email:

Spouse's name:

What are you looking for in a dog (you can name dogs currently available)?

Current Living Situation

Do you live in: house apartment condo/town home mobile home (PLEASE CIRCLE YOUR RESPONSE)

Do you rent or own your home? ______

If you rent, name and contact number for your landlord: ______

Do you have your landlord’s approval to have pets? ______What is the pet deposit? ______

Are there any breed or weight restrictions?______

How long have you lived at your current address? ______

Is there a fenced yard? Yes No If yes please indicate type of fence (height, style, etc.): ______

How will you provide exercise for your new pet?

______

______

How many adults are living in your home? ______

How many children?: ______Ages: ______

If you do not have children, do you have children that visit your home? ______Please indicate their ages: ______

Does everyone in the family know that you are considering adopting a dog? Yes _____ No_____

Is there anyone in your home with pet allergies? ______

Pet History

Do you currently have a pet? Yes ______No _____

If you responded “yes” to the question above, please describe the pet’s current circumstances and temperament:

If you currently do not have pets, but have in the past (as an adult) please respond to the statement below:

Please indicate the species, breed (if applicable), sex and age of your current/former pets. Please explain what happened
to your former pets and where they are now.

Have you ever had a serious behavior problem with a previous pet? If yes, please describe and explain outcome.

Will this be your first dog? Yes _____ No_____

Pet Care Philosophy

What type of collar do you have on your dog?

What kind of preventative medical care do you provide for your dog?

Are you familiar with heartworm disease? Yes ______No______

What heartworm preventative do you use? ______

What brand flea preventative do you use? ______

What brand of dog food do you use now or will you use with the new dog? ______

What would you consider a realistic cost to properly care for a dog for one year? ______

What is your vet’s name and number? ______Or past vet? ______

Are your current animals up to date on vaccines? Yes______No______

Daily Routine

Approximately how long will the new dog be alone during the day? ______

Where will the new dog stay when you are gone during the day (Please explain)?

Will your dog be allowed on the furniture? Yes_____ No_____ Certain pieces ______

Where will your new dog sleep at night (please explain)

House Breaking and Training

What type of housetraining methods will you use? ______

Do you have any experience crate training a dog? ______

Will you enroll this pet in obedience training? Yes _____ No_____

Special Circumstances

Have you ever given a pet up? If yes, explain the circumstances.

What could you realistically afford (add dollar amount) if your dog became seriously ill (e.g. cancer, ruptured disk, etc.)?

If your pet developed a behavioral problem, how would you address this?

Please provide two personal references (not relatives).

Name ______Phone no. ______

Name ______Phone no. ______

Perfect Pets Rescue reserves the right to refuse any application. We are unable to process an incomplete application.

As stated in our trial period and adoption contract, Perfect Pets Rescue, Inc. requests that if you decide at any point in time that you are no longer able to keep your pet, that you return the pet to us no questions asked. If you have a relative or friend that wishes to adopt your pet, we ask that they go through our application process. This procedure is mandated by the Department of Agriculture.

Please understand that this comprehensive process has been developed to protect the animals that are in our care and for us to abide by the regulations governing rescue groups. Many of these animals have suffered extreme hardship and have been victims of abuse, neglect or undesirable situations. It is the mission of Perfect Pets Rescue Rescue to place these incredible animals in loving permanent homes with wonderful families.

When you sign below, you are in agreement with our application process.

Signed ______Date ______