Animal Adoption Application Form (Page 2 of 2) in pdf

Other pets (specify number of each): Dogs _____

Cats _____

Other ___________________________________________

If you have any dogs or cats, are they spayed/neutered? Yes _______ No _______

What pets have you had in the past? _________________________________________________________________________

What happened to the ones you no longer have? _______________________________________________________________

What would happen to the dog if you moved:

Locally? _______________________________________________________________________________________

Out of state? ____________________________________________________________________________________

Out of the country? _______________________________________________________________________________

Where would the dog go when you go for vacation? ____________________________________________________________

Do you have a regular veterinarian? Yes ________ No ________

If yes, vet’s name __________________________________ Name of Clinic _________________________________

Address _________________________________________________ Phone _________________________________

Does anyone in your household have allergies: Yes ________ No ________ What kind? _______________________________

How would you train this dog? (Check all that apply)

_______ Obedience school

_______ Hit with newspaper

_______ Choke collar

_______ Firm verbal commands

_______ Clicker/hand signals

_______ Positive Reinforcement

Other (specify) __________________________________________________________________________________

How and how often do you plan to exercise your dog? __________________________________________________________

Will you be committed to potty train if needed? Yes _______ No _______

Will you be able to live with hair on your furniture, stains on your rugs, a warm body on your bed, and an animal that might be

destructive at time? Yes _______ No _______

Remember, pets are an investment of your time and money. Can you afford to provide medical care, grooming, proper diet,

proper shelter and exercise for your new pet? Yes _______ No _______

If your dog were injured or ill, are you committed to take him/her to the vet? Yes _______ No _______

Are you able to make a long term commitment to care for this dog for its entire lifespan, which could be as much as 10-20

years? Yes _______ No _______

Under what circumstances would you not be able to keep this dog? ________________________________________________

Signature __________________________________________________ Date ______________________________________

Perfect Pet Rescue, Inc. reserves the right to refuse adoption to any Client for any reason.

This questionnaire becomes part of our contract.

PPR ANIMAL ADOPTION APPLICATION - Page

Animal Adoption Application Form Page 2