Charlyne's Pound Puppies
Thank you for your interest in our pets. Please note we can not adopt pets outside of Texas. Please fill out the application and click the submit button. We will be in contact with you as soon as possible.
Email questions to
info@poundpups.org
* Required
Today's Date
*
MM
/
DD
/
YYYY
Name(s) of Perspective Pet Parent
*
Your answer
Name and Breed of Pet You Wish to Adopt
*
Your answer
Where Did You Hear About This pet?
www.poundpups.org
Adopt-a-Pet
Petfinder
Rescue Me
Facebook
Instagram
Friend
Other
Clear selection
Email Address
*
Your answer
Mobile Phone Number
*
Your answer
Other Phone Number
Your answer
Street Address
*
Your answer
City, State, Zip
*
Your answer
Do You Own Any Pets?
*
Yes
No
Current Pet Name(s)/Species/Breed(s)
Your answer
Current pet's disposition and behavior towards other dogs/cats?
Your answer
Please provide your veterinarian's name and phone number:
Your answer
Do you own or rent your home?
*
Own
Rent
If you rent, what is your landlord's pet policy?
Your answer
Do you have a yard?
*
Yes
No
If "Yes" to the above, is it fenced? please describe type and height.
Your answer
Have you ever moved from one residence to another and could not/did not take your pet? If yes,please explain.
*
Your answer
Have you ever surrendered a pet you own to any animal shelter including a "low" or "no kill"shelter?
*
Yes
No
Are there children in the home? (If yes, please list ages)
*
Your answer
How many hours per day would the pet be alone?
*
Your answer
Will you crate your pet?
*
Yes
No
Maybe
If you have to leave town, urgently or planned, where would your pet stay?
*
Your answer
When outdoors, what shade and shelter are available for the pet?
*
Your answer
Where will your pet be kept during the day?
*
Your answer
Where will your pet be kept during the night?
*
Your answer
How would you deal with behavioral issues such as barking, chewing, destructive behavior,bathroom accidents indoors, unruly leash behaviors in your pet?
*
Your answer
Have you ever been convicted of an animal related crime, such as cruelty to animals, animal theft,or animal abandonment?
*
Yes
No
If you answered "Yes" please provide a detailed description:
Your answer
Would you object to a home visit by one of CPP's representatives?
*
Yes
No
All CPP dogs are current on basic vaccinations as well as on monthly heartworm and flea-tick preventatives. If adoption is approved do you agree to maintain annual vaccinations and monthlyheartworm preventative as prescribed by a licensed veterinarian.
*
Yes
No
Please check all boxes
*
I agree to undergo a home check, and interview at the discretion of CPP.
I understand there is no "cooling off" period, and that if I no longer want or can no longer care for my adopted pet, I agree to notify CPP by text or email and provide a 14 day period to allow CPP to make arrangements for my pet to be taken back into rescue.
I agree to indemnify and hold harmless CPP against any losses, lawsuits, claims, injury, damages incurred by me or to any persons or property by my adopted pet, once adoption has been completed.
I understand there is an adoption fee associated with adoption of a pet from CPP.
I understand that CPP will disclose any of the pet's health or behavior issues known by the above named rescue group before adoption is completed.
I understand that if I no longer want my pet, or am no longer able to care for my adopted pet, I will be directed to surrender my pet to CPP and provide transport to where CPP deems appropriate.
By clicking the submit button below I verify all of the above information is true and accurate.
Required
Digital Signature of Potential Pet Parent
*
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
