P-U-R-R-S ...N' Pups Online Application
Thank you for your interest in rescuing an animal and for taking the time to complete this application. We appreciate your honesty in answering all of the following questions. Incomplete applications can not be considered. We will review the information you provide to assist us in matching the appropriate pet to your lifestyle. Our main concern is the future health and well being of all the animals in our care.
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IMPORTANT: If you are interested in a pet that you saw on our Website, please enter the name of that pet here. You may list more than one pet here if you like. If you do not have a specific pet in mind, just enter "Dog" or "Cat" in place of the pet name. If you are interested in volunteering or fostering, please type "Volunteer" or "Foster" in place of the pet name.
Name of the pet you are interested in:
Name (First and Last) *
Email *
Street *
City *
State *
Zip *
Phone (Home)
Phone (Work)
Phone (Cell)
Employer
Position
Years there?
What kind of pet are you looking for?
Size when full grown:
What breeds are you familiar with?
How long have you been looking for this type of pet?
Is this pet a gift?
Clear selection
If yes, for whom?
How many adults live in household?
How many children live in household?
Ages of all children (including adult children) living at household?
Do all members of your household want this pet?
Clear selection
Do any family members have allergies?
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If yes to above, please explain:
Who will be primarily responsible for the pet?
What is your reason for adopting this animal? (Please choose all that apply)
What type of home do you live in?
Rent or own
Clear selection
If renting, landlord's name:
Landlord's phone number:
May we contact?
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How long have you lived at your current address?
Do you have a fence?
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If yes how high?
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Please explain how and when you will exercise the pet and allow it to relieve itself:
Where do you want this pet to be kept?
Please explain Both or Other:
What pets have you owned in the past?
Where are they now?
What pets do you own now?
Where are they kept?
Are they spayed or neutered?
Are their vaccinations current?
Name and telephone of your veterenarian:
How long will the pet be left alone each day?
If pet will be alone LESS than 8 hours, please explain?
Where will the pet be kept during this time?
Where will the pet be kept when the family is home?
Where will the pet sleep?
How many hours will the pet be allowed to play outside?  
What will you do if the pet gets lost?
What will you do if your pet becomes ill and requires expensive medical care?
What will you do with your pet when you go on vacation?
What will you do with your pet if you move?
What will you do if your pet chews furniture or displays other destructive behavior?
Which of the following behavioral issues are you willing to deal with (choose all that apply)
Are you familiar with the following:
Housebreaking?
Crate training?
Local pet licensing laws?
Have you ever participated in a formal pet obedience training class?
Clear selection
Are you willing to seek professional help if behavioral issues arise in this pet?
Clear selection
Please provide one personal reference who can recommend you as a responsible pet owner:
Name:
Phone:
Relationship:
Please provide an emergency contact NOT living in your home:
Name:
Phone:
Relationship:
Please provide an emergency contact NOT living in your home:
Name:
Phone:
Relationship:
Are you willing to allow us to make a home visit to verify your application?
Clear selection
Are you willing to agree to 3-month, 6-month and yearly follow up visits?
Clear selection
Please add any additional information that you think we should know about:
Applicant Agreement:
I confirm agreement with all of the following statements:

*I have a solid understanding of what is required in both time, effort, and resources (money) to care for a pet    
     
*I agree to always have an identification tag on my pet so that it can be returned to me if it ever gets lost  
             
*I agree not to hold this rescue agency or any of its affiliates liable for damage or injury that this pet could cause  
   
*I agree that if for any reason this adoption does not work out, I will contact this rescue agency to return this pet.
 
*I agree never to abandon my adopted pet or deposit it at an animal shelter or research facility  

I understand that most pets that are rescued from shelters have issues that need to be worked through as part of their adjustment into my home. Whatever issues we have discovered while they are in foster care are listed in their Petfinder ad. Most of them aren't fully housebroken. Some of them are shy/afraid of people. Some have other issues. If you are not willing to work through whatever issues your adopted pet has, please don't submit this application.  

By submitting this application to P-U-R-R-S and Pups Animal Rescue Team, I certify that all questions have been answered honestly and accurately and I authorize you to contact anyone listed on this application.  I understand that P-U-R-R-S and Pups reserves the right to refuse any adoption without further explanation.  

Please note that due to the large number of applications we receive, the time to process each one may vary.  Approved applicants will be notified as soon as possible.  We reserve the right to deny any application and are not able to respond to all applicants.
Before submitting this application, please take a moment to be sure that all information is complete and accurate. If you are interested in more than one pet, you only need to submit ONE application. Incomplete or duplicate applications will delay processing. Thanks!
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