Adoption Application
Pet ownership is a major responsibility and should not be taken lightly. To assist our efforts to place our animals in permanent, responsible homes, and at the same time match you with a pet that is suitable for you and your lifestyle, this questionnaire must be completed in full by anyone over the age of 18 interested in adopting a pet. Please understand that the more information you provide, the quicker and easier we will be at getting back to you by email regarding the status of your application. Withholding information or refusing to answer questions may result in the termination of your application.

Please email with any questions if you have not received a notice within 48 hours. (excluding Monday or Tuesday)
Email *
Please click here if you have read and understood the statements above: *
Please re-enter the email address you would like for us to respond to with the results of your application. *
We will be responding to your application with your provided email address within 48 hours of receiving your application (excluding Monday and Tuesday). The email you receive will come from It is your responsibility to watch for our response email. Depending on your setting, our reply may be tossed in your spam folder.
Name and breed of PET you are interested in (please do not put your name): *
Brief description of what you are wanting to adopt if we do not have what you are looking for already. (Breed, age, coat, color, size, etc.) *
First and Last Name: *
Address: *
City/State/Zip: *
Home Phone:
Cell Phone:
Work Phone:
Driver's License Number & State:
Do you live in a: *
Please list age, gender, and the relation of everyone living in your home (including yourself)[Choosing to omit any information for this question will delay application processing.]: *
Are they in agreement with the adoption?
Clear selection
How long have you lived at the above address?
Do you: *
Does your lease allow pets? (if applicable)
Clear selection
Any pet restrictions? If yes, what are they? (if applicable)
Have you paid your pet fee/deposit (if applicable)?
Clear selection
Landlord/Apartment name and phone number (Required if you are renting):
Your previous address:
Are you currently employed and where?
Do you expect any life changes in the next 2 years?
Do any members of your household have pet allergies?
Clear selection
Do any members of your household smoke inside the house?
Clear selection
Will this pet be a gift? If yes, are you planning it to be a surprise?
Have you adopted from PPC or any other shelters or rescues?
Clear selection
If yes, which organization(s)?:
How long ago:
Where are the pet(s) now?:
Would you object to a home visit?
Clear selection
If yes, please explain:
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