Please Select
All the text below (click Ctrl A),
copy (Ctrl C) then paste (Ctrl
V) it into a new email message addressed to email to
PRECIOUS PUPPIES
Online Adoption
Application
Name of Dog you
are interested in adopting:
Date:
PERSONAL INFORMATION:
Name:
Email Address:
Street:
City:
State:
Zip Code:
Occupation:
Day/work Phone: ( )
Evening/home Phone: ( )
Please list place of employment for
yourself and your spouse, if applicable.
SELF:
Name/Address of Employer:
SPOUSE's name:
Name/Address of Employer:
REFERENCES:
Please provide the contact information of a veterinarian you have used before
and plan to use with your new dog?
Vet Name/Animal
Hospital:
Vet Phone:( )
Vet records are under the name of:
HOUSEHOLD
INFORMATION:
RESIDENCE:
Own or Rent?
House
~ Condo/Townhouse ~ Apartment?
If you rent, you must
provide your landlord's contact information so that we may verify that you are
allowed a pet.
List below all people who currently
live at this residence:
Name:
Relation to You:
Age:
Does anyone in your house have any
known allergies to dogs?
Is everyone in the family aware and
accepting of a new pet into the family?
Is everyone in the family comfortable
around dogs?
PET
HISTORY
List below all cats, dogs, etc. who
currently live in your household:?? ?
Name ??????????????Type ???????????????Breed ??????????????Age ?????Sex ??????????????????
Up to date on vaccinations?
Ever produce or father offspring?
Spay/neutered?
Is your dog on heartworm preventative?
How long Owned:
Where did you obtain your pet:?
Where are they kept:?
?List below any other cats, dogs that you have owned
within the last 7 years:
Name ??????????????Type ???????????????Breed ??????????????Age ?????Sex ??????????????????
Up to date on vaccinations?
Ever produce or father offspring:
Spay/neutered?
Is your dog on heartworm preventative?
How long Owned:
Where did you obtain your pet:?
Where were they kept:??
What happened to them:
HISTORY:
Reason for wanting to adopt a dog:?
If you do not currently have a dog, have
you owned a dog before??? How long ago?
Briefly tell us about your dog
experience and anything that would help us to make the best match for your
family situation.
Have you ever had to give up a pet?? If
yes please describe circumstances.
Do you have a fenced area on your property? If yes, how high, what kind and
approx how large is the fenced area??
If you have no fence, how do you plan to
exercise your dog???
Please describe your home and yard
(i.e., single family house, 1/4acre on well traveled street).
Do all adults work full time?
How many hours each day will your new
dog be alone?
How many hours each day will you spend
time with your dog?
Where will your new dog be kept when it
is alone?
Where will your new dog sleep during
training????? ??????????????Once housetrained?
Will the dog have run of the house once
trained, or confined to certain areas?
Do you allow pets on the furniture?
Do you plan to have your dog spayed/neutered?
Please describe the kind of training
methods you have used, or plan to use with your new dog:
?
ADOPTION FEE:
Our dogs and puppies
come current on vaccinations, dewormed, heartworm
negative, spay/neutered.? To help cover? the cost of medical and transportation expenses, we request
an adoption fee of between $150-175.? ??This money is to help us continue our
rescue efforts from the high kill shelters which require additional veterinary
care and transportation costs beyond our local rescues.?
Is this acceptable?
Please realize that dogs need vet care
throughout their lives, including yearly boosters, heartworm and flea/tick
preventive meds, etc. If you cannot afford a donation, can you afford the
appropriate vet care? Please consider this before adopting.
Are these terms acceptable to you? If
so, please indicate by signing below, (not needed if sent online)
Print name:
Date:
end of application