P-U-R-R-S ...N' Pups Online Application
Thank you for 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. Review of the information you provide will 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.
Name of pet you are interested in:
(see below)
IMPORTANT:
Please make your entry AFTER the words "Online Application -" in the text box above. 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.
Your Name:
Email:
Address:
City,State Zip:
Phone (Home):
(Work):
(Cell):
Employer:
Position:
Years there?
6 months or less
1 year or less
2-5 yrs
6-9 yrs
10+ yrs
What kind of pet are you looking for?
Dog
Cat
Rabbit
Other
Size when full grown:
Small
Medium
Large
X-Large
What breeds are you familiar with?
How long have you been looking for this type of pet?
Is this pet a gift?
Yes
No
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?
Yes
No
Not exactly
Not sure
Do any family members have allergies?
Yes
No
If yes, please explain:
Who will be primarily responsible for the pet?
What is your reason for adopting this animal? (Please choose all that apply)
Companion
Pet
Breeding
Hunting
Guard dog
Mouser
Backyard pet
Obedience
Search & Rescue
Show
Other
Companion
Pet
Breeding
Hunting
Guard dog
Mouser
Backyard pet
Obedience
Search & Rescue
Show
Other
Companion
Pet
Breeding
Hunting
Guard dog
Mouser
Backyard pet
Obedience
Search & Rescue
Show
Other
Companion
Pet
Breeding
Hunting
Guard dog
Mouser
Backyard pet
Obedience
Search & Rescue
Show
Other
I live in a
House
Townhouse
Condo
Apartment
Other
Rent or own?
Rent
Own
If renting, landlord's name:
Landlord's phone number:
May we contact?
How long have you lived at your current address?
6 months or less
1 year or less
2-5 yrs
6-9 yrs
10+ yrs
Do you have a fence?
Yes
No
If yes, how high?
3 ft
4 ft
5 ft
6 ft
More than 6 ft
Type:
Picket
Chain-linked
Stockade
Other
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?
Inside
Outside
Both
Other
If "Both" or "Other", please explain:
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?
Yes
No
Not sure
Not yet
Are their vaccinations current?
Yes
No
Not sure
Not yet
Name and telephone of your veterenarian:
How long will the pet be left alone each day?
1-3 hrs
4-6 hrs
7-9 hrs
10-12 hrs
More than 12 hrs
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)
Barking
Chewing
Separation anxiety
Houstraining
Fear of men
Fear of women
Dominance
Digging
Aggression
Possessiveness
Barking
Chewing
Separation anxiety
Houstraining
Fear of men
Fear of women
Dominance
Digging
Aggression
Possessiveness
Barking
Chewing
Separation anxiety
Houstraining
Fear of men
Fear of women
Dominance
Digging
Aggression
Possessiveness
Barking
Chewing
Separation anxiety
Houstraining
Fear of men
Fear of women
Dominance
Digging
Aggression
Possessiveness
Barking
Chewing
Separation anxiety
Houstraining
Fear of men
Fear of women
Dominance
Digging
Aggression
Possessiveness
Barking
Chewing
Separation anxiety
Houstraining
Fear of men
Fear of women
Dominance
Digging
Aggression
Possessiveness
Barking
Chewing
Separation anxiety
Houstraining
Fear of men
Fear of women
Dominance
Digging
Aggression
Possessiveness
Barking
Chewing
Separation anxiety
Houstraining
Fear of men
Fear of women
Dominance
Digging
Aggression
Possessiveness
Barking
Chewing
Separation anxiety
Houstraining
Fear of men
Fear of women
Dominance
Digging
Aggression
Possessiveness
Barking
Chewing
Separation anxiety
Houstraining
Fear of men
Fear of women
Dominance
Digging
Aggression
Possessiveness
Are you familiar with:
Housebreaking?
Yes
No
Not sure
Crate training?
Yes
No
Not sure
Local pet licensing laws?
Yes
No
Not sure
Have you ever participated in a formal pet obedience training class?
Yes
No
Are you willing to seek professional help if behavioural issues arrise in this pet?
Yes
No
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 the name of the person that will care for this pet if you are no longer able:
Name:
Phone:
Relationship:
Are you willing to allow us to make a home visit to verify your application?
Yes
No
Are you willing to agree to 3-month, 6-month and yearly follow up visits?
Yes
No
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!
Please click SUBMIT only once - duplicate submissions will delay processing.