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?

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? 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?

Do any family members have allergies? 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)

I live in a Rent or own? If renting, landlord's name:

Landlord's phone number: May we contact?

How long have you lived at your current address?

Do you have a fence? If yes, how high? Type:

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?

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? 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:

Crate training? Local pet licensing laws?

Have you ever participated in a formal pet obedience training class?

Are you willing to seek professional help if behavioural issues arrise in this pet?

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?

Are you willing to agree to 3-month, 6-month and yearly follow up visits?

Please add any additional information that you think we should know about:

Applicant Agreement:

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.