PLAIN & FANCY ANIMAL RESCUE ADOPTION APPLICATION

Please complete the following information for the next step in the adoption process. Please answer all questions, as an incomplete questionnaire will delay your application. We will follow up to those we feel to be the "best fit" with one of our rescues. Please note: A completed application DOES NOT guarantee adoption.

Please understand that we are not a large corporation. We are all volunteers, and do the best we can. As such, we cannot always get back to everyone or reply to every application. Thank you for your understanding!

Also, please understand that our goal is to find the right home for each of the animals we rescue...their life has been difficult enough without putting them in an incorrect home for the rest of their life. Thank you for your understanding.

Please do not submit this application if you are under 21 years of age.

I'd like to adopt:

ADOPTER INFORMATION

Name:

Email:

Address:

City:

State:

Zip:

Home Telephone:

Work Telephone:

Other Telephone:

VETERINARY REFERENCE

Veterinarian Practice Name:

Veterinarian Name:

Veterinarian Address:

Veterinarian City:

Veterinarian State:

Veterinarian Zip:

Veterinarian Telephone:

Veterinarian Email:

Under what name are your Vet records kept?

PLEASE NOTE: Due to the new federal laws regarding the privacy act, you may need to contact your vet and give permission for PF Rescue to contact them regarding your records and the status of your pets.

HOME INFORMATION

Where do you live?
Single Family Home      Multiple Family House      Apartment      Other 

Do you have a completely fenced-in yard?
Yes      No 

If yes, what type of fence?
Chain Link      Wood      Plastic      Barbed Wire      Other 

How high is the fence?    

Do you own your home?
Yes      No 

If no, do you have permission from your landlord to keep an animal?
Yes      No 

Name of landlord:    

Telephone number of landlord:    

How many adults are living in your home?    

How many children are living in your home?    

What are their ages?    

Do you presently own any pets?
Yes      No 

If yes, please list the name and kind for each pet (e.g. Tori - Pug dog; Lacey - domestic longhaired cat; Bella - MacCaw):

Have you owned any pets in the past?
Yes      No 

If yes, please list the name and kind for each pet, and state why you no longer have them:

If you own any dogs, are they spayed/neutered?
Yes      No 

If no, why not?

ANIMAL CARE INFORMATION

Do you have a crate or cage to keep the animal in?
Yes      No 

Are you willing to house train this animal?
Yes      No 

Are you willing to take an animal with special needs?
Yes      No 

How many hours will the animal be alone during the day?    

Where will you keep the animal while you are at work or out on errands?    

Where will you keep the animal while you are on vacation?    

Why are you interested in adopting a rescue?

Anything additional you wish to say to us?


Please do not hit submit unless you are ready to adopt this animal!
If approved, you must be ready and willing to accept the animal into your home within 72 hours of approval.
We are not a boarding kennel, and do not have the space to hold animals.