Adoption Application - Purple Paws 2nd Chance Rescue

Purple Paws 2nd Chance Rescue

Application Contract

Name

Address

Contact Number

Best Contact Number

Email Address

Enter email address.

City

State

Zip Code

Drivers License Number

Proof of I.D.

Verified By

Who verified the I.D.

Landlords phone number?

Landlords Contact Number

How long have you lived at your current address?

How may years.

If less than 2 years please provide previous address.

Do you have a fenced in yard?

Height of fence?

Employer

Employer Contact Number

Employer Address

Number of Adults in the household

Enter the number of adults.

Number of Children in the household

Enter the number of children.

Age of Children in the household

Enter the age of children.

On a scale of 1 -quiet 5 - loud, how loud and hectic is your household?

Select the value.

Is this your first dog?

If no what other dogs have you owned?

What pets do you currently have in your home? Please list if they are current on vaccinations, if they are altered, as well as age, breed, sex, and species.

Who is; or will be; your veterinarian. Please provide phone number and address: Please call them and give approval for them to talk with us

Where will your pet be kept while you are away?

Where will your pet be kept when you are home?

Where will your pet be kept at night?

How many hours will your pet be home alone during the day?

Have you ever given away, sold or surrendered a pet?

Select option.

If yes, what were the circumstances?

Briefly describe why.

What brand food do you plan on feeding your pet?

What heartworm and flea and tick preventives do you plan on using?

What method of training and discipline do you plan on using?

Are you prepared to hire a dog trainer or take classes if necessary?

Select option.

How much annually are you prepared to spend on your pet with food, toys, veterinary visits, flea and tick preventative and heartworm preventive?

Enter your value.

Where will you keep your pet when you go out of town?

What will happen to your pet when you move?

Under what circumstances would you return a pet?

What would you do if you are unable to care for this pet?

Many times even house trained dogs can be stressed with the changes and have accidents in the home for a period of time after adopting. Are you prepared to deal with accidents?

Select option.

Have you ever been convicted of animal neglect or abuse?

Select option.

Adoptive Pet Information

Date of birth or assumed age:

Cat / Dog

Select option.

Male / Female

Select option.

Date of birth

Select date.

Or assumed age

Enter your value.

Spay or Neuter date

Select date.

Microchip Nunber

This contract is a written agreement to transfer ownership of adoptive pet from PP2CR to adopting parent (s)

Put your signature.

Date

Select date.

Adoption / Donations

PP2CR and adopting parents have agreed upon the sum of $

Enter your costs.

All donation to PP2CR are for help with the expenses incurred and vet bills by saving this pet from the shelter.

I, adoptive parent (s) name:

agree to provide care from this day forward to my new pet. This includes adequate food, water, exercise, shelter, veterinary care and lots of love. The pet will be an inside pet and not kept in the yard or tethered outside. I agree never to sell, trade or to surrender the pet to any agency without notifying PP2CR and receiving PP2CR’s approval and/or having first option of reclaiming the pet. I agree that the adoption fee is nonrefundable and there is no reimbursement if the adoption does not work out. I understand that these dogs came from shelters and that PP2CR does not know their history except what may have been provided from the shelters. I hereby understand that PP2CR has no prior information of age, breed, training, registration, health issues, or any other history on the pets other than what is provided at time of adoption per what has been our experience with the pet. PP2CR makes no warranties of any kind concerning the pet. I agree that all expenses incurred after I take possession of the pet will be my sole responsibility and PP2CR is released of any and all liabilities whether financial or other.

Adoptive parent (s) Signature(s)

Put your signature.

Date

Select date.

Rescuers Signature

Put your signature.

Date

Select date.

We strongly encourage positive reinforcement training.

We do not recommend any Hartz or Sentry products

We do not recommend Kibble n Bits, Purina Beneful, Alpo or Dog Chow, Pedigree and OlRoy.

*Vet verification foster to adopt status. I understand that I am fostering to adopt until someone from PP2CR can verify my vet information on the current animals in my home. Should the vet verification not qualify me to adopt the dog. I will meet with a PP2CR member to return the dog.

Put your signature.

Date

Select date.

Submit

Purple Paws 2nd Chance Rescue

Application Contract

Adoptive Pet Information

Adoption / Donations

Thank you!

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