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 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.
I'd like to adopt: Please note: If you do not provide the name of the dog you would like to adopt, your application will be discarded. With the number of dogs we have to adopt, we cannot spend time guessing which dog you might be interested in. Thanks for your help! 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.
Name: Email: Address: City: State: Zip: Home Telephone: Work Telephone: Other Telephone:
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.
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?
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?
Anything additional you wish to say to us?