Precious Pups Rescue
Before you fill out this application make sure that you have considered all the responsibility involved with taking in an animal to your family. This is a lifetime commitment and should be thought through carefully. Companion pet ownership means financial obligations for regular maintenance and an illness or injury can occur during the pet’s lifetime. The information included in this application must be accurate and the applicant must be at least 21 years of age. All family members must be included in the decision to adopt. If any information is found to be false it will result in our not approving your application and not allowing adoption in the future.
**Please fill out and return to firstname.lastname@example.org
Home Phone: Cell Phone:
Employer Phone #:
Drivers license number:
Date of Birth:
How did you hear about us?
Who would you like to meet? (list at least 2 dogs):
Live with parents:
How long have you lived at your current address?
Any plans to move in the near future?
The following must be completed so that we may verify that you are allowed to own pets:
If you rent, are you allowed pets?
Does your rental agreement restrict the type of pet you may own by size or breed?
Please list all people living in your residence:
Does anyone in your home have allergies to any animals?
If yes, what specific allergies and to what animals?
Are all members of your household in agreement of adopting a dog?
For whom are you adopting this animal?
Who will be the primary caregiver of this animal?
Who will be financially responsible for this animal?
Why do you want this dog?
Please list all animals owned over the last ten years beginning with animals currently living in your household. (Please use back if you need additional space)
Alive or Deceased?
Vet you used for this pet:
Are your pets current on their vaccinations?
Does your pet get along with other dogs?
How many dogs have you owned in the past?
Have you ever taken a pet to the shelter?
If YES, explain:
Have you ever had a pet lost or stolen?
Have you ever had to retrieve your pet from a shelter?
Have you ever had a pet get hit by a car?
Do you have a backyard?
Is it fenced?
If YES, how high is the fence?
If NO, how will the dog be exercised and go to the bathroom?
Do you have a terrace/balcony?
If YES, is it enclosed?
What is your level of household activity?
How many hours are you gone from your home per day?
Do you travel?
Who will care for your pet when you travel?
Do all adults work full time?
How many hours a day will your dog be alone?
Do you have a pool?
Are there stairs leading into your home or inside your home?
Where will your new dog be kept when alone?
Where will your new dog sleep at night?
Do you object to a home visit?
Can you financially afford to provide Veterinary care for your dog? (care per year can be $300 to $500 or more yearly)
If and when you need to move, are you willing to take your pet with you and if necessary provide extra security deposit to be able to take your dog with you?
If you become ill, who will take care of your pet?
Personal Reference 1: (must be non-family member)
Personal Reference 2: (must be non family member)
Do you have a veterinarian?
Do we have permission to contact your veterinarian?
Veterinarian records are under what name?
Please provide any other information that you would like to share with us:
By signing this application I certify that the information provided in this form is true and accurate to the best of my knowledge. I am aware that the completion of this application does not guarantee the approval to adopt a dog from our rescue. I give the rescue permission to contact my Veterinarian permission to release all information on my current and previous pets to the rescue. In signing I am also giving permission to call my references, landlord should that apply. I understand that this is the first step in the adoption process and that if this application is approved that I will have a home inspection, fill out an adoption contract and pay an adoption fee in order to finalize this process. This application remains the property of the rescue