The Peaches Program Adoption Application

Animal Adoption Application
Please be advised that this is an adoption application and does not guarantee the adoption of the animal listed. All applications are processed in the order they are received. If you are not selected for the specified animal, your application will remain on file for six months once approved.
What animal are you adopting? (Species, name)*
Are you interested in a male, female, does not matter
We cannot guarantee the breed/size of some of the animals in our care. Do you have a breed/size preference and will this affect your decision to adopt said animal?
Your name (First and Last)*
First & Last Name
Your Address*

Street Address

Street Address Line 2

CityState

Zip Code
Your Email*
Your Phone Number*

Area CodePhone Number
Phone Type*

CellHomeWork
Names and ages of all permanent residents of your home (adults/children)*
Please list any pets currently living in your home, and if they are vaccinated and altered.*
Vet reference. If no current animals in home, please write "N/A"*
Vet name, address & phone number
Are you planning to move in the near future?*

YesNo
If moving soon, to what city/state?
When will you be ready to adopt this animal?*

TodayThis weekendWithin a weekWithin a monthNot ready yet, just researching
Is anyone in your home allergic to the animal you're planning to adopt?*

YesNoYes, but it is tolerable for them and they are OK with it.
Are you familiar with the breed?*

YesNoDoes not apply
If you answered no to the question above, please visit Google and do a bit of research so you can be prepared for your new family member!
You live in a:*

Single Family HomeDuplex/TwinCondo/TownhomeTrailerApartment
Do you rent or own this property?*

RentOwn
If you rent, you must provide TPP a written letter from your landlord or a copy of the section of your lease stating that you are allowed to have this type of animal and showing any limitations.

If you live in a condo or townhome, you must show us written proof that you are allowed to have this type of animal there and show any restrictions.

Please email campveterinaryservices@gmail.com with requested information.
Do you have a yard?*

Yard, fenced with a vertical fenceYard, fenced with invisible fencingYard, no fenceNo yard (apartment/condo/townhome)
Have you discussed this adoption with all members of your household?*

YesNoYes, adults have discussed. Kids don't know yet.
How do you plan on training this animal if any behavioral problems should arise? Do you believe in negative reinforcement for training? I.E prong/shock collars*
If applicable, will your children be taught how to play gently and kindly with this animal? Are you open to seeking training support to make sure kids and animals know how to interact properly?*

YesNoNo children
Vet bills can be expensive. How do you plan on paying them? (IE: Pet health insurance)*
Additional reference (if desired)
Do you have any additional comments, questions or concerns?*
By checking the box below, you understand the terms of this form and adoptee. You hereby agree that you will not use this animal in any sort of fighting, breeding, or cruelty. You will love and care for this animal for the rest of its life, and you are ready to commit to that. You also agree, that if for any circumstances you can no longer provide love and care for this animal, you will contact an admin of the group and explain your situation before taking the animal to a shelter.

I understand the above, and have tried to the best of my knowledge to make sure all information is correct.
Adopter's Signature*
Signature date*
Thank you for taking the time to submit this form. Please feel free to contact me The Peaches Program or any of the admins from CAMP. After you click the Submit, you will be redirected to the main page, and you will also recieve a confirmation email. Thank you!
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Animal Adoption Application