Riddick's Playhouse

Riddick's Playhouse Rescue & Training Center Adoption Application

Name of Pet you are interested in

Animal ID

Name

DL

Type a question

email address

Ph

Address Street City St Zip

Description of Pet Breed Coloring

Do you plan to keep your new pet inside outside or both

Do you own or Rent

Months

years

Years

If you rent, please provide landlord's name

Phone #

Is there a limit as to how many pets you can have where you live? Is so, what is it?

Is there a weight limit to the pets allowed? If so, what is it?

Are there any breed restrictions where you live If so what are they

Pet 1 Name

Pet 1 Species

Pet 1 age

Pet 1 sex

Pet 1 Spayed/Neutered

Pet 2 Name

Pet 2 Species

Pet 2 Age

Pet 2 Sex

Pet 2 Spayed/Neutered

Pet 3 Name

Pet 3 Species

Pet 3 Age

Pet 3 Sex

Pet 3 Spayed/Neutered

Pet 4 Name

Pet 4 Species

Pet 4 Age

Pet 4 Sex

Pet 4 Spayed/Neutered

f you have any cats or dog in your home that are not spayed or neutered, would you be willing to get them done? (We can provide low cost options)

List all members of your household and their ages:

Name of Current Vet Clinic

phone of current Vet clinic

Format: (000) 000-0000.

When was your last vet visit and for what reason

If you dont currently have a Vet have you picked one out yet If so which one

Will you allow an RPRTC representative to visit your home:

Are you willing to take responsibility for this pet for the rest of its life?

Who will be the primary caretaker for the pet feeding attention training exercise

Where will the pet sleep?

Are you willing to spend the necessary money for vet bills that may be incurred to keep your pet healthy, knowing in advance that the average yearly cost of having a pet is approximately $700 - $1,000

How many hours a day on average will your pet be left alone

Where will the pet stay while you are away

Have you ever sold, given away or surrendered a pet to a shelter or another individual?

If yes please explain

What will happen to this pet if you move

What will happen to this pet if you can no longer care for it

Are you familiar with using a crate to house train and provide a safe place for your pet to stay when you are away?

If no are you willing to learn and use this technique

Is your yard Fenced?

If yes, describe type of fence and approx. height of fence

Dogs need daily exercise Please explain what kind of exercise you plan to provide

I attest the information provided on this application is true and accurate to the best of my knowledge. I here by permit Riddick’s Playhouse (RPRTC) to contact my Veterinarian. If for any reason I am unable to keep anadopted pet from RPRTC for its entire life, I will contact RPRTC and make arrangements to return the pet.Further, I agree to not sell, give away or dispose of the pet in any other manner (except euthanasia for medical reasons at the advice of a licensed vet) without prior consent of RPRTC

Signature

Date

Printed Name

Email info@riddicksplayhouse.org with any questions concerning our adoption process.