Dog Adoption Application
Which dog(s) are you interested in?
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Full Name
*
First Name
Last Name
Cell Phone Number
*
-
Area Code
Phone Number
E-mail
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you planning on moving within the next 6 months?
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Yes
No
If yes, what are your plans for your pets if you move?
Name of Employer & Title:
Best time to contact you throughout the day?
*
Are you 18 years of age or older?
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Yes
No
Do you rent or own your home?
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Rent
Own
Type of Dwelling:
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Please Select
House
Apartment
Condo
Name and age of ALL occupants in household (including yourself):
*
Do you have children, or will children be visiting the household frequently?
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Yes
No
What is your reason for wanting to adopt a dog?
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Companion
Friend for Current Pet
Guard Dog
ESA
How many total hours will your new pet be left alone during the day, and where will they stay?
*
Do you have a fenced yard?
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Yes
No
If yes, which type of fence?
*
Wood
Chain Link
Split Rail
N/A
If yes, how tall is your fence?:
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Do you have locks and/or latches on all your gates?
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Yes
No
N/A
Who will have main responsibility for the care of your new pet?
*
How many pets currently live in the home?
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Please Select
0
1
2
3
4
5
6+
List each pet including breed, age and gender:
Have you ever lost or given away a pet?
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Yes
No
If you currently own a dog or cat, how does he/she react to new pets?
Are your present pets up-to-date on their annual vaccines?
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Yes
No
If no, please explain:
Are your current pets spayed or neutered?
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Yes
No
If no, please explain.
How much are you financially prepared to spend for routine/emergency medical care, licensing, etc?
*
What plans do you have for your new pet when you are on vacation?
*
Will you provide your dog with monthly heart worm/flea/tick prevention?
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Yes
No
Who is your current or most recent veterinarian? Please provide their NAME and PHONE NUMBER:
*
If your dog displays behavioral problems (such as jumping on people,excessive barking, potty accidents, etc.) how would you go about correcting the behavior?
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Contact a Professional
Use a book
Personal Knowledge
Other
If other, please explain:
What type of solution would you be willing to try if housebreaking accidents continue after the first week (check all that apply)?
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Try crate training
Use positive enforcement
Use potty pads
Have dog examined by vet
Use a dog door
Return dog
None
Other
If other, please explain:
Are you prepared to commit to a dog for 10-15 years?
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Yes
No
Have you ever adopted or tried to adopt a pet from us before? If yes, fill out info below.
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Yes
No
Where will your dog spend most of his/her time?
*
Please Select
Indoors Only
Outdoors Only
Indoors and Outdoors
Where will your dog sleep?
*
Please provide 2 personal references (only 1 can be a relative) that can testify to your responsibility and ability to care for your animals. This is required or your application cannot be approved.
Reference #1
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First and Last Name & Relationship to Self
Reference # 1 Phone Number
*
-
Area Code
Phone Number
Reference #2
First and Last Name & Relationship to Self
Reference #2 Phone Number
-
Area Code
Phone Number
If there is anything else you think we should know, please note it here.
Please remember, it may take approximately 5 to 7 business days for us to get back to you.
We appreciate your interest in adopting a dog from PPRO, and we look forward to speaking with you!
Submit Adoption Application
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