Peachy Day Farms Rescue Adoption Application
Application For: Pet Name, Breed, and Age
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Applicant Information
Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Email
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example@example.com
Co-Applicant Name
First Name
Last Name
Co-Applicant Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Co-Applicant Email
example@example.com
Household Information
Number of Adults in Household
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Number of Children in Household
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Own or Rent
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Own
Rent
If Renting - Please provide landlord's Name and Contact Information
Does your landlord allow pets?
Yes
No
Landlord consent form attached?
Yes
No
Living Environment
Type of Home
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House
Apartment
Condo
Other
Do you have a fenced yard?
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Yes
No
If yes, please describe type and height of fence
How many hours a day will pet be left alone?
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What arrangements will you make for the pet when you are away from home?
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I understand that Peachy Day Farms Rescue may ask for additional residence documentation - Including: Proof of residence documents (utility bills, etc.), Landlord Consent Forms, or Lease Agreements.
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I Understand
Current Pet Information
Do you currently have any pets?
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Yes
No
Pet 1 Information: Name, Breed, Age, Spayed/Neutered?
Pet 2 Information: Name, Breed, Age, Spayed/Neutered?
Pet 3 Information: Name, Breed, Age, Spayed/Neutered?
Veterinarian's Name
Veterinarian's Phone Number
Are your current pets up to date on vaccinations?
Yes
No
Adoption Preferences
What type of pet are you interested in adopting?
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Dog
Cat
Other
Preferred Breeds
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Age Preference
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Adult
Puppy
Senior
No Preference
What characteristics are you looking for in a pet?
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Previous Pet Ownership
Have you adopted from a rescue or shelter before?
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Yes
No
If yes, provide organization details
Have you ever had to surrender a pet before?
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Yes
No
If yes, please provide reason for surrendering
Commitment to Care
How many hours a day can you dedicate to your pet?
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What steps will you take to ensure proper training and socialization for your pet?
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How will you handle common behavioral issues, such as chewing, barking, or litter box training?
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Financial Consideration
Estimate your monthly budget for pet care (food, vet visits, grooming, etc.):
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Do you understand the potential costs associated with pet ownership?
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Yes
No
Adoption Fee: The adoption fee varies by pet and helps cover the costs of veterinary care, vaccinations, spay/neuter surgery, and other expenses incurred by the rescue. Do you agree to the base $350 adoption fee?
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Yes
No
POLICIES AND CONDITIONS: (1) Right to Reclaim: Peachy Day Farms Rescue reserves the right to reclaim any adopted pet if we suspect misconduct, neglect, or abuse, with or without prior notice. The adopter agrees to surrender the pet immediately upon request. (2) Adoption Fee: All adoptions require a fee that helps cover the costs of veterinary care, vaccinations, and other expenses incurred by the rescue. This fee is non-refundable and varies by pet. (3) Spay/Neuter Policy: All pets must be spayed or neutered before final adoption is completed unless otherwise agreed upon by Peachy Day Farms Rescue. (4) Follow-Up: Peachy Day Farms Rescue may conduct follow-up checks to ensure the well-being of the adopted pet. This may include phone calls or home visits. (5) Pet Care: Adoptive families are required to provide proper food, clean water, shelter, exercise, and veterinary care for their pet. (6) Emergency Preparedness: Adoptive families should have a plan in case of emergencies, including identifying a veterinarian and having a backup caregiver. (7) Behavioral Support: Please note that Peachy Day Farms Rescue does not provide behavioral support after the adoption. It is the responsibility of the adopter to seek help from a qualified trainer or behaviorist if needed. (8) Background Check: I authorize Peachy Day Farms Rescue to conduct a background check, which may include a review of criminal records, past interactions with animal rescues, and other relevant information. This check is to ensure the safety and well-being of the animals in our care. I understand that this background check is a standard part of the adoption process and agree to cooperate fully. I acknowledge that my adoption application may be declined based on the findings of this background check. I understand that the results of the background check will be kept confidential and used solely for the purpose of evaluating my suitability as an adopter.
I Understand and I Agree
SPECIAL CONSIDERATIONS: (1) House Training: The Adopter/Foster agrees to provide proper house training for the dog, using consistent and positive reinforcement techniques. (2) Exercise Needs: The Adopter/Foster understands that dogs require regular exercise and agrees to provide daily walks, play time, and mental stimulation appropriate for the dog's breed and age. (3) Barking and Behavior: The Adopter/Foster agrees to address barking and other behavioral issues using positive reinforcement and, if necessary, seek the assistance of a professional dog trainer or behaviorist. (4) Nutrition: The Adopter/Foster agrees to provide a balanced diet appropriate for the dog's age, health, and activity level. Fresh water should be available at all times. (5) Health and Wellness: The Adopter/Foster agrees to schedule regular veterinary check-ups and ensure that the dog is up-to-date on vaccinations and preventative treatments such as flea, tick, and heart worm medications. (6) Leash and Identification: The Adopter/Foster agrees to keep the dog on a leash during walks and outings and to provide proper identification tags, including the dog's name, owner's contact information, and any required licenses.
I Understand and I Agree
SIGNATURE: By signing this application, I acknowledge that I have read and understood the Policies and Conditions and Special Considerations outlined above. I confirm that the information provided in this application is true and correct to the best of my knowledge.
I agree
Applicant Electronic Signature: By typing my full legal name in the signature field below, I acknowledge and agree that my typed name constitutes my electronic signature and has the same legal effect as my handwritten signature. I intend for my electronic signature to be legally binding and confirm that I have read, understood, and agreed to the terms of this Foster Agreement. All of the information provided is true and correct to the best of my knowledge.
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First Name
Last Name
Date
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Co-Applicant Electronic Signature
First Name
Last Name
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Applicant Signature
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Attach Copy of Valid Government ID
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Additional Information
How did you hear about Peachy Day Farms Rescue?
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Website
Social Media
Event
Family or Friend Referral
Other
Is there anything else you would like us to know about you, your household, or your adoption preferences?
Thank You!
Thank you for considering adoption and for your commitment to giving a rescue pet a loving home! A member of out team will reach out to you if your application is approved, or for any additional information needed.
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