DOG/PUPPY ADOPTION APPLICATION

This is not a test and completion of this document does not imply a guarantee of approval for adoption of any Pet Pro Life animal. Please answer each question completely. Do not skip any questions. The information entered is the property of Pet Pro Life, Inc.

Name
Address
 
City State Zip
Occupation
Employer Years there
Primary phone
Alternate phone
EMail
1. Name of dog you are interested in?    How long have you been looking for a pet?
2. What breed of dog are you looking for?    Age?    Sex?
3. Size Preference Toy (<10 lbs)    Small (10-25 lbs)    Medium (25-50 lbs)    Large (50-80 lbs)    Very Large (>80 lbs)
4. Activity Level Preference (How much physical and mental stimulation do you want to give your dog)?
   Low (House pet)    Low-Medium    Medium (weekly walks)    High-Medium    High(daily jogging partner)
5. Please describe your yard (grass, landscaped, pool, dog run?etc)
   
6. Type of Fencing (check all that apply)    Block Wall    Chain Link    Wood    Partial Fence    No fence
   Fence Height     Yard size
7. Type of housing:     How long at this address? Years Months
   If you rent, provide your landlord's or rental complex's name and phone number:
8. Where do you plan to keep your dog? Other:
9. Where will your dog sleep at night? Other:
10. Who will be responsible for the dog's care?
11. Do you have any children in your home? If yes, please list ages
12. Do you plan on having children in the future?
13. How many roommates do you have?     Do they also want a dog?
14. Describe all CURRENT pets
Type/BreedAge when adoptedSexSpayed/NeuteredIndoor/OutdoorYears owned

15. Describe PREVIOUS pets
Type/BreedAge when adoptedSexSpayed/NeuteredIndoor/OutdoorYears owned

16. Does anyone in your family, or home, have a history of pet allergies?
17. If your pet had a behavioral problem, what would you do?
    Ask Vet    Take to shelter     Give away    Call trainer     Train yourself    Call Pet Pro Life
    Other:
18. Do you plan to seek behavior and/or obedience training?
19. Have you ever gone through behavior and/or obedience training with a dog before?
20. I would consider getting rid of this dog if it (example)
21. Who is your current veterinarian?
22. If your dog required expensive veterinary care, how much would you be willing to spend?
23. What would happen to this dog if you were to move?
24. When you go on vacation, who will care for your dog? House sitter    Kennel     Friend/relative
    Other:
25. Length of time your dog will be left alone each day (hours)?
26. Reason for wanting this dog? Gift    Companion    Companion for pet    Guard Dog/Protection
    Other:
Please provide two personal references; NO RELATIVES
Name 1Phone
RelationshipYears known

Name 2Phone
RelationshipYears known

I attest that the answers I have given in this document are true and factual to the best of my knowledge and that I have not misrepresented myself in any way. I understand that Pet Pro Life, Inc. reserves the right to decline my application for adoption for any reason.

Please review all answers before submitting the application. Once submitted the answers can not be edited.