| |
| You must
be at least 21 years old to apply for adoption,
if you are under 21 your parent or guardian must
fill out the application. No one under 21 will
be considered for adoption. |
|
|
Have You Adopted From PRM Before?
Yes
No |
| Years
at Current Address:
|
|
Do
you live with your parents:
Yes
No |
Are
you over 21 years of age?
(If you are under 21, your
parent or guardian is required to apply for adoption)
Yes
No |
If
renting or living with a relative, Name, Address, Phone
of Landlord/Relative:
(They must be aware of, and approve the adoption)
|
|
| Why
do you want to adopt a dog?
|
List
the ages of all children living in your household:
|
Is
your yard fenced:
Yes
No |
If
so, what kind of fence is it, and what is the height?
|
Where
will the pet be housed?(Check
all that apply)
Indoors
Outdoors
Kennel
Fenced Yard
Tied
Cable Run |
How
many hours a day will this pet be alone?
|
Would you
leave a pet unattended in the yard?
Yes
No |
| What
provisions will be made for your pet when no one is
home? |
| Where
will the dog sleep? |
| Are
you familiar with crate training? Do you plan to crate
train? |
Are
you willing to take the time to work with a dog on housebreaking
issues, should the need arise?
Yes
No |
Do you understand
and accept that changing a dog's environment may cause
the dog to have accidents, especially in the early days
of the adoption?
Yes
No |
| Are
you aware of and prepared to take full responsibility
for any and all medical conditions and temperament issues
that this breed is prone to?
|
| If
a behavioral problem arises, what steps will you take
to work on it?
|
| Are
you experienced with this breed of dog? If so, please
explain.
|
If
you do not have experience with this breed, have you
done research?
If so, what type?
|
| What
will you do with the dog if you move/change housing?
|
| The
average dog has a life span of 10 to 13 years. Are you
willing to make a commitment to this dog for the rest
of his/her life?
Yes
No |
| Are
you aware of whether or not your homeowner's insurance
company covers this breed of dog?
Yes
No
I don't know |
|
Please
list as much information as you can about your current
pets:
(Please
include Name, type, breed, age and how long they have
been with you)
|
How
many pets have you had in the past 5 years that are
no longer with you?
Dogs
Cats
Others
|
What
happened to the pets that are no longer with you?
Deceased
Given Away
Stolen
Ran Away |
| If
your last pet is deceased, how did this animal pass
away?
|
Are
/ were all the above animals sterilized?
Yes
No |
If
not, please explain why?
|
| How
much do you think you spend in medical bills on this
pet a year?
|
What
is the name and phone number of the veterinary hospital
where your animal(s) has/have received care and vaccinations?
Name:
Phone number:
|
|
|
Are
all family members excited about this adoption:
Yes
No
somewhat enthusiastic |
|
|
Every
Saturday :: 2009