Perfect Pet Adoption Center Inc.
Dog Adoption Application
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Email *
*You must be at least 21 years of age in order to adopt.
*You must possess a valid driver's license or ID.
*We have the right to refuse any adoption that we may consider unsatisfactory for our pets.
Please answer all questions fully.
If not applicable to you, please put N/A
What dog are you interested in adopting?
(You may list more than one)
 *
Name: *
First and Last
Date of birth: *
Driver's license number: *
Phone Number: *
Occupation & Employer: *
Address: *
City, State and zipcode: *
How long have you lived at this residence? *
Please list all names and ages of all people living inside of the home, including yourself.  *
Does anyone in your home have allergies to dogs?
If so, how is it managed?
 *
Who are your interested in adopting this dog for? *
Who will be the primary daily care taker of this dog? *
Is everyone in the home in agreement with the decision to adopt a dog? *
Has anyone in your home ever been convicted of a crime against animals? *
Why have you decided to adopt a dog? *
Choose which best describes your level of dog owning experience: *
Please describe your household? *
Required
How busy is your family's schedule? *
Approximately how may hours a day will your dog be left home alone per day?  *
Do you have a dog walker?
If yes, how often do they come?
 *
What type of home do you live in? *
Do you rent or own? *
If you rent, please provide your landlord's name and phone number.
If you do not rent, please put “Own”
 *
If you rent, is your name of the lease? *
If you rent, does your landlord allow pets? *
If you rent, are there any breed or weight restrictions?
If yes, please explain.
 *
Does your neighborhood have HOA? *
If yes, are there any breed restrictions in your neighborhood/area?
If yes, please explain.
 *
Do you have a fence? *
If yes, is it a fully or partially enclosed area? *
If yes, describe the material the the fence is made of? *
Required
If yes, how tall is your fence?

 *
If yes, what size is the fenced area? *
If you do not have a fence, how do you plan to keep your new dog contained while outdoors? *
Will your new dog be left unattended outdoors? *
Do you have a pool? *
If yes, what security measures will be taken to prevent your new dog from falling or getting in the pool? *
Where will your dog stay when you are not home? *
(Example: Kenneled, loose indoors, outdoors, etc.)
Where will your dog sleep at night? *
Where will your dog stay when you are out of town or on vacation? *
Will your dog be allowed on the furniture? *
Are you willing to train your dog, if necessary? *
(Housebreaking, crate training, behavioral issues, etc.)
Are you concerned with any of the following behaviors? *
Required
Desired characteristics or personality traits of potential new dog? *
Have you every rehomed/given up a pet?
If yes, please explain the circumstances as to why.
 *
For what reason would you ever give up/rehome a pet? *
If you choose or are forced to move, what will you do with your pet(s)? *
What will you do if upon moving by choice or forced and you are having a difficult time finding housing that will allow your pet(s)? *
In the event of a hurricane or other natural disaster, what will your plan be for your pet(s)? *
Please list all current AND previous pets.
** Be sure to list Name, Species, Breed, Sex, Age, if spayed or neutered and if they are current or previous pets. **
 *
Are your current pets up to date on their annual vaccines?
If not, please explain.
 *
Are your pets current on flea/tick/heartworm preventatives? 
If yes, please list the brands.
 *
Do you agree to provide regular medical care by a licensed veterinarian. *
Are you willing and/or prepared to potentially cover high costs for emergency medical care, given the pet were to become ill or injured?
Keep in mind, sometimes medical bills can cost in the thousands and clinics may not offer payment plans. 
 *
Do you have a regular veterinarian? *
If yes, please provide name, phone number and address of clinic.
*What name is your account under for PPAC to complete vet reference.*
 *
Have you adopted from a rescue or shelter before? *
If yes, which rescue/shelter? *
What brand of food do you currently or plan to feed?
With grain or grain free?
 *
Are you open to potentially fostering other dogs in the future for Perfect Pet adoption Center Inc? *
Please list a personal reference: *
(Name, phone number and relationship to you)
By typing your name below, which acts as a signature, you agree that you have answered each question in its entirety and honestly. *
You are aware that by typing your name, this is considered a legally binding signature.
Date: *
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