PRECIOUS CRITTERS PET RESCUE

ADOPTION APPLICATION

Thank you for taking the time to complete this application form entirety.  The information provided will help us understand your home environment.

Please note: You must be at least 18 years of age to complete this application & sign our adoption contract.

 PCPR has the right to refuse any applicant at any time during the adoption process.

*    = Required

 

Animal Information:

(Please fill out even if you don’t have a certain animal in mind)

 Animal Type:         Breed:  Other Breed:

Sex: F M Unknown     Age:

Animal's Name(s) or ID #(if have certain pet in mind)

 

 

Background Information:

 

* How did you hear about Precious Critters?     Other

 

 

 

 * If you found us on the internet, what website was it?  

 

 

*  Why are you considering adopting an animal?

 

* If you are adopting a small animal, what type of bedding will you use?

 

 *  Have you ever had the type of pet you’re considering adopting in the past?  

 

 * If yes, how many years of experience do you have?

 

* When you go on vacation or in case of an emergency, who will care for your animal?  

 

* This will be a:          Family Pet         Child’s Pet            Your Companion               

         

            Classroom Pet                 Gift                 Other

 

*  If this animal is to be a classroom pet, please provide information:

 

 Name of school

      ISD:

       Public or private? Private Public

 Address of School:

  City         State    Zip Code:

  Phone:

     Principal’s Name   Teacher’s Name:  Class Grade

 

* Where will this animal be kept? 

    If other  

* Who will be primarily responsible for the animal’s care?

*     Do you plan on breeding the/se animal/s now or in the future? Yes No

     If yes, why?

 

*     Do you plan on showing the/se animal/s now or in the future? Yes No

 If yes, why?

*     What food diet do you use/plan on using for your pet?  

*     If you don’t already have a specific diet in mind, would you like us to recommend a diet?

 Yes No

*     Do you have a back up plan for your guinea pig if you die or have to move and can not take your animal with you?  Yes No

If yes, please describe:  

    * If you had to suddenly relocate or had other drastic lifestyle changes that made it hard to keep your animal, what would you do with him/her?

 

*     How many hours on average will you have to spend with the animal daily?

 

 

*     How many hours a day will your pet spend home alone?

 

 

*     Are you prepared to make a commitment to this animal’s lifespan? 

Yes No

 * Have you ever adopted from a rescue or shelter? Yes No

If yes, please list the organization’s name(s)

 

 

*     Do you understand that it may take the animal a few weeks to get adjusted to it’s new home environment?   Yes No

 

Contact Information:

 

*     Your Full Name: 

 

*     Your Spouse/Partner’s Full Name:  

 

*     Home Address:    

*     City      *State     *Zip Code

 

     * Drivers License Number (include state):

 

*     Home Number:  

*      Cell Phone Number:

 

       Work Number:

 

*      E-Mail Address:

 

*     Your Age:    

*     Your Spouse’s Age:

 

*     What do you live in?  

Apartment   House      Townhouse/Condo          Other

*     Own or rent?    Own     Rent

*     If you rent, does your landlord approve of animals?  Yes No  Not sure

*     Your landlord’s name:

*     Your landlord’s number:

**We will call your landlord to make sure he/she is okay with animals in your home**

*     Have you moved in the last 5 years? Yes No 

*     Do you plan on moving within the next year? Yes No 

*     Is there a chance you might move within the next 5 years?   Yes No Maybe 

*     Your employer:

*     Business/Company you work for:

 

FAMILY:

*     Do you have children?  Yes No 

 * If yes list name(s) & Birthday(s) Below

Name                          Birthday 






*     Are there any children besides your own that will frequently be visiting the household? Yes No 

 If yes, please list below.

 Name                          Birthday 






 

*     How many adults live in the home:  

 

*     How many people total live in the household  

 

*     Does anyone is the household have allergies to animals or smoke? 

 

*     Are there any other pets in your home?     Yes No 

  

*     If yes, please list below.

Name            Gender     Animal Type Species   Spayed/Neutered How long have you had this animal?   
Yes No   
Yes No   
Yes No   
Yes No   
Yes No   
Yes No   
Yes No   
Yes No   
Yes No   
Yes No   

 

*      If no, when was the last time you had a pet?

 

*     Do you have any animals that could possibly injure your new animal?  

 

      * Have you ever had to give up an animal? If yes please explain why:  

 

CURRENT EXOTIC VETERINARIAN INFORMATION:

 

*     Do you have an exotic vet for your new pet to go to? Yes No

 

*     If you don’t have an exotic vet, will you be willing to get one?  Yes No

 

*     How often do/will you take your pet to the vet?  

 

     * How much are you willing to spend on vet care for this animal? 

 

     * If your animal becomes seriously ill or injured and your veterinarian says expensive medical treatment is needed, what will you do?

 

 

* Do you know that not all vets see exotics? Yes No 

      If your local vet does not see exotics, would you like us to help you find one? Yes No

 

*      YOUR VETERINARIAN:

 

Vet’s Name:

 

*     Clinic:

 

      * If you do have a vet, are you willing to provide records? Yes No

 

 

*    As part of our Adoption Contract, if you no longer want or are unable to care of your critter(s), he/she/they must be returned to PCPR.

 

Are you okay with this? Yes No

 

* If not, please explain why:

 

Anything else?

 

Is there anything else you would like us to know about?

 

 

 

 

Thank you for submitting this application.

P.C.P.R. will review it.

**Please know that we have the right to decline any application at any time during the process if we feel this home is not suitable for the animal.**

 

Thanks,