MAILABLE ADOPTION APPLICATION

Spend more time with your kitty and less time scooping litter...how about never touching the litter box for THIRTY days???

PRINT THIS AND MAIL TO ADDRESS AT BOTTOM OF PAGE, FAX TO 610 649 9564 OR EMAIL ANSWERS TO purrfectpawsrescue@msn.com

NAME________________________________________________________

ADDRESS_____________________________________________________

CITY_________________________STATE________ZIP_______________

HOME PHONE_________________________________
WORK PHONE_________________________________

EMPLOYER NAME_________________________________________

YEARS AT JOB______________

CURRENTLY________RENT________OWN

IF YOU RENT PLEASE PROVIDE LANDLORD'S NAME/PHONE NUMBER:
_______________________________________________________

DO YOUR DOORS & WINDOWS HAVE SCREENS?________________

NUMBER OF ADULTS IN HOUSEHOLD__________________________

NUMBER/AGES OF CHILDREN_________________________________

ANY KNOWN ALLERGIES TO DANDER/ANIMALS____YES____NO

WILL SHEDDING PRESENT A PROBLEM________YES_______NO

WILL YOUR PET BE ______INDOOR_______OUTDOOR_______BOTH

WOULD YOU OBJECT TO A HOME VISIT AS PART OF OUR ADOPTION PROCESS?___YES___NO

ARE YOU PREPARED TO BE RESPONSIBLE AND CARE FOR THE ANIMAL FOR THE REMAINDER OF IT'S NATURAL LIFE_____________________
_________________________________________________________
ARE YOU FINANCIALLY PREPARED TO MEET THE EXPENSES REQUIRED TO MAINTAIN AN ANIMAL____________________________________

WHAT ARRANGEMENTS WILL BE MADE IF YOU CAN LONGER KEEP YOUR ADOPTED PET?_____________________________________________

LIST ALL CURRENT/PREVIOUS PETS____________________________
_________________________________________________________
_________________________________________________________

WHO IS/WAS YOUR VETERINARIAN_____________________________
ADRRESS/CITY/STATE_______________________________________

PHONE NUMBER_____________________________________________

ARE THE RECORDS IN YOUR NAME?_____________________________

NAME OF THE PET YOUR ARE INTERESTED in_____________________

IN ORDER TO BE CONSIDERED AS A POTENTIAL ADOPTER YOU MUST:

Be 21 years of age or older
Have the knowledge/consent of your landlord
Be willing to make a life long commitment to your pet
Sign an Adoption Contract upon placement of the animal
Show valid picture ID at the time of adoption

The animals available for adoption come from a variety of sources. All of our animals are examined and treated by licensed veterinarians and their health is continually monitored while in foster care. We are thoroughly committed to the PERMANENT placement of the animals in our foster care program, therefore, it is important that you consider adoption seriously, with full knowledge that bringing a pet into your life and home is a life long commitment and responsibility. Our adoption fee includes complete medical exams, age-appropriate vaccinations, age appropriate Spaying/Neutering, Feline Leukemia/FIV testing, heartworm testing in dogs, worming and preventive flea treaments. Pennsylvania law requires us to use a Sterilization Agreement if you adopt an animal that is too young to be safely sterilized. We hope you understand that is in the best interest of the animals that our screening process is extremely thorough. We thank you for considering our organization for adoption and we will do our best to assist you in finding the animal that is most compatible with your lifestyle.

PLEASE REMEMBER THAT P.P.R. reserves the right to approve or deny any application. NO animal wil be adopted to perspective owners who mislead and/or fail to provide accurate information during the adoption process.

By submitting this application electronically, I hearby attest that all of the information contained in this document is accuarte. Further, I agree to allow a representative of P.P.R. to verify this information through telephone contact , including, but not limited to, previous/current veterinary records and landlord approval.

YOUR NAME_____________________________________DATE_______________