PLP Rescue
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People Loving Pets Rescue Adoption Application
Please fill out this form completely; failure to answer one or more questions may result in your application being rejected. Completion of this application does not guarantee adoption of a dog. Thank you for choosing adoption!
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Indicates required field
Name of Desired Dog:
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Date:
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Your Name:
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Spouse's Name
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Age:
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Age:
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Occupation:
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Occupation:
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Name/ Ages of Children, if any:
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Your Home Address:
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Line 1
Line 2
City
State
Zip Code
Country
Any other occupants in home:
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Your Phone Number:
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Email Address:
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Type of dwelling:
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House
Condo
Apartment
Other
Do you Rent or Own?
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Rent
Own
If renting, do you have your landlord’s permission to have a dog?
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Yes
No
Landlord’s name and phone number:
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What are your primary reasons for wanting a dog?
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Companion for you
For your kids
Gifts
For other pet
Watchdog
Other
If you have children, please describe their previous experience with dogs:
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If your children did not want a dog, would you be interested in adoption one for yourself?
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Does anyone in your household have allergies?
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If yes, describe:
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Do you have a pet now?
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Type of Pets (if dog, list breed)
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Other Pets?
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Have you ever allowed an animal to breed?
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How Many?
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Ages:
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Sex(es):
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Are your pet(s) spayed/neutered?
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Is there anybody home during the day?
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When will the dog be inside?
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About how many hours will the dog be left alone?
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Where will the dog sleep at night?
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Who?
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Outside?
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Where will the dog stay when he/she is home alone?
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If other or if you have additional comments on where the dog will sleep, please specify:
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What rooms are off limits to the dog?
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Do you have a doggie door?
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Height of Fence at Highest Point?
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I have recently inspected my fences, and they are in good condition:
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Yes
No
I promise to inspect my fences thoroughly before the home visit and make necessary repairs for the safety and well being of our new Pet:
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Yes
No
What outside areas are available to the dog?
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Type of fencing? (Chain link, wood, block wall, etc.)
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Height of Fence at Lowest Point?
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The fence is intact on all sides and is at least 6 feet from the ground level in all areas:
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Yes
No
Are there gates?
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Yes
No
How many gates?
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How high?
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Is there any type of lock on the gate(s)?
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Yes
No
Type of lock (padlock, key, latch, etc):
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If no locks, would you be willing to install them prior to placement should this application be accepted?
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Yes
No
Preferred level of exercise with dog:
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Couch potato
Short walks
Vigorous walks
Jog regularly
When you go on vacation, who will care for the dog? (friend, kennel, dog sitter, etc.)
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Would your dog wear a collar?
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Yes
No
When?
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Would you allow your dog to wear an I.D. Tag?
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Yes
No
How would you rate your level of dog owning experience?
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First time owner
Beginner
Intermediate
Advanced
Other
How would you discipline your dog if he or she misbehaved?
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How would you train this dog?
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Obedience class
Hit with newspaper
Firm verbal commands
Clicker/ hand signals
Other
If Other, Explain:
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How do you normally walk your dog?
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On leash
Off leash
When on leash do you normally use?
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Collar only
Corrective collar
Harness
Other
Are you willing to live with hair on the furniture, stains on your rugs, a warm body on your bed, and an animal that might be destructive at times?
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Yes
No
Are you able to make a long-term commitment to care for your pet for its entire life span, which could be as much as 10 to 20 years?
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Yes
No
Pets are an investment of your time and money. Can you afford to provide medical care, grooming, proper diet, shelter, and exercise for your new pet?
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Yes
No
What would happen to your pets if you moved?
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Which of the following reasons might prompt you to give up your dog? (Check all that apply):
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Excessive barking
Biting
Digging
Moving
Divorce
Poor watchdog
Destructive chewing
Financial Problems
Occasional accidents indoors
Growling at guests
Excessive vet bills
Shedding
Allergies
New Spouse/ partner doesn’t like dogs
Aggressive on leash
None of the above
Comments:
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Please list pets you have owned since you have been an adult and the length of ownership; if they are no longer with you, please provide an explanation:
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How did you find out about our adoption program?
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Why are you interested in adopting from a rescue?
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Please read and check each statement bellow that applies:
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I understand that a home visit is required prior to final placement
I understand that a home visit does not guarantee placement
I CAN give a tax deductible donation of $350 to help PLP rescue continue to provide medical care, spay, and neuter, board and place other abandoned and neglected dogs into forever homes
I understand that any donation or contribution is a gift freely given, not a purchase price for a dog
I agree to provide my own collar, leash, harness, and a personal ID tag at the time of completing the adoption contract
I understand this questionnaire becomes part of our contract
Please list the name of the dog you’re interested in again, and tell us why you’re a good candidate to adopt them:
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Submit