PPI Pet Adoption Application – Pet Place International, Inc. (PPI)

Your Name *

First

Last

Your Physical Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number (Daytime) *

Phone Number (Evenings) *

Email *

Email

Confirm Email

How did you hear about PPI Pet Rescue? *

Personal Reference Name *

First

Last

Personal Reference Email *

Personal Reference Phone *

Personal Reference Address *

Address Line 1

Address Line 2

City

State

Zip Code

What is the name of the pet you wish to adopt? *

What breed type or mix do you want to adopt? *

Do you prefer male, female, or will take either? *

Male
Female
Either

What age range do you prefer? *

Under 1 year old
Between 1 and 5 years old
Over 5 years old
Age doesn't matter

Do you prefer a particular color? (Yes or no, then describe if yes) *

Do you have a fenced yard (Yes/No)? If you do, what type of construction is it? How tall is it? *

Do you prefer short, medium, or long-haired? *

Short-haired
Medium-haired
long-haired
Doesn't matter

How big a pet do you prefer? *

Small
Medium
Large
Extra-large

Please explain why you want a dog or cat? *

How active a pet do you want? *

couch potato
enjoys walks
live wire!

You may choose more than one activity level.

What activities would you do with your pet? *

Would your pet get physical exercise every day? *

Yes
No

Where will your pet be when you are home? *

indoors, heated or cooled room
outdoors, or no temperature control
indoors and outdoors, always with someone

When no-one is home, where will your pet be? *

indoors, heated or cooled air
outdoors, or no temperature control
both indoors and outdoors with someone

How many hours will the pet be home alone (number)? *

Where will the pet sleep? *

Who will be primarily responsible for the pet? *

Do all members of the family want this type of pet? Please explain yes or no and why. *

Is anyone who will live with the pet allergic to pets? Please explain. *

Have you ever relinquished a pet to an animal shelter or anyone else (Yes/No)? If so, please explain why and when. *

Are you planning on obtaining obedience training? If so, would you like help in choosing a trainer? *

What would you do if your pet developed behavior problems unacceptable to you? *

What pet behaviors would be unacceptable to you and grounds for you to be unable to keep it? Why? *

Do you currently have a veterinarian? May we contact them? *

Your Veterinarian's Name and Street Address

Address Line 1

Address Line 2

City

State

Zip Code

Your Veterinarian's Phone Number

How many adults are in your home? How old are they? *

How many children are in your home? How old are they? *

Are you prepared to share your life with a pet for 10-18 years, who is totally dependent on you for food, shelter, love, and veterinary care? Are you willing and able to make this life-long commitment to a pet as a family member? *

Yes
No

After selecting Yes or No, please click the "Submit" button below to email your answers to the PPI Adoption Committee. Thank you!