Pet Rescue Network
Pet Rescue Network
Application for Puppies and Adult Dogs

P
lease understand that adopting a pet is a commitment for the animal's entire lifetime.

Please be prepared to participate in a  home visit if requested, and to allow our adoption counselors to contact your veterinarian for a reference.


Please fill out this form completely and submit.

An adoption counselor will contact you once it has been received and reviewed. Thanks so much!




Pet Rescue Network
Application for Dogs and Puppies

Please complete entirely and submit. An adoption counselor will get in touch with you. Thanks for considering a PRN pooch.

Dog(s) of interest:
Name:
Spouse / Partner name:
Address:
City, State, Zip:
Primary phone:
Secondary phone:
Email:
List children (with ages) and / or others living in the home:
Who will be dog's primary caretaker?:
List each current pet's name, species, breed, age, if spayed/neutered and temperament:
Are all current pets up to date on vaccinations? If not, please explain.:
Are all pets currently on heartworm preventative. If not, provide explanation.:
Veterinarian name and phone:
Tell us about the pets you have owned in the past 10 years. Include species, breed, age, and if applicable, why you no longer have this/these pets:

Type of residence:
Area:
Residence:
If renting, does landlord / complex allow dogs?:
Describe any restrictions on pet ownership for your place of residence or indicate "no restrictions:
Landlord name:
Landlord number:
Does your home have a yard?:
Does your home have a fence?:
Describe fence type and height:
Yard description (decks, ponds, swimming pools, etc.):
Where will your dog spend most of his / her time?:
How many hours per day will your pet be left alone?:
Where will your dog spend time when left alone?:
How do you feel about crating your dog?:
Where will your dog sleep at night?:
How do you plan to exercise your dog?:
What activities do you plan to do with your dog?:
What type of food will you feed your dog?:
What brand of food?:
List any circumstances that would cause you to not keep your dog:
Anything else you would like to share:
I hereby state that the information on this application is true and correct to the best of my knowledge. I am at least 18 years of. (provide name / signature):
Date:

Once you have applied and been approved for the adoption of a PRN dog, you will be required to sign an adoption / disclosure agreement. Please click here to preview the form you will be given and required to sign when the adoption is finalized.

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