Pet Protectors, Inc.

Dog Applications

Please note the following...

Application must be filled out COMPLETELY or cannot be considered.
MUST have at least a night time or cell number listed.
Email address required

First Name
Last Name
Address Line 1
City
State
Zip Code
Daytime Phone	() -
Evening Phone	() -
Fax	() -
Cell Phone:	() -
E-mail Address
Your occupation:
Your spouse's occupation:
Name of dog your interested in, if one in particular:
Have you ever owned a dog before? Recent or long ago?
Do you still have any pets? If so, what do you have: list age, sex, type, temperament, etc. All info:
If you no longer have the pet - cat / or dog - what happened?
Where did you get the cat / dog you presently have? Name of agency/store/place:
Will the dog be mostly indoor or outdoor?
Do you have a real fenced in yard? If so, approx. how high and what kind?
Do you have or plan on using invisible fencing:
Were EXACTLY,WHAT ROOM will the dog sleep at night:
Will the dog be crated at all?
Is training an option you would consider if the dog needed it?
Will the dog have the run of the home or be confined? If confined...where and when?
Have you ever had to give up a pet before? If so, explain in detail and where did the pet go?
How many approx. hours a day will the dog be left alone?
Have you ever brought an animal to an animal shelter?
What is the activity / noise level of your home: Choose One: Very active, Active, Moderate, Quiet?
Name your FORMER and PRESENT veterinary: Address and phone number:
How many adults in the home? Approx. ages: How many children and their ages?
Are there children visiting on a fairly constant basis? Explain:
Do you or anyone have severe allergies to pets?
Do you rent or own? House or condo?
Do you own any cats? If so, are they indoor only or indoor/outdoor?
Do you work? If so, how many hours a day will you be gone totally:
How often per year do you go away? Who would take care of your pet when away?
List 2 REFERENCE people we can call: Names and phone numbers:
Who are the reference people to you?
Are there any plans to move within the next few years? If so, what will happen with your pet?
How often would you be taking your dog to the vet?
How often would you be vaccinating your dog?
Are you prepared to financially provide for the dog no matter what?
Will the dog be outside at all when you are NOT home?
Are you in somewhat of a rush to get a dog or do you want to wait for the right one?
Do you certify that you are at least 21 years old and have read the below paragraph?
Comments

I certify I am 21 years old or older. All the information I have provided here is true and honest. I understand that Pet Protectors will follow up and possibly verify all the information stated here. I understand that submitting an application does not mean I am the right matched applicant for the dog and Pet Protectors has the right to deny any application in the best interests of the animal.

Applications should always be submitted because we rescue animals often and we may eventually rescue a pet that would be the right match for you and we will then notify you.

Thank you for your time and application.

PET PROTECTORS, INC.
2490 Black Rock Turnpike # 453
Fairfield, CT 06824
Tel. (203) 330-0255
contactus@petprotectorsrescue.org

Pet Protectors, Inc.

Giving A Second Chance To Homeless And Orphaned Animals

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