Precious Rescue of Palm Beach

Precious Rescue Adoption Application

Please FILL OUT the ENTIRE APPLICATION, or your Application will NOT be processed.

Please Enter All Your Info Below Including Email:  *Required First Name: Last Name: Address: City: State: Zipcode: Home Phone: Work Phone: Cell Phone: Fax: Email: Including Yourself, How many people reside in your Household? Please List Name(s), Gender, & Age. Please indicate the type of home you live? (EX: Single-Family, Duplex,Apartment,Townhouse, Condo,Mobile Home,Military Housing) Do you Rent or Own? Rent Own If you Rent, Please add your Landlord's Name, Phone #, & if you live in an Apartment, the Name of the Apartment Complex. We will contact him/her to verify that you are approved to adopt this Pet(s). Do you have children living with you or expecting a child? Yes No Possibly in the Future If YES...What ages are your children? No Children New Born / Infant Toddler Pre-Schooler Elementary School Middle School High School Where will the Pet(s) be kept when you are Home, & Where will they Sleep at Night? Where will the Pet(s) be kept when you are NOT home? please be specific... (Fenced Yard, Tied Outside, Outside Kennel, Garage, Inside Crate, Bedroom, Loose in home) How much consecutive time will the Pet(s) spend alone during the day? Why are you adoptiong a Pet at this time? What is the Pets Name that you are interested in Adopting? Coal (Black DSH Kitten) Cupcake (Grey & White DSH Female Feline) Greyson (Grey DSH Male Feline) Hissy-Fitt (Blk & white DSH Female Feline) Licorice (Blk DSH Kitten) Lowla (Brindle Deer Chihuahua Female) Midnight (Blk DMH Kitten) Ninja (Blk DMH Kitten) Shadow (Blk w/ white tipped DMH Kitten) Snickers (Torti DSH Female Feline) Sweetie Sandy (Ragdoll/Mix Female Feline) Tuxedo (Blk w/ white spot on chest DSH Kitten) Wolf (Blk. DMH Kitten) Zoey (Calico DSH Female Kitten) What Traits are you looking for in a Pet(s)? (If more than one, Plz add it to the Additional Comments box below) Male Female Baby-Young Adult-Senior Declawed Companion Companion for another Pet Family Pet Childs Pet Gift Is their any additional comments that you would like us to know?	If you adopt a Cat or Dog & it developes undesirable behavior, What will you do? (Ex: Uncontrolable Barking, Chewing, Sratching, Agressive, hiding, not potty trained, spraying.) Enter Answer Below: ENTER HERE: What will you... Have you ever given up a Pet? If Yes, Please explain the circumstances? Who in this household will care for the Pet(s)? If you have any other Cat(s) &/or Dog(s) are they Spayed or Neuterd? Yes No Not yet What Pets do you currently Have? Plz include... (Name(s), Breed(s), Gender(s), Age, & Tempermant) Are your current Pet(s) up to date on their shots? Yes No If you currently have Pets, Do use use Flea & Tic Prevention? (If yes, what Type & Brand)? If you currently have Cats, are they Declawed & why? Are you planning on Declawing this Cat(s)? Yes No Possibly Have your Current Cats been tested for Feline HIV & Leukemia? Yes No If YES, did they Test Positive or Negative? If adopting a Kitten that is currently under the age of 8 wks, would you be willing to wait till the kitten becomes 8 weeks of age? (Precious Rescue spays/Neuters & gives Kitten 1st set of shots before allowing adoption) Yes No
Please List ALL Vet's names & numbers that you have used for your current Pet(s)for the past 10 yrs. & the Pet(s) they treat. For Verification purposes, who is the listed Owner(s) of the Pet(s) on the Vet Record? Please list at least 2 non-family member refrences, include names & phone numbers. How did you hear about us @ Precious Rescue?	If I adopt a Pet from Precious Rescue of Palm Beach, I AGREE to keep it as an indoor pet(s), Treat it Humanely, & Cater to it's needs. I will NOT allow it to roam free, or become a nuisance, NOR to be used for experimental purposes. I will NOT sell, give away, destroy, or otherwise dispose of it with out notifying & obtaining permission from P.R. of P.B. I certify that the info entered on this application is TRUE. Please enter your first & Last name & today's date. This will act as your signature.  * required
When you are Approved for your New Precious Pet: Please make Checks/Money Orders Payable to: Debbie Young	You will also be required to fill out an Adoption Contract before adopting your new pet.

Print your P.R. Pet Adoption Application

Info@PreciousRescue.com

Debbie@PreciousRescue.com

www.PreciousRescue.com

www.PastinasPetBoutique.com

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