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Dog Adoption Application
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Pre-Application Information and Questionnaire:
Before you begin the application, please gather the following information:
Landlord information, if renting/leasing.
Applicant's employer information.
Co-applicant's employer information.
Photos of your yard/fence to upload. (photos are optional, but helpful).
If you use invisible fence, upload a photo of the console/base for your fence.
Vet information for all current and previous pets.
Proof of purchase of heartworm prevention if purchased from an online source.
Trainer information, if applicable.
Two personal references with phone numbers.
Applicant and Co-applicant driver's license number for signature validation.
Important Application and Adoption Information:
Read our Adoption Process tab on our website BEFORE submitting your application. To be considered for adoption, applicants must meet our adoption requirements and policies.
Do not submit your application until you are ready to adopt. Adoptions are held on Saturdays from 1 to 4, we will not hold dogs until you are ready.
Read the dog/puppy's bio thoroughly before applying and take note of any requirements listed to adopt.
Answer all questions honestly. We will check to verify the information you provide.
Answer all questions thoroughly. Short and/or vague answers may be considered incomplete and we may move on to the next applicant.
Set aside 30 minutes to an hour to complete the application.
Make sure you are within the specified adoption radius. We do not make exceptions to our adoption radius.
Make sure you meet all basic adoption requirements listed in the pet's bio, including any fenced yard requirements listed.
Make sure you meet our vet care requirements listed in Our Adoption Process tab under "Vet Care"
Make sure the decision to adopt is well planned and well thought out. Please do not apply to adopt without first evaluating the commitment level required to adopt a dog.
Do not skip the Co-applicant section of the application, if there is another adult living in the home besides yourself, they must be listed as co-applicant.
We hold applications for 3 months. Do not submit more than one application within a 3 month timeframe unless your interest has switched from a dog over 4 months old to a puppy under 4 months old. If you are interested in another dog/puppy, please submit a contact form and let us know.
Please take note of the sections in our Adoption Process tab regarding young children, puppies and renting.
Each dog we rescue has individual needs, energy levels, personalities, etc. that we thoroughly evaluate while they are in their foster home. We select homes/adopters to best fit each individual dog's needs and we also use this information to try and ensure the dog will fit the adopter's lifestyle. We detail these needs, suggestions and requirements in their bio on our website.
*
I have read this dog's bio/details provided on your website to check for any specific suggestions and/or requirements that may be listed to adopt him/her and I understand that I may not be selected to adopt if I do not meet certain criteria.
Are ALL members of the household available to schedule a meet on Saturday during our scheduled adoptions? (Please keep in mind, if your application is approved, we will typically schedule your meet/adoption for the Saturday immediately following the day you submit your application. PLEASE BE RESPECTFUL OF OUR VOLUNTEER TIME. DO NOT INDICATE THAT YOU ARE AVAILABLE SATURDAY IF YOU'RE NOT AVAILABLE).
*
Yes, we are available to meet/adopt this Saturday during PPAR's adoption event.
No, we are not available to meet/adopt this Saturday and I will indicate below when I am available.
Applications submitted late on Thursdays or on Fridays or Saturdays typically will not be screened until the following week. All of our rescue pets reside in foster homes until they are adopted (we do not have a physical shelter/kennel), so we schedule approved meets at our Peppermint Pig Thrift and Gift store. Due to limited store hours, fosters' and adopters’ schedules, we schedule meets on Saturdays between 1pm and 4pm. We have a very high demand from local kill shelters to rescue more dogs, so if you are not available to adopt, we cannot hold this dog for you if another approved applicant is available to adopt them. Our goal is to find the right home for each dog as soon as possible so that we can free up their foster home for another dog in need of rescue. If you are not available Saturday, please select "No" and then indicate when you are available in the space provided. Thank you.
When are you available?
*
Peppermint Pig Animal Rescue is 100% volunteer operated. Due to limited thrift store hours and fosters' and adopters’ schedules, we schedule meets on Saturdays between 1pm and 4pm. If you are unable to make arrangements to come to a meet on the Saturday following the submission of your application, we may move on to the next applicant. We are rarely, if ever, able to accomodate meets outside of our specified adoption days/times.
*
I have read and understand
The dog I am interested in adopting is:
*
Over 6 months old.
Under 6 months old.
The age of each rescue pet is listed in their bio on our website.
Our puppy adoption radius is within one hour of Peppermint Pig Animal Rescue. Do you live within this radius?
*
Yes
No
Our adoption radius for puppies under 6 months old is within a 1 hour radius of Peppermint Pig Animal Rescue, and for dogs over 6 months old is within 2 hours of Peppermint Pig Animal Rescue. This may vary for individual dogs, variations will be noted in their bio on our website and we will not make exceptions otherwise. Please see our "Adoption Radius" tab on our website for more information.
Our adoption radius for dogs 6 months and over is within a 2 hour radius of Peppermint Pig Animal Rescue. Do you live within this radius?
*
Yes
No
Our adoption radius for puppies under 6 months old is within a 1 hour radius of Peppermint Pig Animal Rescue, and for dogs over 6 months old is within 2 hours of Peppermint Pig Animal Rescue. This may vary for individual dogs, variations will be noted in their bio on our website and we will not make exceptions otherwise. Please see our "Adoption Radius" tab on our website for more information.
Peppermint Pig Animal Rescue's Adoption Radius policy is firm and we do not make exceptions to this policy. Please utilize Google Maps to check the distance before proceeding. Thank you.
*
I understand and have checked the distance
Peppermint Pig Animal Rescue provides our rescue puppies with their puppy series DAPP vaccinations, done at 8, 12, and 16 weeks of age. All puppies are adopted with current age appropriate vaccinations. If the puppy is not old enough to receive all of these vaccines, they will be required to return to PPAR to receive them. Are you able to bring this puppy back to receive their vaccines?
*
Yes
No
Puppy vaccines are included with the adoption. The puppies must return to PPAR to receive these, there will be no exceptions. Puppy Vaccines are scheduled on Saturdays, typically between noon and 1pm.
Puppies under 6 months old are required to come to our (PPAR's) vet after they have received their 16 week vaccination from Peppermint Pig Animal Rescue to have their spay/neuter surgery. If selected for adoption, are you able to bring them back for this procedure?
*
Yes
No
Puppy spay/neuters are included with the puppy adoption fee. A separate puppy contract will be signed at the time of adoption to ensure this is completed by the date they are due. Permanent guardianship of the puppy is contingent on your compliance with our contract.
Have you read Our Adoption Process information on our website?
*
Yes, I have read, and fully understand, all steps and procedures described in Peppermint Pig Animal Rescue's Adoption Process.
No
PLEASE DO NOT INDICATE THAT YOU HAVE READ AND UNDERSTAND OUR ADOPTION PROCESS TAB IF YOU HAVE NOT. Questions asked after your application is submitted/received may not be answered if they are already answered for you in Our Adoption Process tab. We are a 100% volunteer operated rescue, and we receive an extremely high volume of communications daily through our multiple online platforms, on top of all the rescue work we are busy doing. It is your responsibility to make sure you meet the criteria and/or requirements in our Adoption Process tab before completing our Adoption Application. We ask that you take our rescue volunteers' time into consideration and read the information that we provide for you. Thank you.
To continue to our Adoption Application, please read Our Adoption Process information under the "Adoption Center" tab. Thank you.
Or, you may copy/paste this link into your web browser: https://peppermintpiganimalrescue.org/how-our-adoptions-work/
Application for Adoption:
Name Of Dog You Are Interested In Adopting:
*
Applicant Name
*
First
Last
Applicant's age:
*
Applicant Phone
*
This number is a
*
Cell Phone
Landline
Best Time To Call
*
Morning - 8 am - 12 pm
Afternoon - 12 pm - 4 pm
Evening - 4 pm - 8 pm
Anytime
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
What County do you live in?
*
Will this be the primary residence of this dog?
*
Yes
No
If not, please explain:
*
How long have you lived at this address?
*
Please indicate years/months/etc.
What type of home do you live in?
*
House
Townhome/Condo
Mobile Home
Duplex
Apartment
Do you own or rent?
*
Own
Rent
Who is your Landlord?
*
If your landlord is a friend or family member, please indicate this in your answer.
Landlord's phone number:
*
Is this house registered in the applicant's name?
*
Yes
No
Whose name is the house registered in?
*
If this person lives in the home, they must be listed as Co-applicant. If they do not live in the home, please select that you RENT the home and list them as your landlord.
What is their relationship to the applicant?
*
Do you have Home Owner's Association Restrictions, Rental Restrictions, County/City Ordinances or any other restrictions regarding: (Check all that apply)
*
Breed
Weight / Size
Number Of Animals Allowed
There Are No Restrictions
Please explain the restrictions: (breed types, weight limits, number of pets, etc.)
*
Would you ever consider moving to a place that does not allow pets?
*
Yes
No
What actions would you take to find your pet(s) a new home?
*
Are you currently employed?
*
Yes
No
Retired or Disabled
Who is your Employer?
*
Employer's Address
*
Street Name
City
State
Employer's Phone
*
How long have you been with your current employer?
*
Who was your most recent employer?
*
How long were you with this employer?
*
City and State of previous employer:
*
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Have you ever been convicted of a felony?
*
No
Yes
If yes, please explain:
*
Is there a co-applicant, spouse, or other adult living in the home who will share any responsibilities for this dog?
*
Yes
No
Any other adult in the household who will share responsibility, financially or general care, for this pet or will be effected in any way by your decision to adopt this pet, needs to be listed as co-applicant. (i.e. Spouse, Live-in Parent, Significant other, Owner of the home, etc.) If it is determined by Peppermint Pig Animal Rescue that an accountable adult is not listed as co-applicant, it may be assumed that all adults are not supportive of your decision to adopt this dog and your application may be denied any further processing.
Co-applicant Name
*
First
Last
Co-applicant's age:
*
Co-applicant Phone
*
This number is a
*
Cell Phone
Landline
Is the Co-Applicant currently employed?
*
Yes
No
Retired or Disabled
Co-applicant Employer
*
Co-Applicant Employer's Address
*
Street Name
City
State
Co-Applicant Employer's Phone
*
How long has the Co-Applicant been with this employer?
*
Who was the Co-Applicant's most recent employer?
*
City and State of Co-Applicant's most recent employer:
*
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
How long was the Co-Applicant with this employer?
*
Has the co-applicant ever been convicted of a felony?
*
No
Yes
If yes, please explain:
*
How long have you lived together with co-applicant?
*
Counting yourself, how many total adults (18 or older) live in your home?
*
Just Me
2
3
4
5+
Please count yourself and your co-applicant (if applicable) as well as any other adults in the home.
What is their relationship to you?
*
Spouse
Significant Other/Boyfriend/Girlfriend/Partner
Roommate/Friend
Parent(s)
Adult Sibling(s)
Adult Child/Step Child
Other
Please list the names, ages and contact information for any adults in the home who are not listed as co-applicant:
*
How long have you lived together with the other adults in the home?
*
In effort to ensure that all accountable adults are supportive of the decision to adopt this pet, please apply the following to your application: If an adult listed here will be in ANY way responsible for the care of this pet, or will be included in the decision to adopt this pet, or effected by your decision to adopt this pet, please return to the CO-APPLICANT section of this application, and list them as your Co-applicant, if you have not already done so. Thank you.
*
I have listed adult as Co-Applicant
Adult(s) listed here will be in no way responsible for this dog, or effected by my decision to adopt this dog
I understand that if it is determined by Peppermint Pig Animal Rescue that an accountable adult is not listed as co-applicant, it may be assumed that all adults are not supportive of my decision to adopt this dog and my application may be denied any further processing.
*
I AGREE
How many children (under 18) live in your home?
*
0
1
2
3
4
5+
What are the ages of all the children?
*
Please take note of the section in our Adoption Process tab regarding young children and adoptions.
Do any children (under 18) visit the home regularly?
*
Yes
No
What are their ages and relationship to the applicants?
*
Does anyone in your home have allergies to pets?
*
No
Yes
Who has pet allergies, and how will this be managed if they are allergic to this dog?
*
PLEASE TAKE NOTE: Pet allergies are most commonly caused by proteins in an animal's saliva and/or urine, not their hair/fur/dander as commonly claimed. While some breeds and mixes may shed less than others, all dogs do shed, and require proper grooming to prevent fur matting. Please do not apply for a dog under the impression that they will be non-shedding, or hypo or non-allergenic. We make no claims or guarantees as to the allergen or shedding potential of any of our rescue dogs. Thank you.
Which of the following options best describes your yard?
*
No Fence
Completely Fenced (Completely Enclosed)
Partially Fenced (Open on one or more sides)
Invisible Fence
How do you plan to provide for adequate daily exercise and potty breaks?
*
*Keep in mind that your work schedule and health may change over the lifetime of your pet(s), or even when you are just home sick. It is best to think about how responsibility for the dog would be divided, should these things occur.
Will you use a tie out, tether, or chain for: (Check all that apply)
*
Potty Breaks
Play Time
Exercise
Other
I Do Not Plan To Tie Out/Tether/Chain
If other, please explain:
*
Please describe your fence: (materials used, height, privacy, chain link, connected to house, dog run, etc.)
*
What condition is your fence currently in?
*
Good condition
Needs minor repairs
Needs extensive repairs
Not sure
To Expedite the Processing of your Application, please upload photos of your fence and yard. (Optional)
Drop files here or
Select files
Max. file size: 32 MB.
Please include all sides of the fence, you may upload multiple photos here. When your file is uploaded correctly, you will see a red X next to it.
Have you personally trained a dog to follow the boundaries of an invisible fence?
*
No
Yes
What breed/size of a dog did you train?
*
Has the invisible fence always worked successfully?
*
Yes
No
How did you resolve any problems with the invisible fence?
*
Who installed your invisible fence and when?
*
Please upload a photo of the console/base to your invisible fence in your home.
Drop files here or
Select files
Max. file size: 32 MB.
When your file is uploaded correctly, you will see a red X next to it.
Have you ever had any issues with other dogs/animals/people coming into your yard uninvited while your pet was within the boundaries of the invisible fence?
*
Yes
No
How did you do to resolve the issue?
*
If the invisible fence does not work for this dog, what measures do you plan to take to keep them contained in your yard, exercised, and to allow for potty breaks?
*
Please describe the area the invisible fence encompasses (i.e. Front Yard, Back Yard, both front and back, does it go out to a sidewalk or out to the road, etc.)
*
Do you have a pet door/doggy door/pet flap?
*
Yes
No
Will this dog have access to the pet door while you are:
*
Home
Not Home
Both
What methods will you impliment to ensure the dog is not hurt, stolen or escapes while unsupervised in the yard?
*
Have you ever had a problem with a dog getting out of the yard or escaping frequently? (digging, gates left open, jumping the fence, out the front door, etc.)?
*
Yes
No
How did you do to resolve the issue?
*
Do you have a swimming pool/pond/lake?
*
Yes
No
Is the swimming pool/pond/lake fenced separately from your yard?
*
Yes
No
What method of protection do you have to guard against an animal falling in unnoticed?
*
Would you object to an inspection of the premises by Peppermint Pig Animal Rescue?
*
Yes
No
How long have you/your family been planning to adopt, or looking to adopt, a new dog/puppy?
*
What are the qualities that attracted you to this dog?
*
Do you want to adopt this dog for one of more of the following reasons? (Check all that apply)
*
Companion
Child's Pet
House Pet/Family Pet
Agility Dog
Hunting Dog
Watch Dog (Alerts by barking)
Protection/Guard Dog
Therapy/Assistance Dog
Protection/Guard Dog (please explain)
*
Therapy/Assistance Dog (please explain)
*
Will this dog be outside in your yard unattended while you are: (check all that apply)
*
Home
Not Home
No/Neither
Please tell us how long as well as under what circumstances (work, errands, etc.) and what kind of outdoor shelter you will provide:
*
Will this dog primarily live:
*
Indoors
Outdoors
Both
Please explain:
*
Which of the following best describes where this dog will be spending his or her days?
*
Crate Indoors
Outside
Garage
Kennel Outdoors
Interior Room
Basement
Free Roam Of House
Doggie Daycare
Other
If Other, please explain:
*
Which of the following best describes where this dog will be spending his or her nights?
*
Crate Indoors
Outside
Garage
Kennel Outdoors
Interior Room
Basement
Free Roam Of House
Bedroom
Other
If Other, please explain:
*
Based on this dog's activity level, needs, breed/mix, age, and/or size indicated in his/her description, what activities will you include him/her in to provide for adequate exercise, mental stimulation, and/or training?
*
In caring for this dog, who will be responsible for training, feeding, walking, exercise, etc.? (Please, be specific)
*
How much do you estimate your annual expenses for this dog to be? (this includes food, yearly vet visits, heartworm/flea prevention, grooming, current dog licenses, etc.)
*
As a pet ages, it is quite common for vet expenses to increase due to special diets, medications and testing that is necessary for an older dog. Are you prepared to pay for these added expenses?
*
Yes
No
How often do you travel?
*
Never
1-2 times per year
3-4 times per year
5 or more times per year
Who will care for this dog when you travel?
*
Is there an adult (18 or over) routinely at home during the day?
*
Yes
No
Who is the adult home during the day, and are there children routinely home with this adult? (please explain children; ages of the children, are they your children, babysitting, grandchildren, etc.)
*
How many hours will this dog be alone during the day? (Please explain hours and days alone, i.e. work, school, volunteering, errands etc.)
*
Current Pets:
Are there currently any other pets in the home?
*
Yes
No
Please, tell us about your current pet(s):
*
*Please only list pets you currently have in this section. The next section will provide a place to list pets you have previously had. Thank you.
Where did you get your current pet(s)? (Shelter, Rescue, Friend/Family, Breeder, Craigslist/Facebook, etc.)
*
How long have you had your current pet(s)?
*
Are all the pets in the home current on their vaccinations?
*
Yes
No
If no, please explain:
*
Are all the pets in the home Spayed/Neutered?
*
Yes
No
If no, please explain:
*
Are all the dogs in the home Heartworm tested regularly at the Vet?
*
Yes
No
There are no dogs in the home
If no, please explain:
*
Please take a moment to review our "Heartworm Disease" tab located under the "Resources" tab on our website.
Are all the dogs in the home given heartworm prevention regularly?
*
Yes
No
There are no dogs in the home
If you purchase your heartworm prevention from an online source, please send proof of purchase by submitting a Contact Us form from our website after you have submitted your application, or upload them in the vet records section below.
*
I purchase heartworm prevention directly from my vet.
I purchase heartworm prevention from an online source and I will email proof of purchase by submitting a Contact Us form upon completion of my application.
If no, please explain:
*
Please take a moment to review our "Heartworm Disease" tab located under the "Resources" tab on our website.
Are all the pets in the home on flea prevention?
*
Yes
No
If no, please explain:
*
Are all the dogs in the home licensed?
*
Yes
No
There are no dogs in the home
If no, please explain:
*
The State of Ohio requires all dogs over 3 months of age to be licensed through your county. Microchips, while strongly encouraged for the safe return of your pet if they become lost, are not the same as the required State Dog License.
Who is your current vet?
*
Vet's Phone Number
*
May we contact your current vet?
*
Yes
No
If no, please explain:
*
Please keep in mind that if we are unable to establish current and consistent vet care for your pet(s), your application may be denied any further processing.
Please note that some vets require spoken permission from you before they will release information. Please call and check to see if yours is one of them and have it noted in your file that you grant permission to release records to Peppermint Pig Animal Rescue. Beechmont Pet Hospital and any vets in Kentucky are some that we know require this. If you have not granted permission to release records when we call, we may move on to the next applicant. (Check box that you have read)
*
I HAVE READ AND WILL CALL TO GRANT PERMISSION
Person's name the vet records are kept under:
*
What are the pets names who see this vet?
*
*Please only list pets you currently have in this section. The next section will provide a place to list pets you have previously had. Thank you.
To Expedite the Processing of your Application, please upload a PDF or photos of your vet records here if you have them available. Please include purchases of heartworm prevention. (Uploading is optional, but vet records will still be need to obtained for the screening process)
Drop files here or
Select files
Max. file size: 32 MB.
When your file is uploaded correctly, you will see a red X next to it.
We are not only checking for an up-to-date animal, we are also checking for a consistent vetting history. If you have taken your current animal(s) to multiple vets, other vets, or have used a mobile vet clinic please provide ALL of the contact information for all of the vets you have used here:
If we are unable to verify consistency for any of the required vetting, your application may be denied.
Are there any health issues or concerns with your current pet(s) that need to be taken into consideration when introducing a new pet into the home? (i.e. an older dog may have trouble adjusting to an active puppy, or if a dog has food aggression, precautions must be taken with treats and feeding times).
*
Yes
No
If YES, please explain
*
Time and patience usually resolve any issues with a new dog joining existing pets in the household. What measures will you take to ensure that all pets in the household adjust? (Check all that apply)
*
Training
Separating The Animals
Slow Introduction / Gradual Intergration
Extra Attention For Existing Pets
Consult A Professional
Walk With Both Dogs Together
Return Dog To PPAR
Other
If Other, please explain:
*
Previous Pets:
As an adult, have you had/been responsible for dogs of your own prior to any listed in the "Current Pets" section?
*
Yes
No
Please, tell us about the dog(s) you have previously had:
*
Where did you get them from? (breeder, friend/family, shelter, rescue, pet store, craigslist, etc)
*
Please list approximate dates they were in your care and the reason you no longer have them (deceased, given away, ran away, surrendered to a shelter or rescue, etc.):
*
Were your previous dog(s):
*
Spayed/Neutered
Always Kept Current on Core Vaccinations (Distemper/Parvo/Rabies)
Heartworm Tested Regularly/Yearly
Given Heartworm Prevention Regularly
Kept on regular Flea Prevention
List any previous vets you have used and their phone numbers:
*
*IMPORTANT* If you have taken your animal(s) to multiple vets, please provide ALL of the contact information for all of the vets. We are checking for a consistent vetting history. If we are unable to verify consistency for any of the required vetting, your application may be denied.
May we contact your previous vet(s)?
*
Yes
No
Please note that some vets require spoken permission from you before they will release information. Please call and check to see if yours is one of them and have it noted in your file that you grant permission to release records to Peppermint Pig Animal Rescue. Beechmont Pet Hospital and any vets in Kentucky are some that we know require this. If you have not granted permission to release records when we call, we may move on to the next applicant. (Check box that you have read)
*
I HAVE READ AND WILL CALL TO GRANT PERMISSION
What were the names of the pets seen here and whose name are the records under?
*
If no, Please Explain:
*
Have you had experience with dogs:
*
Currently have dog(s)
As a Child
Never
Other
Please tell us about the dog(s) you grew up with: (breed, size, your responsibilities with them)
*
Please, tell us about your experiences:
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Please tell us the name and phone number of the vet, or vets, that you have identified, considered, or established, to care for this dog after adoption:
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When planning to adopt your first dog, it is always best to have a vet already established to continue their vet care after adoption.
To be considered for adoption, we require that all current and past dogs/cats in the home have been spayed/neutered, have current & consistent history of receiving core vaccinations (Distemper, Parvo, Rabies) and current & consistent heartworm tests and heartworm prevention (dogs). Please double check that all of the vet information you have provided is accurate and complete. Your application may not be considered if we are unable to verify this information.
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I certify that all vet information provided is accurate and complete to the best of my knowledge.
Have you identfied a trainer or a training class to help you establish training techniques for your new dog?
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Yes
No
Please tell us the trainer/training class you have selected:
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Please tell us what kind of training techniques you plan to use for your new dog and how they will be implemented:
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If you are ever unable to care for this dog/your pets due to health reasons, loss of income, loss of home, separation, or any other life circumstances, do you have arrangements for your pets? Please explain:
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Have you ever surrendered a pet to a shelter or a rescue, given a pet away or sold a pet?
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Yes
No
Please explain:
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Under what circumstances would you surrender this dog back to Peppermint Pig Animal Rescue? (check all that apply)
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None
New Baby
Dog's Behavior
New Pet(s)
Divorce/Separation
Dog's Illness/Injury
Loss of Job or Income
New Job/Change In Schedule
Moving
Personal Illness/Injury
Other
Dog's Behavior-please explain:
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Other-please explain:
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Which of these common dog issues have you had prior experience with? (Check all that apply)
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Separation anxiety
Food aggression/guarding
Taught a dog basic commands
Leash training
Raising a puppy
Dog jumping up on people
Introducing a new dog to an existing pet
Introducing a new dog to children
Dealing with a high energy dog
Dealing with destructiveness/chewing
Crate training
Housebreaking/Potty Training
Excessive Barking
Caring for a dog on a special diet
Caring for a dog with special needs or illnesses
Anxiety, fear, or aggression at the vet or groomer
Dog Not good with other dogs
Dog Not good with kids
Dog Not good with cats
Dog with strong prey drive
None of the Above
How long ago did you raise a puppy?
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Are there any training or behavior issues that you are not willing to work on with this dog?
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Yes
No
Please explain:
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Have you ever used a private trainer or trained a dog in obedience classes?
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Yes
No
Please tell us who your trainer was or where you went to obedience classes:
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Have you ever had to euthanize a dog for reasons other than health/end of life? (i.e. behavior, aggression, etc.)
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Yes
No
Please explain:
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Please include details regarding other options you exhausted before choosing euthanasia.
Proper socialization and training are critical for a growing puppy. Please tell us how you plan to provide these for this puppy:
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Please tell us how you feel about ear cropping, tail docking, and/or dew claw removal/declawing for aesthetic/cosmetic purposes:
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Please tell us what you know about Heartworm Disease:
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Please tell us how you feel about dog food nutrition and how to select a well balanced food for your dog:
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Have you ever bred dogs? (either intentionally, or unintentionally)
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Yes
No
What breed, or mix, have you bred?
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Did you breed for one or more of the following reasons? (Check all that apply)
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Show Dogs
Breed Preservation / Health
Hobby
For Profit / Extra Income
For Fun / The Puppy Experience
Agility Dogs
Hunting Dogs
Therapy or Assistance Dogs
Accidentally Happened
Other
If Other, please explain:
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How long ago did you breed? (or if you still do, or plan to again)
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Have you ever applied to adopt a pet from Peppermint Pig Animal Rescue before?
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Yes
No
When did you apply?
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MM slash DD slash YYYY
Whose name is the application under?
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First
Last
How did you hear about Peppermint Pig Animal Rescue (check all that apply)
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Website-PeppermintPigAnimalRescue.org
Shopping at Peppermint Pig Thrift & Gift
Drove By Peppermint Pig Thrift & Gift
Facebook
Petfinder.com
Friend / Family
Radio
Other
Additional information or comments (optional):
Personal References:
At least one of your personal references should be a non-family member. A personal reference should be someone who knows you (and your co-applicant if applicable) well enough to provide good insight into your ability to care for your animals, the general care you have provided, or would provide, to your animals, and your overall character. Both personal references should have known you and your co-applicant (if applicable) for at least 1 year.
Personal Reference #1
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First
Last
Personal Reference #1: What is your relationship to this person and how long have you known them?
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At least one of your personal references should be a non-family member. Both personal references should have known you and your co-applicant (if applicable) for at least 1 year.
Personal Reference #1 Telephone Number
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This number is a
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Cell phone
Landline
Best Time To Call Personal Reference #1
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Morning - 8 am - 12 pm
Afternoon - 12 pm - 4 pm
Evening - 4 pm - 8 pm
Anytime
Personal Reference #2
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First
Last
Personal Reference #2: What is your relationship to this person and how long have you known them?
*
At least one of your personal references should be a non-family member. Both personal references should have known you and your co-applicant (if applicable) for at least 1 year.
Personal Reference #2 Telephone Number
*
This number is a
*
Cell phone
Landline
Best Time To Call Personal Reference #2
*
Morning - 8 am - 12 pm
Afternoon - 12 pm - 4 pm
Evening - 4 pm - 8 pm
Anytime
Signature:
I certify that all of the information I have given in this application is true and complete to the best of my knowledge.
*
I AGREE
I understand that falsified information or significant omissions may disqualify me from further consideration of a Peppermint Pig Animal Rescue animal.
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I AGREE
I will not hold Peppermint Pig Animal Rescue responsible for any injuries sustained to myself or anyone with me while on Peppermint Pig premises.
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I AGREE
I understand that PPAR is a 100% volunteer operated rescue and it may take time to check references, vets and other details in my application and that I may only receive communications from PPAR if I am selected to meet this dog.
*
I AGREE
I understand and agree that if I am selected to meet/adopt this dog, all household members are required to attend the meet
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I AGREE
I understand and agree that if this puppy is not old enough to receive all of their puppy vaccinations, done at 8, 12, and 16 weeks of age, that I will be required to bring them back to PPAR to receive them when they are due.
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I AGREE
I understand and agree that if I am selected to adopt this puppy, if they have not reached the appropriate age for sterilization surgery at the time of adoption, I will be required to bring him/her to PPAR's vet for their spay/neuter surgery within 6 weeks after they have received their 16 week vaccinations from PPAR.
*
I AGREE
I understand and agree that if I am selected to adopt, permanent guardianship of this pet will be contingent on my compliance with the terms and conditions of PPAR's adoption contract.
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I AGREE
**Our Adoption Contract can be viewed under the ADOPTION CENTER tab on our website.
I understand and agree that PPAR discloses all requirements and policies to adopt in their Adoption Process tab and in each pet's individual bio and that it is my responsibility to read these listed requirements and/or policies. I understand and agree that I have read and fully understand all steps, requirements, policies and procedures in Peppermint Pig Animal Rescue's Adoption Process tab, as well as this dog's bio, and checked for any specific requirements that may apply, and that I may not be selected for adoption if I do not meet certain criteria.
*
I AGREE
Applicant's Signature
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First
Last
Applicant's driver's license number
*
(For signature validation and identification purposes only. This is a secure site and your information will not be shared)
Email Address:
*
Enter Email
Confirm Email
**Please provide an email address that we can easily contact you through. This will be our primary means of communication.
Co-Applicant's Signature
*
First
Last
Co-applicant's driver's license number
*
(For signature validation and identification purposes only. This is a secure site and your information will not be shared)
Co-applicant Email Address:
*
Enter Email
Confirm Email
**Please provide an email address that we can easily contact you through. This will be our primary means of communication.
IMPORTANT:
Upon submitting your application, you will be redirected to a Confirmation Page on our website.
Once you land on the Confirmation Page, please scroll down to read important information regarding Our Adoption Process and what you should expect next.
The Confirmation Page serves as your confirmation that your application was submitted successfully and that we have received your application.
You will also receive a copy of your application sent to the email address you have provided on the signature page of the application. If you don't see it, check your spam folder.
Comments
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