Pound Buddies Rescue Adoption Application

When filling out application below, please remember to fill out ALL fields or your application WILL NOT

be processed and that will result in you missing out on the pet you want!!

ADOPTION FEES

The pets listed with letters and numbers (example: W1C21-04-29) are in the pound they are $125.00 prepaid to your vet ONCE you are approved to adopt. So please DO NOT rush out and deposit money to your vet unless you have been contacted and told you have been approved.

The pets with PBR and a Name or SR beside their name are in our rescue, their adoption fee is $185.00 - $235.00, they are UTD (up to date) with age appropriate shots and spayed\neutered if age allows and have been heartworm tested (if age allows) and on heartworm\flea preventive during the season all dogs\puppies adopted through us and including pound dogs are microchiped and yes it is required. Microchiping costs $10.00, paid to the rescue.

Thank you

Pound Buddies Rescue

If approved to adopt, you will be contacted within 3 business days, this does not include weekends or holidays. Due to the high volume of applications\email we receive, if you are not approved, you may not be contacted. We will try to contact you within one to three business days about your application if it is approved or if we have questions concerning your application. It is imperative that you provide us with a valid email address and phone number for us to reach you.

You MUST fill out application fully, so please double check everything before sending in the application. Failure to answer ANY questions may result in your application not being processed.


E-mail Address: *
1. Name or ID of pet interested in.
2. Please explain why this pet is right for you. *
3. Please provide your FULL NAME. *
4. Please provide your age. Please note if you are under 18, your parent or guardian must be the ones to fill out the application. *
5. Please give your street address. *
6. Please give your city. *
7. Please provide your state. *
8. Please provide your zip code. *
8a. Please provide a home phone and a alternate number to reach you at. *
9. Please give employers name and phone number. If not employed please explain how you will provide care for this pet. *
9a. Please provide your employers phone number. *
10. Please provide residence info. *
11. If you live with someone else who owns the home, please provide their FULL name(this includes significant others, parents, grandparents, room mate)If the home is in your name please put your name in this box. *
12. How long have you lived at the above address? *
13. If you rent or live in mobile home park, please provide landlord or park name and number. *
14. Is your yard securley fenced? *
15. If fenced please check answer that best descibes your fence area. *
16. If you do not have a fenced area please describe how you will potty play or exercise your pet?
17. Will this be an inside or outside pet? *
18. If your pet is outside, please describe the type of shelter you will have for it.
19. If outside how long will pet be outside? *
20. List All people living in the home(even ones on a part time basis), please give first and last NAMES and AGES and relationship to applicant please. *
21. Please list all pets(names and breeds) in past 5 years (include ones you now have) if you no longer have one or more of these pets please explain what happen to pet or pets.
22. Were the above pets spayed or neutered? If not please explain why not.
23. Please provide the vet name and number that above listed pets have seen. This includes vets they may of seen from other towns or states you may of lived in. If you have no vet history please type in No Vet History. *
23a. Please provide full name of person the vet account is under. *
24. Is someone home during the day? *
25. How long will pet be left alone in a 24 hour period? *
26. Do you expect to have a child or move in the near future? *
27. If reference to the question above, what will happen to the pet? *
28. If approved to adopt, will you spay or neuter your pet by six months of age? *
29. If no to the question above, please explain why not.
30. If you adopt a pet from Pound Buddies Rescue and your pet does not work out you must return the pet to us at your expense, do you agree to this? *
31.Will you agree to a home visit from Pound Buddies Rescue or a representative of Pound Buddies Rescue? *
32. If No to the above question, please explain why not. *
33. Please provide personal reference 1. Please provide name and phone number. *
34. Please provide personal reference 2. Please provide name and phone number. *
35. Please provide personal reference 3. Please provide name and phone number. This one must be a family member not living with you *
36. I understand that my electronically-generated signature below is valid as a means of legal and binding signature for the purpose of this adoption application. *
37. Please type in your Full name *
38. Todays Date *
39. Please call your vet within 24 hours of filling out this application to authorize them to speak to us. Do you agree to do this? *
40. In reference to the question above, failure to call your vet may result in your application not being processed. Do you understand this? *
41. We will call your vet within 1-24 hours after receiving your application, this does not include weekends. If you have not called them, we will only try 2 times to contact you to do this. After that you may lose out on pet you are interested in. Do you understand this? *
* Required