Peppertree Rescue - Adopt A Dog

		Peppertree Rescue

adoption clinics

applications/forms

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neighbor's corner

owner surrender

trial placement

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Next Adoption Clinic

Saturday, March 20, 2010
10:00-1:30
Latham Petsmart 601 Troy Schenectady Rd., Latham, NY

Clinic Schedule

HELP NEEDED:

Our special dogs need your help and we do too!
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Peppertree Rescue
All Rights Reserved

Adoption Application

How did you learn about Peppertree?

Adoption Applicant(s)

1. Last Name: First Name:

Work/Cell Phone:

Employer:

Position:

2. Last Name: First Name:

Work/Cell Phone:

Employer:

Position:

Home Phone: Email address:

# of Adults in home: Specific ages of adults:

# of Children in home: Specific ages of children:

Do small children, under 8, visit frequently:

Residence

Street Address:

City: State: Zip Code:

Type of setting:

Is your residence a:

Own or rent: If rent, landlord's name & phone:

Do you have a fenced yard: Height (lowest point): Fence Type:

Care and Maintenance

# of hours dog will be alone (longest):

Are you willing to crate your dog in the beginning?:

Where will the dog be when you are not home during the day?:

At night?:

How will the dog be exercised:
Fenced area Walks on leash Jogging, running Off leash, unfenced area Other

Have you ever participated in obedience training with a dog:

Do you plan on training with this dog:

References

1. Name: Phone (or address):
2. Name: Phone (or address):

Veterinarian you intend to use: Phone:

Family Pets

Do you currently have any other pets:

Have you had any pets in the last 10 years (not including those listed above):

Dog Preferences

Are you interested in specific dog(s) on the Peppertree website?

Activity level you want:

Breeds you like:

Gender: Must your dog be purebred:

Age (check all that apply):
Any Puppy Young (6 months-2 years) Adult (3-6 years) Senior (7+ years)

Size (check any you might be interested in):
Toy Small Medium Large Giant

If specific request:

Color:

Coat:

Check if you want a dog who:

Will jog with you Travels well Can eventually go off leash Won't need obedience training

Is good with ... children other dogs cats

Other traits/characteristics that are important to you:

Any additional information or comments:

May we share your application with other rescues that may have a dog that fits your preference?

Security Image:

Security Image Text (above):

If you are out of the immediate Capital District area and cannot attend a Peppertree Clinic in the Albany, NY area, please send a home visit report from a local rescue group.

A donation of $5.00 to help with processing and phone costs would be greatly appreciated. Please send a check or donate via PayPal.

DOGS OVER 6 MONTHS - $175. PUPPIES (up to 6 months) - $200.00 + adopter pays for spay/neuter. Discounts possible in individual cases for more difficult-to-place dogs.

BY CLICKING SUBMIT, I ACKNOWLEDGE THAT ALL THE INFORMATION CONTAINED IN THIS FORM IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT ANY MISREPRESENTATIONS OF FACT MAY RESULT IN THE REMOVAL OF THE ADOPTED DOG FROM MY HOME BY PEPPERTREE.

This page was last modified at 17:02:28 on 02/27/2010.