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Next Adoption Clinic
 

Saturday, January 3, 2015
10:00 am - 1:30 pm

Latham Petco 664 New Loudon Road, Latham, NY 12110

Clinic Schedule
 
HELP NEEDED:
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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 we should call for a reference:    Phone:
You must contact your vet and give permission to release records to Peppertree before your application can be considered.

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?
 
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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.
 
AS OF JUNE 1, 2013, the adoption fee is $200 for most puppies and dogs. Different fees may apply in exceptional circumstances such as medical problems or extreme age. Adopter will pay for spay/neuter of a dog less than 6 months old.
 
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 14:05:35 on 05/30/2014.