Pigture Perfect Rescue & Sanctuary
Dog Adoption Application
Pigture Perfect Rescue & Sanctuary is an all-volunteer, non-profit, animal welfare organization dedicated to the rescue and placement of stray, neglected and abused dogs and farm animals. Pigture Perfect is funded primarily by the founding members, as well as, through fundraising efforts and public donations. All of the pets are cared for by myself, my husband, our 3 children, and a few volunteers. If necessary, all pets will receive medical care, which includes worming, vaccinations, spaying/neutering prior to their adoption.
This questionnaire is designed to help Pigture Perfect and yourself determine if a specific dog is the right one for you and your household. All adopting parties are required to complete this form prior to adoption. Pigture Perfect reserves the right to deny any adoption based on answers to this questionnaire and/or interviews prior to adoptions!
Name of the dog you are interested in:*
Are you aware that there will be an adoption fee associated with the dog you are applying to adopt? Are you prepared to make the adoption fee payment, in full, prior to finalizing the adoption and taking the dog home?*
Yes No
Adoption Fee:*
$350 XL/L Breeds $250 M/S/XS Breeds

Applicant Information
Applicant's full name:*
Your age:*
Co-Applicant's full name (if living in same household as Applicant):*
If there is only one applicant please type N/A
Your age:
Street Address:*
City, State, Zip*
Applicant's Phone:*
Area Code Phone Number
Co-Applicant's Phone:
Area Code Phone Number
Applicant's E-mail:*
Co-Applicants E-mail:
Applicant's Employer:*
Co-Applicant's Employer:
1) Character reference and phone number:*
2) Character reference and phone number:*

I understand that I assume full responsibility for the welfare of this pet from the date of adoption.
Date*
Month Day Year
Date
Date
Month Day Year
Date
Should be Empty:

Pigture Perfect Rescue & Sanctuary

Applicant Information