APPLICATION TO ADOPT - READ ALL THE WAY TO THE END

• PLEASE READ ALL AND FOLLOW INSTRUCTIONS. THANK YOU.  YOU WILL NOT BE ABLE TO DOWNLOAD THIS APPLICATION WITHOUT READING AND FOLLOWING THESE INSTRUCTIONS.  - - -IF YOU NEED HELP _ PLEASE ASK!
• A VETERINARY HISTORY IN YOUR NAME IS MOST IMPORTANT WHEN FILLING OUT THIS APPLICATION.
• PLEASE HIGHLIGHT AND COPY THE AREA BETWEEN THE STARS, (***) THEN PASTE INTO EMAIL ADDRESSED TO CCPRNOKILL@AOL.COM, then scroll down to the application and simply FILL IN ALL THE BLANKS (( NOTICE the space will expand as you type - you can easily delete/backspace to remove the lines and put in your answers)) when you have answered all of the questions, scroll Back to the top and SELECT SEND.
• *** IF YOU DO NOT KNOW HOW TO COPY AND PASTE - PLEASE SEND AN EMAIL TO CCPRNOKILL@AOL.COM REQUESTING AN APPLICATION FOR THE PET YOU ARE INTERESTED IN. - or simply select the CONTACT US ICON and request an application for the pet by NAME that you are interested in. PLEASE NOTICE; we do not need to have you print out the application - fill it out - scan it- and send it back to us...sadly it may end up sent back to us in a format that we can not open. SO PLEASE - If you need help and emailing is not working, feel free to give us a call between 10am and 4pm Mon-Fri for assistance at 254-392-1878
• Please understand that we get many applications for the same pet. It is our goal to place our pets in the best possible home for the future health and well being of each pet. CCPRNOKILL does not just adopt to anyone with a valid ID. YOU MUST HAVE A VETERINARY REFERENCE THAT SHOWS RESPONSIBLE VETTING HISTORY TO ADOPT FROM CCPRNOKILL. - The veterinarian(s) you have used with your past or current pets keep records on file for up to 10 years. If you need to list more than one veterinarian for the history of your pets past or present care, please do. - NO EXCEPTIONS. - Once a pet is adopted that pets ad is removed from the Adopt album. If the pet you applied for has been adopted we do keep your application on file for 90 days in the event that we have another pet that you may be interested in. You would not be required to submit a second application, simply send us an email referencing the pet you are currently interested in so we can follow up.

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CORYELL COUNTY PET RESCUE - NO KILL *C.C.P.R.* NO KILL. APPLICATION FOR PET ADOPTION

www.facebook.com/ccprnokill (254) 248-5002 Return via email to ccprnokill@aol.com

MUST BE 18 YEARS OF AGE OR OLDER. FILLING OUT THIS APPLICATION DOES NOT GUARANTEE YOUR APPROVAL TO ADOPT THIS PET.

Name of animal you are applying for: _______ Date___

YOUR E-Mail Address. __

Please answer each question COMPLETELY & HONESTLY. If any information is left blank, we WILL NOT be able to process your application.

Full Legal Name: ____D.O.B:_______/_______/_______

Address: ___   City______State _________ Zip________

Primary Phone: _______________________ Secondary Phone ______________________________

ID or DL #________________________________________ State _______  Exp. _______________________

Type of residence: (CHECK ONE) House _____ Mobile home _____ Apartment _____ Travel trailer_____/ 

Military Base Housing _____/ Live with Parents _____

*DO YOU  Rent _____ Own____ 

RENTAL AGENT/LANDLORD CONTACT INFO ________________

Do you have a fenced yard? __________Type of fence? (i.e. -Chain link, barbed wire, cattle panel, chicken wire, privacy, etc.) ________________________.  

 No fence - Plan to cable or chain when outdoors for safety of pet. YES_____NO_____

LIST 2 PERSONAL REFERENCES:Can not be living with or related to you: 

 Name: ________________Phone: __________Association_______Know How Long______

 Name: ________________ Phone: _________Association _______Know How Long______

Are You: Student __ Employed__ Retired __ Disabled __ Between Jobs __ Military Enlisted __ Spouse of Military Enlisted __Pre-Enlistment__Students living independent of parents__Student living with parents__Other__ 

Number of adults in home? ______. Number of Children in home? ______. Ages of children: __________________________

*Are you willing to let a representative of CCPRNOKILL visit your home? Yes________ No________

*Are you able to responsibly and financially support this pet? Yes ______ No _____Not Sure __________

*Have you ever had to re-home a pet because you were moving?_____________

* Do you believe in or practice the use of heartworm prevention? Yes_____   No______ 

*Do you believe in the practice of neutering male pets to prevent unwanted litters? YES___NO___

*Have you ever had to give up a pet? Yes ____ No____.

 If so, why: _______________

*What would you do with this pet if you lost your source of income? ________________________________________________________

**Please list all of your current or most recent pets’ names, ages, gender, breed, reproductive status: ___________________________________________________________________________________________________________

*NOTICE*NOTICE*NOTICE* Please list the VETERINARIAN used for your current or most recent pet for REFERENCE. *** YOU MUST HAVE A VET REFERENCE!

Practice: ______________________________________________________ 

Phone #:___________________________________________                      

((((((VETERINARY RECORDS MUST BE IN YOUR NAME, NOT YOUR PARENTS NAME. PLEASE DO NOT LIST A VET YOU INTEND TO USE...THIS MUST BE A VETERINARIAN YOU HAVE ALREADY USED AND HAVE HISTORY WITH.))))))

Release for veterinarian reference: I hereby give permission for any veterinarian providing service to me to release medical information on any/all of my pets to *CCPRNOKILL, including the pet I’m adopting at this time for follow-up purposes in the case of existing conditions or simply well check & heart-worm prevention status. 

Sign: _____________________________________________________________Date:______________________________________ By signing or typing your name you are stating all of the above information is true & correct to 

the best of your knowledge and that you have read and understand this application. The electronic form of signature will be treated the same as your original signature. 

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THE ONLY WAY TO HOLD A PET IS TO PAY THE **NON-REFUNDABLE ADOPTION FEE UP FRONT. (The pet then boards for $5.00 per day at our facility until you come to pick them up and take them to their forever home.) CCPR DOES NOT FLY PETS AS FREIGHT. ALL TRANSPORTATION & TRANSPORT CERTIFICATION FEES ARE PAID FOR BY THE ADOPTER. **APPLICATIONS ARE OFTEN PROCESSED WITHIN 15 MINUTES (ON WEEKDAYS) IF WE CAN REACH YOUR VETERINARIAN AND PERSONAL REFERENCES. SOME VET CLINICS REQUIRE YOU TO CALL AND RELEASE THE INFORMATION. CCPR Should not have to ask you to contact your veterinarian to release information. Please contact your veterinarian to save time.

**If your application is denied - The Fee to "hold" the pet is non-refundable and you will receive a receipt of your donation to the rescue.