www.facebook.com/ccprnokill
www.facebook.com/ccprnokill
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 wellbeing of each pet. CCPRNOKILL does not just adopt to anyone with a valid ID who wants a pet and promises to treat it well. There are many wolves in sheep's clothing in our world today.
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CORYELL COUNTY PET RESCUE - NO KILL *C.C.P.R.* NO KILL. APPLICATION FOR PET ADOPTION
www.facebook.com/ccprnokill 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.
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.
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 __________
CHECK if ID__ or DL___: 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 COMPANY NAME, ________________________________CONTACT INFO ________________
PH# ____________________________
Do you have a fenced yard? __________Type of fence? (i.e. -Chain link, barbed wire, cattle panel, chicken wire, goat panel, privacy, etc.) ________________________.
No fence - Plan to cable or chain when outdoors for safety of pet. YES_____NO_____
LIST 2 PERSONAL REFERENCES: Cannot 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 Monthly heartworm and flea/tick/parasite preventions? 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!
((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. This is the second time this information is listed on this application. Please Do Not waste our time or yours by providing outright false or inconclusive information!))
Practice: ______________________________________________________
Phone #: ___________________________________________
Name vet records are under:
((((((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 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.