Name:   Age:

Spouse/Partner/Roommate: Age:

Address:

City: State: Zip:

E-mail Address: (ex: user@host.com)

Home Phone: (ex: (123)555-1234) Will you accept a collect call? Yes No

Alternate Phone: (ex: 'Cell Phone: (123)555-2580')

Employer:
Phone:     

Spouse’s Employer:
Phone:

Number of children living at home: Ages:

Do you have young children visit on a regular basis? (i.e. grand-children, babysitting) No Yes
If yes, Ages:

How long have you lived at this address? years.
Previous address, if less than 2 yrs:

Years there:

Is everyone in your home agreeable to adopting a Toy Dog? Yes No
If not, who and why:

Which of the following term(s) best describes your current living situation:
House Condo Apartment Modular Home Rent Living with Parents

Social environment: City Suburban Country

Other than immediate family, list all living in your home and their ages:

Does your home have a backyard? Yes No
Is it fenced? Yes No N/A Fence type: Wooden Chain Link Other (type below) N/A
If Other, please describe:
Fence height: Will gate be padlocked? Yes No N/A
Is fence permanent? Yes No N/A Is edge of fence buried to prevent tunneling? Yes No N/A

Will dog be left alone during the day? Yes No If so, for how long? (ex: 1-2hours)

Specifically, what will be the dog’s living situation? (ex: "Run of house" "Basement")

If outside, describe kennel, house, etc.:

Is this heated? Yes No N/A Is this cooled? Yes No N/A

If necessary, will you spay or neuter your dog? Yes No

Will you attend obedience training? Yes No
Trainer’s name:

Have you ever owned a Toy Dog? Yes No
If so, where is it now?

If you have preference of male or female, specify Either Male Female Age range?

Why do you want a Toy Dog?

What activities are you going to engage in with your Toy Dog?

How long will you keep this dog?

Under what circumstances would you give up this dog?

Do you have other pets? (If not, skip this section) No Yes

List breed(s), age(s), and sex(s):

Are all other pets current of all vaccinations? Yes No
Are other pets spayed/neutered? Yes No
If no to either, explain:

Are other pets on heartworm preventative? Yes No
Brand:
If No, explain:

Veterinarian name:
Phone:

File name of each pet and owner:

Approximate date of last Veterinarian visit for each pet:

List all pets you’ve owned in last 10 years, not mentioned above, and their present status.  If deceased, provide approximate date:

Veterinarian name for Previous Pets:
Phone:

ALL of our available dogs are listed HERE

Please list any dogs that you are currently interested in:

Please, list any Breed, Humane Societies, Training Clubs, and similar organizations you support or are a member of:

We will provide you with a complete evaluation of your adoptive Toy Dog's temperament.
Do you understand that often times the complete history of a rescue Toy Dog may not be known? Yes No
Will you be willing to work with us to correct any possible behavior problems? Yes No

Please provide the name, address, email address and phone number of three references
and their relationship to you (These are required in order to process your application):

Please limit references to only contain one family member.

Read the following carefully.

IPPRA  Policies

 PROCESSING:  Please keep in mind that all of IPPRA’s members are volunteers with jobs and families.  Processing you application could take 2-3 weeks.

 ADOPTION DONATIONS: Please keep in mind that all donations help IPPRA with the vetting and foster care for ALL our rescues. Adoption donations are $100 - $400.

 CHOOSING HOMES: All adoption applications will be thoroughly reviewed; will need three personal references and a reference from your vet. All of your present pets must be up to date on shots, on heartworm prevention and altered. Homes with Toy Dog experience and fenced in yards are given first preference.

 AGE OF DOGS:  A large percentage of our foster dogs are strays from shelters or puppy mills.  We will never know the true age for these dogs.  The ages listed in these circumstances reflects the age that our licensed Veterinarians estimate the dog's ages to be based on their best professional and experienced knowledge.   We cannot be held responsible if two or more different Vets have two or more different opinions.  

 CHILDREN: Due to their size, personality and legal liabilities, we are very cautious when adopting to a home with children. Unless you have a strong background with the breed, each application will be reviewed on case by case basis.  

 TRANSPORTS: IPPRA DOES NOT SHIP ITS DOGS.  Most of our fosters are located in Indiana or within 60 miles of each sister state border.  We try when we can to assist with transporting rescues to their new families but expect the families to help. We do adopt out-of-state, however, the primary responsibility of the transport is the adopters.

 REMEMBER: Rescued animals are by no means perfect or show quality. They are usually from Puppy Mills, bad breeding, unwanted, abandoned, sick or old. Almost never will we get in a small young female. Rarely do we have a lot of background on our rescues.

FOOD:  Due to the Pet Food Recall of April 2007, we need to caution you that many commercial Pet Foods on the market were not safe and even resulted in the deaths of many dogs.  We do have recommendations of "safe foods" and would hope you would take these into consideration for your newly adopted dog.    Will you be willing to feed a Premium Food?   Yes No

 ALL of our rescues will be altered prior to adoptions with no exceptions. If you think a rescue is for you, meet our criteria and have a good loving home to offer, please email us at  ippra@ippra.us  with any questions.

I declare that the information I have provided in this application is complete and correct. I further declare that I am financially and physically able to care for a rescued dog, specifically, a Toy Dog. I understand that proper food and veterinarian care may be costly, and I am able and willing to meet the needs of my adoptive dog. I understand the requirement and grant permission for Home Checks at random both prior to and following adoption. I submit that if a Home Check reveals falsification or misrepresentation of any facts on my part, Indiana Petite Paws Rescue Angels, Inc. reserves the right to either refuse adoption or to nullify the adoption and reclaim said Toy Dog from my premises, without reimbursement of the adoption donation. I release Indiana Petite Paws Rescue Angels, Inc. from any liabilities I may incur from the adoption process.

PLEASE keep a close eye on your email daily as that is our number one means of communication during the adoption application process.  If we do not hear back from you within 24 hours after contacting you, we will move on to the next available applicant.  Thanks so much.

Applicant’s signature:
Date:

Thanks so much for your interest in adopting a rescue from Indiana Petite Paws Rescue Angels, Inc..  Please keep in mind that members of IPPRA are volunteers with jobs and families so processing your application could take 1-2 weeks. 

Please assure all your references are available for our interview to avoid any delays in the process.  If it is meant to be, it IS worth waiting for.  Thank you for your patience. We look forward to hearing from you.  We will be back in touch as soon as humanly possibly.  Feel free to email us with any questions you may have.  petitepawsrescue@hotmail.com