adoptions



		P.R.E.A.R.
			118 Crystal Creek Dr, Ligonier, PA 15658 Phone: 215-852-1641 Fax: 724-238-7425 E-mail: [email protected]


Adoptions Application: Please print and either mail or fax to P.R.E.A.R. DO NOT E-MAIL DUE TO OVERWHELMING AMOUNT THAT WE RECIEVE AT A TIME. THANK YOU

	Name:______________________________________________________ Address:____________________________________________________ City:_________________ State:________________ Zip:____________ Phone: Home:_________________________ Cell:___________________________ Work:__________________________ E-Mail:______________________________________________________ Age:_________ D.O.B.:_______________________ Current Employment Status:_________________________________ What Do You Do?:__________________________________________ What Type Of Animal Are You Looking To Adopt? (Be Specific) _________________________________________________________________ Do You Have The Time / Finacial Ability To Care For This Animal? Y / N Briefly Explain What You Think Is Needed To Properly Care For This Animal:_________________________________________________________ ________________________________________________________________ ________________________________________________________________ Inform Us Of A Few Things You Know About This Animal:____________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ Do You Know Of A Vet Qualified To Work On This Animal? If So Who? _______________________________________________________________ Do You Have Any Other Pets? What Kinds?_________________________ _______________________________________________________________ _______________________________________________________________ Are You Looking To Adopt Or Foster?_____________________________ There May Be An Adoption Fee Required For This Animal. Do You Have The Ability To Do SO?___________________ There May Be A Permit Required For This Animal. Do You Have The Ability To Get One?_______________________ Please Give 3 References: Name:_____________________________ Number:_____________________ Name:_____________________________Number:______________________ Name:_____________________________Number:______________________ Signature:_______________________________ Date:____________________________________ MAIL TO : P.R.E.A.R. c/o KRIS SULLIVAN 118 CRYSTAL CREEK DR., LIGONIER, PA 15658 FAX TO: 724-238-7425 FORM 1087-B

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