PPAR is Illinois Department of Agriculture Licensed (# 12619)
and designated as a "no-kill" Animal Rescue.
Pocket Pets Animal Rescue
Online Adoption Questionairre
Please fill out the following questionnaire completely
Only fully completed questionarres will be considered.
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Name:
Address:
Adoption Information
Zip Code:
City: State:
The Adoption Process
E-mail:
Adoption Policies
Adoption Contract
Other Phone:
Home Phone:
Adoption Questionnaire
I can be contacted by:
Sugar Glider Questionnaire
Home Phone
Other Phone
E-mail
Surrenderring Your Pet
Will the animal be living at the address listed above? (If no, please list ALL other addresses the animal may reside.)
Pet Surrender Application
Pet Surrender Contract
An option to shelter placement:
There's No Place Like Home"
Placement Program
Please tell us about the animal you are looking for:
Helping Shelter Animals
Volunteering at PPAR
What kind of animal are you interested in adopting?
Becoming A Member
Sponsoring an Animal
Donating Goods an Services
Species:
Age:
Sex:
PPAR Management
Constitution and Bylaws
Color/Markings:
Board of Directors
Spayed/Neutered:
Important Links Yes No Don't Care
Adoption Events
What experience do you have raising this kind of animal?
Animal Care
Sugar Glider Care
Chinchilla Care
Hedgehog Care
Ferret Care
Please describe the food you will be providing, along with the feeding schedule.
Hamster Care
Degu Care
Rat Care
Mouse Care
Aquatic Turtle Care
Green Iguana Care
Please describe the type of enclosure you will be providing, along with dimentions, room temperature, bedding, cage materials, toys, cleaning schedule, etc...
Ball Python Care
Tegu Care
Please tell us where and when you plan to handle/socialize your pet:
Who will be responsible for the primary care of your pet?
Do you have a Veterinarian who specializes in these animals? (Please give Clinic name, Vet's name, address, phone number and other contact info)
Please tell us about the other pets in your home: (Please give breed, ages, and any health problems they may have.)
Who will care for your pet if you are unable to do so because of travel, illness, etc...?
Do you have the required licensure for this animal?
No
Yes
Does Not Apply
Please describe your work and social commitments and how you plan to balance this with the care of your pet:
Who else lives in your home? (Please give names, ages, any health concerns and any other relivant info.)
Does anyone in the residence smoke?
Yes No
Have you or any members in your home ever been convicted of a crime involving animal abuse/neglect, violence or neglect towards other persons, or any other violent crime? (If so, please give details.)
Yes No
Are you or anyone in your household ever been a breeder of any animal? (If yes, give details)
Yes
No
Please note that by submitting this form you are agreeing that the anwsers you have given are true and accurate. Failure to anwser these questions honestly constitutes a violation of the Pocket Pets Animal Rescue adoption contract. Any violations of the adoption contract may include removal of the animal from your home and any and all fees necessary for the return of the animal to Pocket Pets Animal Rescue.

Please note that all applicants must sign an adoption contract and MUST agree to have their home inspected by a duly authorized representative of Pocket Pets Animal Rescue BEFORE adoption of any animal.The final decision to allow an animal to be released for adoption will be at the discression of Pocket Pets Animal Rescue and adoptions may be refused if we suspect the home is innapropriate for our animals.
state name here
I,
,have read and anwsered this questionaire honestly and to the best
of my ability. I understand that by submitting this questionaire I have read and fully understand the adoptionpolicies of Pocket Pets Animal Rescue and it's representatives. I also understand that by filling out this questionaire I am not guaranteed the adoption of the animal I have posed interest in and that Pocket Pets Animal Rescue may refuse adoption of any animal in their program.
Persons wishing to adopt sugar gliders please fill our the Sugar Glider Questionaire HERE
POCKET PETS ANIMAL RESCUE
102 N Lincoln
Thomasboro, IL 61878

(217) 643-2236
(Mon-Sat 10 am-6pm)
[email protected]
Contact us Online
ICQ: 344048538
Yahoo: [email protected]
AIM: PocketPetsRescue
MSN: [email protected]
HOURS BY APPOINTMENT ONLY
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