Welcome to PPP

Piedmont MO Pound Adopt.

Thank for choosing to adopt. This online adoption form was created to aid the Piedmont MO City Pound to receive and respond to potential adopters on the pets in the pound. The information gathered will be shared with the ACO. The ACO will directly decide and handle the adoption.. Adoption fees are usually $35 and include the required rabies vaccination. Once approved, the ACO will call you to schedule a time to meet and greet. If you prefer to call the pound 1st, please understand that the ACO is not at the pound full time and you must leave a message. Hense, the creation of this form. Thank you.

Contact Information

First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Email*

Home Phone*

Work Phone
x

Cell Phone

Alt Email

Text/Pager Email

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Applicants Date of Birth?*

I understand and agree that this application is not a guarantee for adoption of the pet. Applications for each animal will be reviewed and the pet will be placed in the best forever home based on the pet's needs. I must be 21 years old to adopt an animal from Piedmont Pound Paws. I certify that all answers on this application are true and correct. I understand that the adoption donation is Non-refundable. Please type your initials below:*

Which pound pet are you intested in?

Are there children presently living in the home?*

Yes

If there are children in the home, what are their ages?

Do you presently own any pets?*

If you currently own pets, are they up to date on vaccines?*

Is this pet spayed/neutered?*

Please provide the Name, Address and Telephone Number for your Veterinarian Office and please notifiy them that we will be asking for a reference from them for adoption approval.*

Which do you live in?

Is your yard fenced.*

If you have no fence, what is your plan to keep your pets safe from running off, getting lost, getting stolen, getting hit by a car, getting shot, or getting in other trouble?*

I hereby understand and agree to care for the pet listed on my application in a humane and responsible manner and to provide it with clean and adequate shelter, food, water and veterinary care. I further agree that said pet shall reside inside my home and shall not be allowed to roam freely, nor will this animal ever be kept on a chain, unattended, for more than 30 minutes. I understand that hitting my dog to correct it is NOT an acceptable form of training or punishment. I will seek training to deal with behavior problems. Please initial and date:*

Where will you keep this pet when you are not home?*

What would you do with your pet if you were forced to move?*

I certify that the information entered on this application is true. Enter your name and date.*

Applicant Signature and Date:*

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