Adoption Application – Online Form Adoption Application Due to Massachusetts State Regulations we are unable to adopt to residents of Massachusetts at this time. We apologize for any inconvenience.How did you learn about Peppertree?Adoption Applicant(s)Name* First Last Home Phone*Work/Mobile PhoneEmail* EmployerPositionAdditional Applicant?NoYesName* First Last Home PhoneWork/Mobile PhoneEmail EmployerPosition# of Adults in home:Specific ages of adults:Any children in home?YesNo# of Children in home:Specific ages of children:Do small children, under 8, visit frequently:YesNo ResidenceAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Type of setting:CitySuburbCountryOtherType of residence:HouseTownhouseApartmentDuplexOtherOwn or rent:OwnRentLandlord's NameLandlord's PhoneDo you have a fenced yard:NoYesFence Type:Chain Link/PrivacyPicketInvisibleOtherIf "Other", please explain briefly:Height (lowest point):4 ft.5 ft.6 ft. +Care and Maintenance# of hours dog will be alone (longest):Are you willing to crate your dog in the beginning (if needed)?YesNoWhere will the dog be when you are not home during the day?At night?Have you ever participated in obedience training with a dog?YesNoDo you plan on training with this dog?YesNoIf neededReferencesReference #1 Name Reference #1 PhoneReference #2 Name Reference #2 PhoneVeterinarian we should call for a reference:*PhoneYou must contact your vet and give permission to release records to Peppertree before your application can be considered.Family PetsDo you currently have any other pets?YesNoPlease select all types of pets you currently have: Dogs Cats Small Animals Other If "Small Animals" or "Other", please briefly explain:*please note we require resident cats and/or dogs to be altered or that you provide a veterinary waiver as to why pet has not been alteredCurrent Pets (max 10)NameType of AnimalBreedAgeSexSpayed or Neutered?Characteristics Have you had any pets in the last 10 years (not including current pets)?YesNoPast Pets (max 5)NameType of AnimalBreedAgeSpayed or Neutered?Where Are They Now? Dog PreferencesAre you interested in specific dog(s) on the Peppertree website?YesNoDog you are interested inActivity level you want:HighModerateLowBreeds you like:GenderNo PreferenceMaleFemaleMust your dog be purebred?YesNoAge preference (check all that apply): Puppy Young (6mos-2yrs) Adult (2-7yrs) Senior (7+yrs) Size preference (check all that apply): Toy Small Medium Large Giant If specific request:Check if you want a dog who is good with... Children Other dogs Cats Other traits/characteristics that are important to you:Any additional information or comments:May we share your application with other rescues that may have a dog that fits your preference?YesNoA donation of $5.00 to help with processing and phone costs would be greatly appreciated. Please send a check or donate via PayPal. The adoption fee is $250 for most puppies and dogs. Different fees may apply in exceptional circumstances such as medical problems or extreme age. Adopter will pay for spay/neuter of a dog less than 6 months old. BY CLICKING SUBMIT, I ACKNOWLEDGE THAT ALL THE INFORMATION CONTAINED IN THIS FORM IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT ANY MISREPRESENTATIONS OF FACT MAY RESULT IN THE REMOVAL OF THE ADOPTED DOG FROM MY HOME BY PEPPERTREE. I GIVE PEPPERTREE RESCUE, INC. MY CONSENT TO BE CONTACTED IN REGARDS TO AVAILABLE DOGS INCLUDING THE ADOPTION EVENT ANNOUNCEMENTS, WHICH I MAY OPT OUT OF AT ANY TIME.CommentsThis field is for validation purposes and should be left unchanged.