Adoption Application

We require potential adopters to complete this adoption application. If the question does not apply, please put N/A.

We will be in touch after your application has been received and reviewed.

Name of animal you are applying for:

Why do you want to adopt this dog?

Applicant Name:

First Name

Last Name

Date of Birth:

Street Address:

City, State, Zip:

Email Address:

Home Phone:

(###)

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Cell Phone:

(###)

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What is your occupation?

How long have you been at your current job?

Who shares your household?

If more than one option exists, please write in box below.

If you have children, what are their ages?

If your present relationship were to change, with whom will the dog remain?

At what age do you feel children are responsible enough to care for a dog without assistance?

(i.e. walk, feed, scoop, etc.)

Does anyone in your household have allergies to animals?

Please select one.

If Yes, how will this be managed?

Are you planning on moving in the next 12 months?

If so, where?

What type of home do you live in?

If other, please explain:

Do you rent or own?

If you rent, do you have written permission to have animals in your home?

If you rent, please provide your landlord's name and phone number.

Landlord's name and phone number

If you rent, do you share your yard with any other tenants?

Please select one.

Do you have a completely fenced yard?

What type of fence?

If other, please explain in box below.

What is the height of your fence (at the lowest point)?

Do you have a doggy door?

Do you have a gardener, house keeper or pool cleaner?

If yes, where will the dog be while they are working?

Do you trust the workers will not to let the dog out?

Explain in box below.

Do you have a pool?

If yes, is there a pool fence? Describe.

Do you have any poisons (rat, mouse, or snail bait) where the animal will be kept?

Is someone home during the day?

If yes, who?

How many hours will the dog be alone during the day?

If you work full time away from home, what are your plans for the dog during that time away?

Which rooms, if any, are off limits to dogs?

Will the dog be allowed on the furniture?

What exercise method and how often?

Where will the dog be kept during the day?

Where will the dog sleep at night?

When you go on vacation, who will care for the dog?

If more than one option, write in box below.

Who will be responsible for feeding your dog?

Would this be your first pet?

Do you currently have any pets?

If yes, please provide information below:

Current Pet 1: Type of Pet (Dog, cat, bird, etc.)

Breed:

Age:

Gender:

Neutered/Spayed:

Current on Vaccinations:

How do you feel this pet will adjust to a new animal?

Current Pet 2: Type of Pet (Dog, cat, bird, etc.)

Breed:

Age:

Gender:

Neutered/Spayed:

Current on Vaccinations:

How do you feel this pet will adjust to a new animal?

Which of the following would force you to give up your animals?

Please list all that apply in box below.

Do you currently have a veterinarian?

If yes, please provide name below.

Veterinarian's name:

First Name

Last Name

Veterinarian's phone number:

(###)

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Are you prepared to cover any vet expenses you pet may incur throughout it's lifetime?

Is there a limit?

How much is too much?

Would you consider euthanizing your pet because of medical costs?

What do you think is the best way to keep your animal's teeth clean?

List all that apply in box below.

Which of the following would you use for flea control

List all that apply in box below.

What behavior would not be acceptable to you?

What method of discipline will you use if your dog chews up your favorite shoes?

List all that apply in box below.

If necessary, would you be willing to hire a trainer or take your dog to obedience classes?

In which of the following situations would you allow your dog off leash?

List all that apply in box below.

If you become ill or die, what plans will you make for the care of your pet?

Are you willing to have a representative from Tazzy Animal Rescue Fund come to see where the pet will be living?

If no, why?

How did you hear about Tazzy Animal Rescue Fund?

Have you applied to adopt an animal from us in the past?

Have you applied to adopt an animal from another rescue group?

If so, what happened?

Would you like to be added to our mailing list?

Do you have any comments or additional information that you feel is necessary in consideration for adopting this dog?

I understand that filling out this application does not guarantee the adoption from Tazzy Animal Rescue Fund. I certify that all of the above information is honest and true.