Adoption Application

In order to be considered for an adoption you must:
**Be 21 years of age*
* Have the knowledge and consent of all adults living in your household**Have a valid ID with current address**
Have landlord’s name and telephone number (or lease)
**Understand that Tailwaggers 911 must approve your application**
Please Fill Out everything
**In the SUBJECT LINE, please put ADOPTION APPLICATION and the DOGS NAME you are interested in adopting. Thank you.**


Subject: *
E-mail Address: *
Name (First ,Middle and Last) *
Birthdate *
Age

Spouse/Partner Name
Birthdate *

Street Address *
City *
State *
Zip *
Home Phone *
Cell Phone

1. Is there a specific dog on the website you are interested in	Yes No
1b. If yes, what is the dog’s name?

2. What type of pet are you looking for (check all that apply)?	Male Female Adult Puppy

3. Are you looking for a specific breed?	Yes No
3a. If Yes, what breed?

4. Do you want this pet for?	Companion Protection Breeding Gift Other

5. This pet will be without human companionship for how many hours a Day?

6. Where will you pet be kept (check all that apply) During the Day?	Indoors Outdoors Dog Pen Crate Basement Garage Other
6a. Where will you pet be kept (check all that apply) During the Night?	Indoors Outdoors Dog Pen Crate Basement Garage Other

7. Where do you live?	House Apartment Condo Trailer I Rent I Own Live with parents Other

Renters Information
8. Landlord’s Name?
8a. Landlords Phone?
8b. Does your landlord allow pets?	Yes No
8c. Deposit Required?	Yes No
8d. If Yes, what amount?
8e. Monthly Rent Increase?	Yes No
8f. Yes, what amount?

9. Do you have a fenced yard?	Yes No
9a. If Yes, please describe height and type?

10. Number of Adults in Household?
10a. Number of Children in Household?
10b. Ages?

11. Is anyone in your family allergic to animals?	Yes No

12. What will you do with your pets if you move in the future?

13. How much do you anticipate spending yearly to feed, vaccinate, license and provide medical care for your pet?

14. Would you be willing to allow a representative from the shelter visit your home before the adoption is completed?	Yes No

15. Have you adopted an animal from us before?	Yes No
15a. If Yes, when and what was the animal’s name?

Your Current & Past Pet's Information
Pet 1 Name?
Type/Breed?
Kept Where?
Age?
Gender?	Male Female
Spade/Neutered?	Yes No
Still Own?	Yes No
If No what happened to the Animal?

Pet 2 Name?
Type/Breed?
Kept Where?
Age?
Gender?	Male Female
Spade/Neutered?	Spade Neutered
Still Own?	Yes No
If No what happened to the Animal?

Pet 3 Name?
Type/Breed
Age?
Kept Where?
Gender?	Male Female
Spade/Neutered?	Yes No
Still Own?	Yes No
If No what happened to the Animal?

Pet 4 Name?
Type/Breed?
Kept Where?
Age?
Gender?	Male Female
Spade/Neutered?	Yes No
Still Own?	Yes No
If No What Happened to the Animal?

17. What is the name of the veterinarian clinic your current pets use?
17a. Veterinarian Phone?

18. . Do you realize a dog may live 15 years or more?	Yes No

19. It may take your new pet two or more weeks to adjust to its new home, especially if other pets are involved. Are you prepared to allow this much time?	Yes No

20. How do you plan to house train your dog?

21. Comments?

Signature
Date


* Required