ADOPTION APPLICATION Dog of Interest: * Date * MM DD YYYY Email * Name * First Name Last Name Age of Applicant * 21-30 30+ Senior Name of Spouse/Partner First Name Last Name Age of Spouse/Partner 21-30 30+ Senoir Phone * (###) ### #### Other Phone (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Place of Employment Occupation Address Spouse (other)Employment Occupation Address Ages of children, if any/Other occupants in the Home Type of Dwelling: * House Condo/Townhouse Apt House/Apt/Townhouse Sqft * Own/Rent Own Rent Do you have landlord’s or HOA permission to have a dog? Yes No Landlord/HOA Name Landlord/HOA Phone Number (###) ### #### Why do you want this dog? * Companion for you For your children For your other Pet Other Does anyone in household have allergies? * Yes No If yes, explain Have your ever owned a dog as an adult? Yes No Have you ever breed dogs Yes No If yes, which breed(s) Other dogs in household (gender, age, breed) Do you have cats? * Yes No How many? Cats Indoor Only Indoor/Outdoor Outdoor Only Have they been with dogs before? Yes No My cats are Kittens Young adults Adults Seniors Other pets (rabbits, ferrets, reptiles, etc.) Are your pets spayed/neutered? Yes No Up to date on shots? Yes No Who will be the primary caretaker? How many hours/day will the dog be alone? Where? Inside Outside Both What indoor space is available to the dog? Indoor space is: Carpet Hardwood Natural Stone Tile Other Where will the dog sleep at night? Outside Dog House Garage Laundry Rm Kitchen Master Bdrm Child’s Rm Bathrm Crate Other (explain) What outside areas are available to the dog? Fenced Yard Patio: Enclosed Open Garage Balcony Dog House Unfenced Common Area Other Do you or will you have a doggie door? Yes No Type of Fencing? Link Wood Iron Block Wall Other Height of Fence: Highest point Lowest point Have you recently inspected your fence and is it secure, without holes, gaps, or low points? Yes No If NO, and your application is accepted, do you agree to thoroughly inspect your fence and make any necessary repairs before placement. Yes No Are there gates? How many? How high? Is there any type of lock on the gate(s)? Padlock Key/Bolt Latch Other If no locks, would you be willing to install them prior to placement? Yes No Does your home have a pool Yes No If yes, is it fenced & gated? Yes No Who has access to your yard? Gardner Pool man Housekeeper Meter Reader Neighbor Other Where would your dog be, when this occurs? Preferred level of exercise with dog? Hike/jog Vigorous walks Short walks Dog Park Doggie Day Care None, large property If you travel, How much? Travel Business Pleasure Both Who will care for the dog when you travel? (Friend, Relative, Dog Sitter, Vet Boarding, Cage Free Boarding, etc.) Do you have a regular Vet? Yes No Clinic? If No, would you like a Vet Referral in your area? Yes No Do you know the location of the nearest Emergency Vet Clinic ? Yes No Under what circumstances would you make a decision to euthanize? What do you feed your dog now? Kibble Canned Food Brand Would you adopt a dog that required a special diet? Yes No Who will groom & bathe your dog? If you are interested in a dog that needs professional clipping, please consider the cost of professional grooming. Would you allow your dog to have a permanent Tails of the City Microchip Yes No How would you rate your level of dog experience: First time owner First time owner Beginner Intermediate Advanced Other How would you discipline your dog if he or she misbehaved? How would you train this dog? Firm verbal commands Clicker/hand signals Private Trainer Other How would you normally walk this dog? On leash Trained off-leash When on-leash I would use: Collar only Choke chain Prong Collar Harness Sporn Gentle Leader Martingale How will you continue to socialize this dog with other dogs? Under what circumstances would you give up your dog? Biting Behavior Destructive Chewing Marking Behavior Shedding Allergies Housebreaking Problems Aggressive Behavior on Leash Poor Watch Dog Growling at Guests Financial Problems Excessive Vet Bills New partner doesn’t like Dogs New Baby Insurance Company Exclusion Allergies What would happen to your dog if you moved? Locally/Out of the area Have you ever given a pet away? If so, please explain Pets are an investment of your time & money. Can you afford to provide ongoing medical care when necessary, training if necessary, and a proper diet? Yes No Are you able to make a long-term commitment to care for your pet for its entire life span, which could be as much as 10 to 20 years? Yes No Please list pets you have owned as an adult: Animal/Breed/Length of ownership/What happened Anything else you would like to tell us? Please read each statement and initial appropriately below: I understand that a home visit is required, and does not guarantee placement. * I am able to make atleast a $350 tax-deductible donation to Tails of the City Animal Rescue * Your donation is the only way we can continue our work helping dogs in need. We are an all-volunteer, 501(c)(3), organization and 100% of your donation goes towards rescue, medical and boarding costs. We were able to rescue the dog you are applying for thanks to someone else’s donation. I understand that I must provide my own collar, leash, harness, prong collar or other recommended correction training tools, and 2 personal ID tags at the time of completing the adoption contract. If I do not already have these items available, they must be purchased before placement. * Tails of the City reserves the right to refuse adoption to any applicant for any reason. Should this adoption go forward, this application will be incorporated into the contract by reference. Signature * Date 1 * MM DD YYYY Thank you!
