adoption form

ThumpingTails Animal Rescue

ADOPTION FORM
To begin the process of adoption, please fill out this brief form. While completion of application does not guarantee an adoption, it does help us match the right pet with the right family. We will contact you promptly regarding your submission. Thank you!
Today's Date:
*YOU & YOUR FAMILY*
Name of Applicant:
Occupation:
Name of Spouse:
Occupation:
Street Address:
City:
State:
Zip:
E-Mail Address :
Work Phone:
Home Phone:
Cell Phone:
Do you have children?	Yes No
If so, number and ages:
*PET(S) YOU WANT*
Name of pet(s) you are interested in:
Describe your preference (male/female, age, breed):
Who is the pet for?
Are you looking for an inside or outside pet?
*YOUR HOME*
Do you live in a:	House
	Apartment
	Condo
	Townhouse
	Other
Do you rent?	Yes No
If so, do you have your landlord's permission to have a pet? Are there any weight restrictions for the pet?
May we contact the landlord to verify?	Yes No
Landlord Name :
Landlord Phone:
Please describe your yard in detail (size, grass vs. concrete, fencing or walls, secure gate and locks, etc.)
Please describe your yard boundaries (fence or wall height, material, space between vertical posts, etc.)
Do you have a pool?	Yes No
Is it securely fenced off from yard?	Yes No
LIVING WITH A PET
Where will the pet stay during the day?(specify)
Where will the pet stay at night?(specify)
How many hours and where will the pet be exercised?
How many hours and where will the pet be left home alone?
OTHER PETS
Do you have other pets?	Yes No
Please describe your other pets:
Are your current pets neutered?	Yes No
What other pets have you had in the past?
What happened to your prior pets?
PROFESSIONAL HELP
Do you currently have a veterinarian?	Yes No
If so, who is it?
Would you be willing to call in a trainer if a problem develop that you were unable to handle on your own?	Yes No
Who will take care of the dog when you travel?
What would cause you to give up your pet and what would you then do with he/she?
Other information you deem pertinent to your application
By clicking the submit button below, I agree that the above information I have provided is accurate, and I agree to allow ThumpingTails Animal Rescue staff members to verify this information. The ThumpingTails Animal Rescue organization reserves the right to refuse adoption to any applicant. This application will become part of the adoption contract.