EmailMe Form - Adoption Application for Tanner's P.A.W.S.

Name of the dog(s) you are interested in adopting (If your are interested in meeting more than one, please list them all): *

If a dog from the NYC ACC/New Hope, you MUST include the A# of the dog (Please put "NA" if this is not a NYC ACC/New Hope application) *

Adopter(s) Name *

First Last

Phone Number *

### - ### - ####

Email *

Physical Living Address (Where the pet will reside) *

Street Address City State / Province / Region Postal / Zip Code Country / Region

Do you rent or own? If renting, have you received permission to have a pet(s)? (Please answer both questions in each column) *

Rent

Yes

Own

No

If renting, what is your landlord's name?

First Last

Landlord's number

### - ### - ####

Where will your pet go if you move? *

Employer: *

Please list names and ages of ALL family members residing in your household (including yourself) *

Please list names AND ages of ALL frequent guests or visitors. This could include grandchildren, step-children, neighbors, etc. *

Is anyone in your home allergic to animals or have asthma? *

Yes

No

Did your entire family agree on the adoption of this pet? *

Yes

No

Has anyone in your household ever been convicted of animal cruelty/neglect/abandonment? *

Yes

No

Have you ever had to give a pet up? *

No

Yes (If yes, you MUST explain)

Do you have a fenced in yard? (Please check fencing prior to bringing pet home) *

Yes

No

How many hours a day will your pet be home alone *

Where will your pet be kept during that time? *

Where will your pet sleep at night? *

What kind of food will you feed your new pet? *

Which of the following animals do you currently own (check all that apply): *

None

Dog(s)

Cat(s)

Other

How many pets do you currently own? *

Please list the following for all animals CURRENTLY owned in the following format: Name, breed, age, sex, and where they are kept (inside/outside/both). Please put "NA" if you do not currently own any animals. *

Are ALL animals spayed or neutered? *

Yes

No

I do not currently own any animals

If they are not all spayed or neutered please tell us why they aren't. If ALL are spayed/neutered, please write "All pets are altered" *

We REQUIRE ALL animals residing in your home to be up-to-date on their rabies vaccination. Are ALL animals residing in your home up-to-date on their rabies vaccination? *

Yes

No

No, but we have a scheduled appointment

I do not currently own any animals

How many pets have you owned in the past 10 years? *

Please list all of the animals you have owned in the past 10 years (not including current pets) in the following format: Name, breed, age, sex, and what happened to them. If you have not owned any pets in the past 10 years, please put "NA". *

It may take your new pet a few weeks to a few months to adjust to its new home, especially if other pets are involved. Are you prepared to allow this much time? *

Yes

No

Do you realize that your pet may not be house trained? And are you willing to house train your new pet? *

Yes

No

Do you realize that your pet may live 15 or more years? Are you willing to commit to this pet for the rest of it's life? *

Yes

No

What steps will you take if your dog does not get along with your other pets or family members or does not adjust well to your home? *

What makes you the best applicant for this dog? *

What kind of dog will fit your lifestyle? Active, calm, good with other animals, good with children, etc. Please explain your lifestyle in the most detail you can *

How much do you plan on spending yearly to vaccinate, license, feed and provide medical care for your pet? *

$ Dollars . Cents

You MUST contact your veterinarian PRIOR to submitting this form to allow them to release information to Tanner's P.A.W.S.. If your vet is not open at the time of submission, please contact them first thing when they open to delay processing your application. Failure to comply may deny your application. Please list the name of your veterinarian below: *

Phone number of Veterinarian *

### - ### - ####

Confirm

### - ### - ####

If any pets are listed at the vet under any other names, other than applicant, please list their name and relationship to you. *

Personal Reference:
Name, relationship, AND phone number (Failure to provide name and phone number may deny your application) *

Terms and Conditions

I certify that information contained in this application is true and complete. I understand that false information may result in nullifying this application. I authorize investigation of all statements on this application. Furthermore, I understand that Tanner's P.A.W.S. is an ALL volunteer organization and applications will be reviewed as quickly as possible. WE WILL MAKE EVERY ATTEMPT TO RESPOND TO ALL APPLICATIONS AS TIME PERMITS. For further inquires, please email: TPadoptions@hotmail.com. I understand that if my home is not chosen, it is not necessarily because my application has been denied but that another home has been more fit for the dog.

My typed initials represent my signature.

By typing your initials below, you are agreeing to the terms and conditions in this application. *

Date *

MM / DD / YYYY