EmailMe Form - Adoption Application

Adoption Application

In order to be considered for an adoption, you must; be at least 21 years of age, have the consent of all adults in the household, have a valid ID with your current address, landlord’s name and phone number or copy of your lease if renting. Completion of this application is authorization for TSDP and / or HART to confirm any information contained within and to do a background check for any animal abuse or neglect history. Completion of this application does not constitute any agreement for adoption, nor does it mandate you to adopt. This is only a screening process used to determine if you are eligible to move to the next level of adoption. If you are approved for adoption you will complete the adoption contract. TSDP and HART do not refund adoption fees under any circumstances, so please keep this in mind as well before applying. Taking on the responsibility of a living, breathing, feeling being is a very serious commitment and we want to ensure that all adopters are fully able and ready to take on the obligation. ****PLEASE NOTE: ENTIRE APPLICATION MUST BE COMPLETED. FAILURE TO COMPLETE ANY PORTION MAY RESULT IN YOUR APPLICATION BEING DENIED OR DELAYED****

Name
Age
Street Address
City / State / Zip Code
Home phone
Work phone
Cell phone
Other contact phone
Email address
What pet are you interested in? If no specific pet, please describe the ideal pet for your family, ie., age, species / breed, activity level, etc.
Describe the pet's housing: indoor with own crate and furniture privileges, outdoor with fenced yard and dog house, etc.
Where do you live?
Single family home
Town home
Apartment
Other
Do you rent or own? If you own, skip to the next section.
If renting, landlord's name and phone.
State pet deposit and monthly rent increase.
Do you have a fenced yard? If so, please describe, ie. chain link four foot high, wood privacy six feet high, etc.
If you do not have a fence, please state how you will exercise the pet, ie. daily walks on a leash, treadmill, etc.
List the name, age and relation of each person in the house.
Is anyone in your family allergic to pets?
If something changes in your life and you were not able to keep this pet, what would you do?
If you have adopted from us before, please give the date and pet's name.
Please list each pet you own and have owned for the last five years in the following format: Name, species and breed, age, if the pet is spayed or neutered, if the pet is up to date with vaccines, and the name of the veterinarian that has seen that pet.
Your current or last vet's name and phone number.
Previous vet's name and phone if you've used another in the last five years.
Please list any other information you think may be relevant to the adoption of this pet.
By entering your name you are stating all information is true and accurate. Any information found to be inaccurate will result in all pending and future applications to be denied. This application is authorization for TSDP and / or HART to investigate all information contained within. This application will remain property of the rescue.

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