Tails of Hope Animal Rescue
P.O. Box 182, Ross, Ohio 45061
tailsofhope@live.com
TAILS OF HOPE ANIMAL RESCUE APPLICATION
Name of animal you are interested in:
We try to assure that all of our animals are adopted in a responsible manner by attempting to match our animals with the most appropriate, loving and stable homes possible. Please help us to help our animals by answering the following questions. If you have any questions about this adoption application, please do not hesitate to contact us. Please print all of your information and THANK YOU for taking the time to answer these questions.
Name:
DOB:
Address:
City:
State:
Zip Code:
Home phone:
Alternate phone:
Email address:
Employer:
Work #:
Who is your vet:
Vet #:
Do you live in a (please select one):
House
Apartment
Trailer
Condo
Do you (please select one):
Own
Rent
If you rent, are pets allowed in your rental agreement:
If you rent, who is your landlord:
what is his/her phone number:
Do any family members have allergies to dogs or cats?
Are all members of your family in favor of adopting a dog?
Do all the members of your household understand that it might take a few days or weeks for a new dog to get accustomed to it.s new home?
Yes
No
Are there any children living in or frequently visiting your home?
If yes, how many and what are their ages?
Are you a first time dog owner?
Yes
No
If no, do you have any pets at home now and if so please list them all and describe them by breed, gender and age (are they spayed or neutered):
If you do not have any pets at home now but have had pets in the past, please list the pets, how long you had them and what were the circumstances that you no longer have them now.
Do you know that dogs need yearly vaccinations?
Yes
No
Would you be able to tolerate a few accidents in the house while your pet adjusts to it.s new home?
Yes
No
What kind of solutions would you be willing to try if house-training accidents continue after the first week?
What kind of dog are you looking for?
Male
Female
No Preference
What role would you want your new dog to play in your life?:
Companion
Family Pet
Hunting/Breeding
Protection
Other
Under what circumstances would you return the dog to rescue:
How long do you plan to provide a home for this dog:
If you had to move somewhere where pets were not allowed what would you do?:
Where will the dog live?
Indoors
Outdoors
Both Indoor & Outdoors
In a Kennel
In a fenced yard
Tied up outside
Running free
Do you have a fenced yard?:
Yes
No
If yes, please describe fence:
How would you classify your home?
Quiet & Calm
Very Active
Who will be primarily responsible for the care of the dog?
Who will care for the dog when you are out of town?
How many hours a day generally will your dog be without human companionship?
Where will you leave your dog when no one is home?
How long have you been looking for a new pet?
Please list two references (name & phone number):
The foster care providers for the animals try their best to judge the temperament and behavior of the animals in their care and will disclose all known information to prospective adopters. However, there is no guarantee how the animals will behave in a new home setting.
Keeping this in mind, would you be willing to make reasonable measures to assure the success of the adoption? ie: making improvements on a fence if a dog escapes, taking dog to obedience classes to improve manners, giving reasonable adjustment time for the new pet, family members and companion pets already in household?
Yes
No
**By signing below, I certify that the information provided above is true and correct to the best of my knowledge. I understand by completely this application, I will not automatically be allowed to adopt with Tails of Hope Animal Rescue. Lastly, I understand that if I have given any false information that is application will be automatically declined.
Signature:
Date: