Texas Little Cuties Rescue
Plano, TX 75074
Email: txlittlecuties@yahoo.com

Texas Little Cuties Rescue Application

Name:
Email Address:
Pet interested in adopting:
Date of Birth
Address:
City:
State:
Zip Code:
Home #:
Cell #:
Work #:
Name(s) & relationship(s) of other adults in household:
Name(s) & age(s) of children in household:
How many times have you applied for adoption in the past year?
What was the outcome of the application & why?
Why are you interested in adopting a pet?
What characteristics are most important to you in a pet?
Do any family memebers have allergies to hair, dust, or dander?	Yes No
Are ALL family members in agreement about the adoption of a pet?	Yes No
Will this pet primarily be kept:	Indoors Outdoors
When outdoors, will the pet be:	tied/chained free to roam
Where will this pet be kept during the day?
How many hours at a time will this pet be left alone?
Who will care for this animal when you are out of town?	Take pet with us Relative Boarding @ Daycare Boarding @ Vet Friends Home sitter
Where will pet sleep at night?
Do you own a truck or Jeep?
If yes, where in this vehicle will your pet ride?
What type of area is your home located in?	Suburban Urban Rural
Do you own or rent?	Own Rent
If renting, are you allowed to have pets?	Yes No
Is there a pet limit & weight limit? If yes, what is it?
Property Name:
Property Manager's Name & Number
Pet Deposit Fee Amount:
Do you have a secure, fenced-in yard?	Yes No
What type of fence do you have?	NA Wood Wrought Iron Vinyl Chain Other
How tall is your fence?
If no fence, how do you plan to exercise your pet?
Do you have a pool?	Yes No
If yes, is it protected?	Yes No
What is your family's activity level?	Athletic Moderate Medium Low
Are you prepared for the financial responsibility of owning a pet:	Yes No
Do you have any current pets?	Yes No
If so,please list their Name(s), Type of Pet, Breed, Sex, & Age
Are they all spayed or neutered?	Yes No N/A
Are they current on shots?	Yes No N/A
Are they all on Heartworm preventative?	Yes No N/A
If on Heart worm preventative, what Brand do you use?
Are you familiar with heart worm disease?	Yes No
Other than your current pets, please list your previous pets during the last 10 years. Name(s), Type of Pet, Breed, Sex, Reason they are no longer with you, spayed or neutered?
Have you ever given up an animal for adoption or gotten rid of an animal?	Yes No
If yes, please state the reason and what you did with the animal.
Please list your current veterinarian and their phone number.
Do you give TLC permission to contact your veterinarian?	Yes No
If adopting a pet that is not yet housetrained, do you realize that you'll be responsible for housetraining him/her?	Yes No
Have you house trained a dog before?	Yes No
Are you familiar with crate-training?	Yes No
Would you use it?	Yes No
What will you do if you animal chews furniture or displays destructive behavior?
Do you plan to take your pet to obedience training?	Yes No
Do you have a set limit as to how much you will spend on your pet to save his or her life?	Yes No
What would be your limit to spend?
Any comments you would like to add?

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