TVCAS Adoption Application

Thank you for filling out this profile. The questions that we ask and the information that you provide helps us make the best match for you and your family.

ADOPTION REQUIREMENTS: REVIEW PRIOR TO APPLYING.

We require an application and adoption contract that outlines ownership expectations. Occasionally we require a home visit as well.
Teton Valley Community Animal Shelter (TVCAS) also requires personal references (preferably not family members) as well as a veterinarian reference. All will be contacted prior to approving an application / adoption.
For homeowners, we require proof of ownership and may validate with county or state records. If you are not listed on government records, we will verify you have permission to have a cat and or the size/breed dogs with the owner of record / Landlord.
All family members living in the household must be present for the meet and greet. All family members must also agree to the adoption terms.
The applicant must be 21 years of age or older.
TVCAS does not reimburse for any cost or expense that you have incurred for the Pet after the adoption process has been completed.
We reserve the right to deny any adoption application.

Additional Expectations:

You will keep your adopted dog on a leash or inside a fence or appropriate containment system any time it is outdoors. We strongly suggest that cats be indoors only due to the large predators in the area.
You will provide proper introduction to other animals in the household or animals met outside the household. TVCAS can provide assistance with this process.
Be willing to spend the time and money necessary to provide training, care, and medical treatment for your pet.
If the adoption is not working out, please contact VDR to make arrangements. Do not take the animal to another shelter, rehome or give it away.
You are responsible for verifying city, county or state laws regarding the keeping of pets, including the legal number of dogs / cats allowed, licensing requirements and whether certain breeds of dog are banned or restricted in your HOA community.

I have read through the adoption requirements and would like to apply to adopt a pet.

Name*

First NameLast Name

Your age

Todays Date*

Date

Email*

example@example.com

Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone number where you can be reached:*

Area CodePhone Number

Current employer and how long with company:*

Tell us which TVCAS pet(s) you're interested in:

What age of pet are you looking for? (select all that apply)*

What gender of pet are you looking for? (select all that apply)*

MaleFemaleEither

Do you want your new pet to be: (select all that apply)*

OutdoorIndoorOutdoor mostlyIndoor mostly

What physical characteristics do you want your new pet to have?

Coat Length: (select all that apply)*

ShortMediumLongNo Preference

Size: (select all that apply)*

SmallMediumLargeNo Preference

Other physical characteristics:

What personality characteristics do you want your new pet to have?

Activity Level: (select all that apply)*

High ActivityMedium ActivityLow ActivityNo Preference

We want our new pet to do the following with us: (select all that apply)*

Characteristics: (select all that apply)*

Other personality characteristics:

Have you adopted an animal(s) from TVCAS before?*

YesNo

If yes, what type of animal(s)? (select all that apply)

CatDog

If yes, what are the animal(s) names?

Have you had animals before?*

YesNo

If yes, what kinds? (select all that apply)

CatDogOther

If yes, what happened to them and what is your experience level of pet ownership?

Do you have any animal(s) currently?*

YesNo

If yes, how many animals do you have now?

If yes, describe your current animals:

	Type	Breed	Age	Gender	How long owned	Where was the pet acquired?	Spayed or neutered?	Vaccinated?	Date next vaccine due:	Comments
1st Animal:
2nd Animal:
3rd Animal:
4th Animal:

Current / past veterinarian information (Vet name, Hospital name, Number):

Personal Reference #1 Name (prefer not a family member)*

First NameLast Name

Personal Reference #1 Phone Number*

Area CodePhone Number

Personal Reference #2 Name (prefer not a family member)*

First NameLast Name

Personal Reference #2 Phone Number*

Area CodePhone Number

Please give us any additional information that will help us find you the right feline / canine companion:

Is your primary residence a:*

HouseApartmentOther

Do you rent or own your primary residence? If you own please provide a copy of the tax bill or mortgage.*

RentOwn

Landlord Name (if renting)

First NameLast Name

Landlord Phone Number (if renting)

Area CodePhone Number

If you rent, does your landlord allow animals?

YesNo

If you rent, are their breed restrictions?

YesNo

If there are breed restrictions, what breeds are not allowed?

Does your home have a dog / cat door?*

YesNoNot currently, but we are considering installing one

Is your yard fenced?*

YesNo

If your yard is fenced, what type of fence?

BlockWoodChain LinkOther

If your yard is fenced, how tall is the fence?

If you do not have a fence will you allow the pet to run loose / not on a leash?*

YesNo

Are you willing to let a TVCAS staff member visit your home?*

YesNo

How many children live in your home?*

What are their ages?

How many adults live in your home?*

Do all members of your household want this pet?*

Is anyone in your home allergic to cats/dogs? (select all that apply)*

CatsDogsNo allergies to cats or dogs

Children visit our home:*

Is this animal a gift?*

YesNo

Are you willing to keep a collar and tag on your new pet?*

YesNo

Are you willing to allow the new pet to adjust to the new home? This will take 2 to 6 weeks.*

YesNo

How many hours per day would your new pet be unattended while your family is at work or school?*

Where will your pet be kept during the day while you are away? (select all that apply)*

InsideOutsideOther

Where will your pet be kept during the night? (select all that apply)*

InsideOutsideOther

Our family's activity level is:*

When you are out of town do you plan to: (select all that apply)*

Under what circumstances would you give this pet up? (select all that apply)*

If other, please explain:

Are you able to provide a permanent home for this pet for 10 to 15 years?*

YesNo

If adopting a dog, are you familiar with crate training?*

YesNoN/A

If yes, will you crate train?

YesNoN/A

If adopting a dog, would you be willing to take your dog to obedience training?*

YesNoN/A

If not how will you train your pet / adjust bad behavior? Please explain:

How much are you willing to spend on your pet on medical expenses per year?*

Do you agree to not give the animal to anyone else without notifying TVCAS?*

YesNo

How did you learn about TVCAS?

If newspaper, event, or other website, please specify:

I acknowledge that all of the information contained in this form is true and correct to the best of my knowledge. I understand that any misrepresentations of fact may result in the removal of the adopted pet from my home by TVCAS*

Date*

Date

Teton Valley Community Animal Shelter Adoption Application

Adoption Consultation Questionnaire

About your new pet

About your home and your family

Signature