TAPS Pet Adoption Application

We request the following information so that we can assist you in the selection of a new dog. This form and a consultation with a representative of The Animal Protectorates™ TAPS are designed to help you find the dog most compatible with your lifestyle.

To be considered as an adopter, you must:

* Be 21 years of age or older
* Have identification showing your present address
* Have the knowledge and consent of your landlord (if applicable)
* Be able and willing to spend the time and money necessary to provide training, medical treatment and proper care of the dog

The steps to adopt:

Adoption Process

The Animal Protectorates reserves the right to deny any adoption based on answers to this questionnaire and/or interviews prior to adoptions. COMPLETION OF THIS APPLICATION DOES NOT GUARANTEE ADOPTION OF A DOG.

Name*

First NameLast Name

Name of the dog you are interested in:*

MeFamily PetGiftOther

Who will be the pet's primary caregiver?*

Your age:*

Occupation:*

Employer:*

Your Cell Phone:*

Area CodePhone Number

Home Phone:

Area CodePhone Number

E-mail:*

Confirm E-mail:*

YesNo

Spouse or significant other full name:*

Spouse Cell Phone:*

Area CodePhone Number

Occupation:*

Employer:

Work Phone:

Area CodePhone Number

Street Address:*

City, State, Zip:*

YesNo

Street Address:

City, State, Zip:

1st Personal reference name and phone number:*

2nd Personal reference name and phone number:

OwnRentLive with parents/other famiy

YesNo

Number of petsSize or weight restrictionsBreed restrictionsNone

Landlord's name and phone number:

How many adults are in your household?*

How many children are in your household?*

If children, what are their ages?

YesNo

YesNoDon't Know

YesNo

Where do you/they smoke?

YesNo

Height and type of fence:

Please explain the reason for no fenced yard:

Underground fenceOutdoor KennelDog RunOther

YesNo

List the types of pet(s) and ages (if still living):

How many of these pets are/were spayed/neutered?

Where are these animals now?

If you currently have pets how will they adjust to a new dog?

Please provide the name and phone number of your current and/or previous veterinarian or clinic and how long you have been a client:

YesNo

If yes, what group?

YesNo

If yes, what were the circumstances?

YesNo

If yes, what were the circumstances?

What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato)*

YesNo

If the dog has an "accident" in your home, what type of correction do you plan to use?*

How many hours each day will your new pet be home alone?*

What percentage of time will this pet be allowed outside each day(%)?*

YesNo

Is there a fence around the pool?

YesNo

YesNoI don't knowOther

Please explain why you are comfortable with this and how you would prevent a pet from accidentally getting out:

YesNo

Under what circumstance(s) will the dog be tied up?

YesNo

How many stairs are there?

YesNo

Please explain why:

Where will your new dog stay when nobody is home?*

Where will your new dog sleep at night?*

YesNo

What length of time will you allow your new pet to adjust to his new home?*

YesNo

YesNoNot sure

If yes, where?

Please explain methods:

YesNo

What circumstances would lead you to give up your new dog?*

If you had to give up your dog, what would you do with him/her?*

If you go away for a few days, or on a vacation, who will take care of the dog?*

What would you do if your vet bills went over this amount?

YesNoOther

the pet damages/destroys something highly treasured by you, your family or friends?*

you find it necessary to move to another home that does not allow pets?*

you plan to get married?*

you plan to start a family?*

a roommate, spouse/significant other, children, family or friends were suddenly allergic to the pet?*

the pet were to suddenly become destructive, acting strangely, and not be happy in your home anymore, even after many years of living with you?*

you suddenly had life changing circumstances that made it difficult and/or impossible to care for this pet?*

YesNo

How will you be sure you pet will have a home and be provided for?

What is the contact information for your trustee and guardian?

Is there anything else you would like to tell us?*

YesNo

Note: Adoptions are not approved on a first-come, first-served basis, and completing this application does in no way guarantee adoption of any animal. This form is used for screening of potential adopters for pets in our care and as a first step in getting to know you, your home, family members, lifestyle, and your level of experience with pets. We put many hours into rehabilitating and getting to know these pets in order to make them suitable candidates for adoption. Each pet differs from one another in looks, personality, specific needs, health, and prior experiences. It is our job to ensure the pets are properly matched up with homes where their chance at a ‘forever placement’ is greatest and where they will be happiest. Please understand the average dog can live over 10 years, cat into their late teens and early 20’s, and horses into their late 20's and early 30's. Many factors influence a pets lifespan. It is our policy to ensure that each person who adopts a pet is aware of the responsibilities of pet ownership. We have spent time getting to know these animals, and this is our opportunity to get to know you as a potential home and to assist you in selecting a pet that would best suit you and your home environment. You are making a major commitment when you adopt a pet. IF YOU ADOPT AN ANIMAL FROM US YOU UNDERSTAND AND AGREE THAT IF YOU ARE NO LONGER ABLE TO CARE FOR THE ANIMAL THAT YOU WILL CONTACT THE ANIMAL PROTECTORATES PRIOR TO TAKING ANY ACTION AND FAILURE TO DO SO WILL BE DEEMED A BREACH OF THE ADOPTION CONTRACT.

By typing my name in the box below, I certify that I have read and understand all of the questions on this form. I have answered all questions on this form as truthfully as possible. I understand that if I have purposefully answered any of the questions untruthfully, I may be committing a felony and may be prosecuted to the fullest extent of the law and additionally shall return my pet to The Animal Protectorates - TAPS if the adoption was finalized.

I understand that I assume full responsibility for the welfare of this pet from the date of adoption.

YesNo

Type your name here:*

Issuing State of your current Drivers License:*

Today's Date*

Date

Please verify that you are human*

Pet Adoption Application

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information

What would you do with the pet if: