Tzus and Mews Adoption Application

Are you applying for a particular pup or cat? If so, who? Why are you interested in this specific animal?*

Name:*

Email:*

Facebook Profile Name:*

Referred by*

Home Address (ex: 123 Main St. Anytown, PA 54645)*

Home Phone Number/Cell Phone Number*

Date of Birth*

Date

Marital Status*

SingleMarriedDivorcedWidowed

Occupation*

Employer Name and Number*

Occupation of Spouse/Partner*

Are you looking for a dog or cat?*

dogcat

What age?*

YoungAdultSeniorPuppy/Kitten

What gender are you looking for?*

MaleFemale

Are you interested in a bonded pair?*

YesNo

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Are you interested in an animal with special needs? Special needs can be as simple as a need for daily eye drops, or as complex as blood sugar testing and daily insulin injections. A special needs animal may be missing a limb or an eye, be on a prescription diet, or on medication for thyroid or cardiac issues, and still be completely functional; able to receive and give unconditional love.*

YesNo

Are you willing to accept a pet with behavioral problems who may need special training? A pet with behavior issues may have been so abused that he has serious trust issues and exhibits defensive behavior. He may have been left alone for long periods of time and now becomes anxious when his person is absent. He may have been starving and is protective of his food. We are extremely careful to place pets with behavior issues into experienced homes, with families or individuals prepared to deal with them. We are always here for support and advice. Together we hope to help these special animals overcome their histories and become loving pets.

YesNo

What are you looking for in a dog/cat?*

What do you like most about dogs/cats?*

What do you like least about dogs/cats?*

Who will be the primary care giver?*

Type of residence*

How long have you lived at your current residence?*

Do you rent or own?*

RentOwn

Do you plan to relocate in the next 2 years*

Are you allowed to have pets in your home?*

Condo Association/Landlord's Name, Address and Phone Number*

Please list everyone living in the home and their ages (including pets).*

Have you or anyone living in your home been charged with a misdemeanor or felony?*

YesNo

Is anyone in the home allergic to the species you are applying for?*

YesNo

Do you have children under 8 years old? Frequent visitors under 8 (grandchildren)?*

YesNo

Do you have a backyard?*

YesNo

If so, is yard fenced, please describe the fence.

If you are adopting a dog, how will he/she get exercise?*

Who will be responsible for toileting?*

Who will handle grooming?*

What is your household activity? Please provide a description.*

How many hours a day will he/she be left alone?*

Where will you pet be kept when you are not home (i.e. crate)?*

Who will care for your pet when you travel?*

Have you ever given an animal to another person, rescue or shelter? Has a pet been lost or stolen? If yes, please explain?*

If you were to become ill or disabled who will care for your pet?*

Please list 3 references. At least one should not be a relative. Name-relationship-phone number.*

Vet Information Name, Address, Phone Number*

Vet Records are under the name of*

Please provide us with any other information that may be helpful when reviewing your application.*