Dog Adoption Application

Thank you for choosing to adopt a rescue canine from The Happy Tail Rescue. Our adoption fees are $155. This covers the basic essentials for us to care for these animals while they await finding their forever families.
***All dogs/puppies will be neutered/spayed, UTD on age appropriate Vaccinations, & microchipped before Adopting!

Which dog(s) are you interested in? (If multiple dogs please list each name below) *

Full Name *

First Name Last Name

Full Name of Co-Adoptor (Joint adoptions only)

First Name Last Name

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Cell Phone #

Area Code Phone Number

Home Phone # or Secondary Contact #

Area Code Phone Number

How long have you lived at your current address? *

More than 2 years 1 - 2 years Less than a year

Are you planning on moving within the next 6 months? *

Yes No

Primary E-mail to contact you *

Are you 18 years of age or older? *

Yes No

Birth Date *

Month Day Year

Are you currently employed? If so Please list name of Employer: *

Current Veterinarian Name and Address

Name Address

Current Veterinarian’s Phone Number *

Area Code Phone Number

Current Veterinarian E-mail *

vet check done / / ____________________________

Type of Dwelling: *

If you rent, please provide us with your landlord's contact information.

***Please list the NAME and AGE of ALL occupants in household (including yourself): *

*** Please include Full name of All Occupants!!!

What is your reason for wanting to adopt a dog? *

Housepet Companion Companion for pet Gift Guard Dog Other

If other, please explain:

Do you have a fenced yard? *

Yes No

If not, what measures will you take to ensure your pups safety outdoors?

How many other animals do you currently have in your household? *

***Please list the NAME, AGE, BREED, GENDER of all animals in your household and if they are spayed/neutered and UTD on shots. *

Please list flea & heartworm prevention you are using currently. *

Are you prepared for the costs to care for a new dog or puppy (ex: food, Veterinary care, heartworm & flea medication, etc)?

Where will your new dog/puppy be sleeping overnight?

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

Would you be interested in an adoption trial? Overnight Stay? *ONLY Applicable to adopters within a 20-mile radius

A "meet and greet" is required upon adoption. This is your opportunity to bring your family and other animals in your household to make sure they get along with the rescue pup you are wishing to adopt. Do you understand? *

I understand that a home check is required if I am wishing to adopt a dog of the American Pit Bull Terrier Breed. *

I understand that a home check may be required for some rescue dogs depending on their history. (If required you will be notified upon receipt of your application). *

What is the #1 reason why you are choosing to adopt a rescue animal? *

Please list the Name and Phone number for a personal reference. *

Please submit a copy of your Photo ID: (So we can verify you are who you say you are and you live where you say you live) ***All Meet and Greets require proof of State Issued License or ID prior to scheduling.**Include license for all Adults in your household. *

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Dog Adoption Application

Thank you so much for wanting to rescue a dog!!