TLC Rescue: Dog Adoption Application

Preferable Pups Application

Serious Inquiries Only, Please
Waiting List Update:

Currently, we have over 100 applications and a waiting list that is six weeks.

You can bypass this at the end!.

A successful adoption depends on selecting the right dog for your household and a good understanding of the dog's needs and care requirements. Please help us with this process by answering the following questions fully & completely. THANK YOU!
What Breed Do You Want?*
Adopter's Name*
First & Last Name
Adopter's E-mail*
example@example.com
Phone Number*
Phone Type*

CellHomeWork
Names and ages of all permanent residents of your home (adults/children)*
Do you currently have any pets?*

YesNo
If you currently have pets, please list them below.
Is anyone in your home allergic to dogs?*

YesNo
Does anyone in your home fear dogs?*

YesNo
Does anyone in your home smoke?*

YesNo
I/We live in a*

Single Family HomeDuplex/TwinCondo/TownhomeTrailerApartment
Do you have a yard?*

Yard, fenced with a vertical fenceYard, fenced with invisible fencingYard, no fenceNo yard (apartment/condo/townhome)
How many hours per day will this dog be alone? Please explain.*
Fantasy question: What would your dream dog be like? (If this dog is not a fit, we may be able to recommend another based on what you say here.)*
What activity/energy level do you prefer?*

Wild and crazy is coolLeash trained daily jogging partner would be excellentMedium energy, plays a bit then hangs out with youLow energy, walks slowly on leash, a total couch potatoOther
How do you plan to integrate this dog into your family?*
Do you plan to get pet health insurance?*

YesNoI wasn't aware this was available. I will look into it.
Do you have any additional comments, questions or concerns? Anything else you would like us to know to help match you up to a dog?*
Spay/Neuter & Health Guarantee Agreement *

Our puppies are meant to be family pets and not used for breeding.

We only accept applications from families that agree to honor our spay/neuter agreement to complete this procedure by the time their puppy is a year old and agree to the Health Guarantee.
Would You Like Free Dog Training?

YesNo
Please read the above, check this box, sign, and click Submit.*

I/We have read and understand all of the above.
Applicant's Signature*
Signature date*

My Products

Refundable Application Screening FeePlease pay this for our background check for animal abuse. Fully refundable. Automatic refund in 90 days if you don't bring a dog home.

$29.99 Quantity

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty:

Preferable Pups Application