Puppy Adoption Application Form

Tiffany's Shelties Application

Perspective Pet Parent*

First NameLast Name

Name of Pet You Wish to Adopt*

Email Address*

Phone Number*

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Do you own any pets?*

Pet Name(s)

Pet Breed(s)

Pet's disposition and behavior towards other dogs?

Do you plan to breed or stud your puppy in the future?*

YesNo

Are you willing to provide proof of spay or neuter within 1 year?*

YesNo

Please provide your veterinarian's name and phone number:

Do you own or rent your home?*

OwnRent

Do you have a yard?*

YesNo

If "Yes" to the above, is it fenced? please describe

What is your landlord's pet policy?*

Have you consulted your partner and family about the pet purchase and agreed with the responsibilities of pet ownership? Please provide detailed answer.*

If you rent, please provide your landlord's information here:*

Have you ever surrendered a pet you own to any animal shelter including a "low" or "no kill" shelter?*

YesNo

Are there children in the home? (If yes, please list ages)*

If you answered "Yes" to the above question, please provide detail:

How many hours per day would the pet be alone?*

Will you crate your pet?*

If you have to leave town, emergently or planned, where would your pet stay?*

How would you deal with behavioral issues such as barking, chewing, destructive behavior, bathroom accidents indoors, unruly leash behaviors in your pet?*

Please provide the names, emails, and contact numbers for 1 personal reference:*

Have you ever been convicted of an animal related crime, such as cruelty to animals, animal theft, or animal abandonment?*

YesNo

If you answered "Yes" please provide a detailed description:

By clicking the submit button, I agree to Tiffany's Shelties application process, will undergo a homecheck, and interview at the discretion of Tiffany's Shetlands.
By clicking the submit button, I understand Tiffany's Shelties will check my references including veterinary and personal.
By clicking the submit button, I agree to indemnify and hold harmless Tiffany's Shelties against any losses, lawsuits, claims, injury, damages incurred by me or to any persons or property by my adopted pet, once adoption has been completed.
By clicking the submit button, I understand that Tiffany's Shelties will disclose any of the pet's health or behavior issues known by the above named breeder as represented in the Section 1. Health Guarentee of the Sales and Gaurentee Agreement Contract.
By clicking the submit button, I understand that if I no longer want my pet, or am no longer able to care for my pet, I will be directed to surrender my pet to Tiffany's Shelties and arrange transportion to where Tiffany's Shelties deems appropriate.
By clicking the submit button, I verify all of the above information is true and accurate.

Signature of Potential Pet Parent*