Dog Adoption Application Form 🐶✨
Please fill out the form completely to apply for adopting a dog from Tzu Zoo Rescue.
ABOUT YOU
Full Name
*
First Name
Last Name
Age
*
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Street Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Occupation
*
Employer Name
Which dog(s) are you interested in adopting?
If your first choice isn't available, what traits matter most?
How did you hear about Tzu Zoo Rescue?
Please Select
Facebook
Instagram
Google Search
Friend/Family referral
Adoption event
Petfinder
Other
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CO-APPLICANT
Will anyone else share responsibility for this dog?
Do you have a co-applicant?
*
Yes
No
Co-Applicant's Full Name
*
First Name
Last Name
Relationship to Primary Applicant
*
Co-Applicant's Age
*
Does co-applicant live at same address?
*
Yes
No
Co-Applicant's Email
*
example@example.com
Co-Applicant's Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
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YOUR HOUSEHOLD
Residence type
*
Please Select
Own a single family home
Rent a single family home
Own/rent a townhome
Rent an apartment
Other
If renting, does your landlord allow pets?
*
Yes
No
N/A - I own
How many people live in your household?
*
List all household members
*
Does everyone in your household want a dog?
*
Yes
No
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CURRENT AND PAST PETS
Do you currently have any pets?
*
Yes
No
Number of Pets
*
Pet Details
*
Have you owned dogs before?
*
Yes
No
If yes, what happened to your previous dogs?
*
Is/was your dog on heartworm prevention?
*
Yes
No
What Brand?
*
Simparica Trio: Monthly chewable
Heartgard Plus: Monthly chewable
Interceptor Plus: Monthly chewable
NexGard Plus: Monthly chewable
Advantage Multi (topical): Monthly skin application
ProHeart 6: 6-month injectable
Revolution/Revolution Plus: Monthly topical
Tri-Heart Plus: Monthly chewable
Centragard: Topical
Iverhart Max: Monthly chewable
Other
Where did you buy your pet's heartworm prevention medication?
*
Veterinarian's office
Online pet pharmacy (Chewy, 1-800-PetMeds, Allivet)
Retail/club pharmacy (Costco)
Big box retailer (Walmart)
Pet specialty store (PetSmart, Petco)
Tractor Supply Co.
International/specialty online shop (VetShopMax, PetBucket)
Other
Have you ever surrendered, rehomed, or given away a pet?
*
Yes
No
If yes, explain the circumstances
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YOUR YARD AND SPACE
Do you have a fenced yard?
*
Yes
No
Type of fence
*
Please Select
Wood
Chain link
Vinyl
Iron/Metal
Other
Height of fence
*
Please Select
Less than 4 feet
4-5 feet
6 feet or taller
Are there gaps, loose boards, or spots where a dog could dig under?
*
Yes - needs repair
No - fence is secure
Can gates be opened by children or accessed by strangers?
*
Yes
No
If you have a pool, how is it secured?
How will you exercise your dog and handle bathroom needs?
*
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DOG'S DAILY LIFE
How many hours per day will your dog be alone?
*
Please Select
0-2 hours
2-4 hours
4-6 hours
6-8 hours
8+ hours
Where will your dog stay during the day?
*
Loose indoors
Crated
Specific room
Garage
Kennel run outdoors
Loose in fenced yard
Access to dog door
Where will your dog sleep at night?
*
In my bedroom
Crated in bedroom
Crated elsewhere
Free roam of house
Garage
In bed with owner
Outside
Who will care for your dog when you travel?
*
Your new pet may not be housebroken. Do you have items you cannot tolerate being soiled or chewed?
*
Yes
No
How will you handle housebreaking during the 4-6 week adjustment period?
*
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COMMITMENT AND CHALLENGES
Would you participate in obedience training with your dog?
*
Yes
No
If not willing to train, why?
What will you do with your dog if you move?
*
What will you do if your new home doesn't allow pets?
*
What will you do if your dog has behavior problems?
*
Under what circumstances would you rehome your pet?
*
How would you rehome if necessary?
*
Do you understand pet care costs approximately $2,400/year and small dogs can live 15+ years?
*
Yes, I understand
No
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VETERINARY REFERENCE
Please provide a veterinarian you've used in the past 5 years
Veterinary Clinic Name
*
Veterinary Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Veterinary Clinic Address
When did you last use this veterinarian?
*
Please Select
Within the past year
1-2 years ago
2-3 years ago
3-5 years ago
Never had a vet
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AGREEMENT
All statements in this application are true and correct
*
I agree
I have never been accused or convicted of animal neglect or cruelty
*
I agree
I intend to give any adopted dog love, respect, and a permanent home
*
I agree
I am committed to working through any challenges with my new dog
*
I agree
I understand Tzu Zoo Rescue may conduct a home visit and reference checks
*
I agree
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