Adoption Application Form

Adoption Application
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
Birthdate*
Must be at least 25 to adopt from Tara's House
Home Number

Area CodePhone Number
Cellular Number

Area CodePhone Number
Which dog(s) are you interested in adopting?
Employer
Please include employer name and a way to contact them
Please provide full names and ages of all members of your household (adults and children)
Have you had other dogs and/or other pets in the past? If yes, please list the animals and what happened to them.
Do you currently have pets in your home?
Please list the types, names, breeds, ages, and sexes of pets currently living in your home.
Are your current pets spayed or neutered?

YesNo
Are your canine pets currently receiving heartworm protection and flea prevention?
Please list the names of the medications used.
Are your current pets up to date with vaccines and annual vet exams?

YesNo
Is your home a..
Years at current residence
Do you rent or own your home?*

RentOwn
If you rent, please include your landlord's name and contact information.*
Do you have a pool or live near a body of water?

YesNo
How will you handle daily toilet duties and exercise?
Why do you want a dog?*
Why do you want to adopt a rescue dog?*
What are you looking for in a dog?
Please include breed, size, disposition, and any other details that will help us match you with the right dog!
Do you have a fenced in yard? If so, what type and how high is it?
Would your dog ever be left alone in the yard?
How many hours will your adopted dog be alone each day? Where will they be?
When you are home, what kinds of activities will you do with your dog?
Examples: Walking, hiking, jogging, playing, watching tv, etc. Your answer will help us match you with a dog that is the best fit for you!
Please describe the dog's sleeping place.
Who will feed, exercise and train the dog?
Name, address and phone number of your veterinarian?*
Please provide 2 personal references, including phone numbers and email addresses*
Does anyone in your home have allergies to dogs?
How do you feel about crating a dog?
How much time do you expect it will take the dog to adjust to its new family?
What food(s) are you currently feeding your pet(s)/plan to feed?
List two unacceptable behaviors (i.e., pottying in the house, biting, barking while crated, etc.) and describe how you would correct those behaviors
If your method of correction was unsuccessful, would you seek professional guidance?

YesNo
Do any members of the household smoke? If yes, do they smoke indoors or outdoors or both?
What reasons might cause you to give up a dog?
What do you think is the annual cost of dog ownership?
What date can you physically take the dog home?
What if any provisions have you made for a pet if something happens that you are no longer able to care for them?
Please agree to the following terms and conditions.

Submitting this form is your electronic signature that you will abide by the terms, conditions, and policies of Tara's House Dog Rescue.
I certify that I am at least 25 years old*

Yes
I have read and agree to follow the 2-week shutdown policy on the TH website*

Yes
I certify that my entire household is supportive of this adoption*

Yes
I will teach all household members the importance of never taking the dog out without a leash, and the importance of making sure all gates and doors are secure*

Yes
Are you willing to accept accidents in your home and work with your adopted pet to finalize housebreaking if needed?*

Yes
I will take my adopted Tara's House dog to a training class and/or crate-train them if recommended by Tara's House*

Yes
I am aware that there is an adoption fee and it is non-refundable*

Yes
Should be Empty:

Adoption Application

Please agree to the following terms and conditions.