Dog/Puppy Adoption Application

Dog Adoption Application
Serious inquiries only. Please think intently before completing the application as processing applications takes volunteer's time; voluteers that have families and full time jobs. Thanks!
Completion of this application does not guarantee adoption of a Fairy Tails Rescue animal.
Name of applicant:*
Age of Applicant:*
Occupation of applicant:*
Name of Spouse/Significant Other:
Age of Spouse/Significant Other:
Occupation of spouse/significant other:
Names (and ages) of children or other occupants in the home, if any :*
Address*

Street Address

Street Address Line 2

CityState

Postal / Zip Code
County and/or Township*
Cell Phone*
Home Phone
Work Phone
E-mail*
How did you hear about us?
Are you currently working with other organizations or shelters?
Interested in the following dog(s):
Are ALL members of your household aware of and in agreement with this adoption? If not, please list who is not in favor of the adoption and the nature of their concern or objection:*
Do you live in a:*
Other, please specify below:
Do you:*

OwnRent
If you rent, do you have your landlord’s permission to have a pet?*

YesNoNot Applicable
Landlord’s Name and Phone Number
Does anyone in the household have allergies?

YesNo
If so, what kind?
Does anyone in the household smoke?

YesNo
If so (check all that apply)...

Inisde the homeOutside the homeONLY outside the home
On an average day how much of the time will the dog be outdoors?*
When outside, how do you plan to keep your pet? Check all that apply:*

Tie out chain or cablePatio or deck areaGarageOutside dog runInvisible or wireless fenceLoose in yard unattendedLeashed and regular walksFenced yardOther
Do you have a fenced yard?*

YesNo
If so, how high is the fence?
Type of fence:
Are the gate(s) normally locked?

YesNo
Do you have a pool?*

YesNo
If so, is it fenced separately from the yard?

YesNo
On an average day how much of the time will the dog be indoors?*
When inside, how do you plan to keep your pet when you are home:*

Free inside homeConfined to a crateInside a closed roomOther
About what percentage of the time will the dog be left alone?*
Where will the dog stay when left alone?*
What areas of the house will the dog be allowed into?*
Where will the dog sleep at night?*
Why do you want a dog? (check all that apply)*

House PetCompanion for other petProtection for home/familyWatchdogCompanion for familyCompanion for childrenProtection for businessAs a gift for someone elseOther
What types of dog do you wish to give a permanent home to? (check all that apply)*

Friendly dogSenior dogDog that needs trainingDog with special needsShy or timid dogHigh-energy dogPhysically challenged or handicapped dog
What is your prefered level of exercise with the dog? (check all that apply)*

Couch potatoHiking/joggingYard exerciseShort walksVigorous walks
Other pets you currently have (specify number of each):
Dogs
Cats
Other
Dog/Cat ----Breed----Name--- Age-----M/F------Altered?-----How long owned?*
What happened to the ones you no longer have?*
What would happen to the dog if you moved...
locally?*
Out of state?*
Out of the country?*
Do you have a regular veterinarian?*

YesNo
If so, name of Vet or Clinic:*
Name of person/ people the vet records would be under:*
Vet's Address

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Vet's Phone Number

Area CodePhone Number
What is your estimate of the cost for annual routine vet care for the pet you wish to adopt?*
Please provide a description of what you consider to be routine vet care:*
How would you train this dog (check all that apply):*

Obedience/training classesFirm verbal commandsHit with newspaperClicker/hand signalsOther
Will you be able to live with hair on your furniture, stains on your rugs, a warm body on your bed, and an animal that might be destructive at times?

YesNo
Remember, pets are an investment of your time and money. Can you afford to provide medical care, grooming, proper diet, proper shelter and exercise for your new pet?

YesNo
Are you able to make a long term commitment to care for your pet for its entire life span, which could be as much as 10-20 years?

YesNo
If your pet(s) were to survive you, what would happen to them? Who would take responsibility for them?*
Under what circumstances would you not be able to keep this dog?*
Please do NOT list family members as personal references. Thank you.
Person Reference #1
Name
Telephone #
Person Reference #2
Name
Telephone #
The above statements are true to the best of my knowledge.
Signature:
Fairy Tails Rescue, Ltd. reserves the right to refuse adoption to any Client for any reason. This questionnaire becomes part of our contract. All dog/puppy applications require an application processing fee of $15 to be paid upon submission.

Please understand this $15 application fee does not guarantee you will be approved to adopt the animal in which you are applying for. The processing fee is also non-refundable if approved or denied. We have one main goal - match every animal to its perfect forever home!

The fee will be applied to the adoption fee if approved for adopting. If the pet is not a match for your family, but your application was approved, we will work on finding the best match for your family. The fee and application are good for up to 6 months once submitted.
Date:
Additional Comments:
Application Fee

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Dog Adoption Application