Adoption Application

PLEASE NOTE TYPICAL ADOPTION FEES

DOGS: $410 (F) $335 (M) CATS: $285 (F) $240 (M)
Name*

First NameLast Name
age*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number*

Area CodePhone Number
occupation
name of animal you are applying to adopt
References: please do not include family references. we will also be checking references with local vets. If you use another vet, please provide the vet's name in addition to the two references.
Reference 1*

First NameLast Name
Phone Number*

Area CodePhone Number
Relationship
Reference 2*

First NameLast Name
Phone Number*

Area CodePhone Number
Relationship
Veterinarian*

First NameLast Name
Family/Lifestyle
What type of home do you live in?
Are others who live with you in agreement with bringing this pet home*

yesno
Do you:*
If you rent, please provide the name and phone number of your landlord.

First NameLast Name
Phone Number (landlord)

Area CodePhone Number
How long have you lived at your current address?*
If you have lived at your current residence for less than 5 years, how many times have you moved in the last 5 years?
If you were to move in the future, what would happen to your pet?*
How many children live in your home?*
List your children's ages:
Describe your household*
Are you aware of any allergies in your home?*
Who in your home will be responsible for caring for your pet?*
Do you have some willing to care for your pet in case of serious illness or death? *
Are you willing to make the 10-20 year commitment that a pet requires?*
When travelling away from home, what arrangements will you make for the care of your pet?*
How much time do you plan to spend exercising/playing with your pet daily? *
If you are applying for a dog, how will you exercise your dog?
When outside, will the dog be tied up, fenced in, or loose?
Where will your pet be kept when left alone?*
On average, how many hours a day will your pet be left alone?*
Pet Care/Commitment
Why are you interested in adopting a pet?*
For what reasons would you return/rehome your pet?*
If you answered other above, please explain
What do you believe are the most important responsibilities when caring for a pet?*
Pet ownership

Please list any pets that you have owned in the last 5 years, but no longer own.
Pet #1
species
Was this pet

spayedneuteredintactdeclawedkept indoorskept outdoors
How long did you own this pet?
Why is this pet no longer with you?
Pet #2
species
Was this pet

spayedneuteredintactdeclawedkept indoorskept outdoors
How long did you own this pet?
Why is this pet no longer with you?
Pet #3
species
Was this pet

spayedneuteredintactdeclawedkept indoorskept outdoors
How long did you own this pet?
Current Pets

Tell us about your current pets
Current Pet #1
name
species
age
spayed/neutereddeclawedvaccinations up-to-date
Current Pet #2
name
age
species
spayed/neutereddeclawedvaccinations up-to-date
Current Pet #3
name
species
age
spayed/neutereddeclawedvaccinations up-to-date
Current Pet #4
name
species
age
spayed/neutereddeclawedvaccinations up-to-date
Please Note!!

1. TPAAS reserves the right to refuse an adoption/foster application for ANY reason. No pets will be adopted to prospective adopters who mislead or fail to provide accurate information on the adoption application. Any falsification or omission will result in automatic refusal of adoption or confiscation of the animal. 2. TPAAS reserves the right to make pre-adoption or post-adoption visits. 3. Please allow 3-4 days for you application to be processed. Notifying your references in advance often makes the process quicker.
OTHER INFORMATION YOU WOULD LIKE TO INCLUDE
Signature

Clear
Should be Empty:

PLEASE NOTE TYPICAL ADOPTION FEES

References: please do not include family references. we will also be checking references with local vets. If you use another vet, please provide the vet's name in addition to the two references.

Family/Lifestyle

Pet Care/Commitment

Pet ownership

Current Pets

Please Note!!