Cherished Tails Dog Adoption Application

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Cherished Tails is an all-volunteer, non-profit, animal welfare organization dedicated to the rescue and placement of stray, neglected and abused animals. Cherished Tails is completely funded through fundraising efforts and public donations. All of our pets are cared for by foster homes and receive complete medical care, which includes vaccinations, spaying/neutering, senior medical needs (dental cleaning, mass removals etc) and microchipping prior to their adoption.

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Name of the dog you are interested in:* This field is required.

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Your full name:* This field is required.

4

Street Address:* This field is required.

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City, State, Zip* This field is required.

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Home Phone:

Area Code

Phone Number

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Work Phone:

Area Code

Phone Number

8

Cell Phone:

Area Code

Phone Number

9

E-mail:

10

Employer:

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Are all members of your household in agreement with this adoption?* This field is required.

Yes

No

Don't Know

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Who will be the pet's primary caregiver?* This field is required.

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Do you own or rent?* This field is required.

Own

Rent

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If rent, provide name and phone number of landlord:

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Does your landlord allow dogs?

Yes

No

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Are there any restrictions from your landlord or subdivision?* This field is required.

Number of pets

Size or weight restrictions

Breed restrictions

None

18

Do you have a fully fenced yard?* This field is required.

Yes

No

19

Height and type of fence

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Do you have any of the following?

Underground fence

Kennel

Dog Run

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How many adults are in your household?* This field is required.

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How many children are in your household?* This field is required.

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If children, what are their ages?

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Have your children been around animals before?

Yes

No

25

Does anyone in your home have allergies to dogs or have asthma?* This field is required.

Yes

No

26

List any pets you own or have owned in the past five years, their ages, and how long you had them.

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How many of these pets are spayed/neutered?

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Where are these animals now?

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Have you adopted from an animal welfare group before?

Yes

No

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If yes, what group?

31

Have you ever given up a pet?

Yes

No

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If yes, what were the circumstances?

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Please provide the name and phone number of your current and/or previous veterinarian or clinic:

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What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato)* This field is required.

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Are you aware of crate training?* This field is required.

Yes

No

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Have you ever house-broken a dog before?* This field is required.

Yes

No

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If the dog has an "accident" in your home, what type of correction do you plan to use?* This field is required.

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How many hours each day will your new pet be home alone?* This field is required.

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Where will your new pet sleep at night?* This field is required.

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How will you supervise the dog's outdoor activity?* This field is required.

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Where will your new dog stay when nobody is home?* This field is required.

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What length of time will you allow your new pet to adjust to his new home?* This field is required.

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Are you willing to work through your new pet's issues, if any?* This field is required.

Yes

No

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Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?* This field is required.

Yes

No

45

Would you adopt a dog who would require regular medication or supplements?

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Do you understand that a senior dog can be an lifetime commitment, and usually costs $1,000+ per year to care for?* This field is required.

Yes

No

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If your dog gets unexpectedly and life-threatening sick or injured, what would you do? What is the maximum are you able to spend on an unexpected vet bill of this kind? Are you planning on purchasing pet insurance?

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Would you be willing to take an obedience class with your dog, if needed?* This field is required.

Yes

No

Not sure

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If something were to happen to you and you were no longer able to care for your dog, please describe your plan in place for your dog to get the care it needs in your absence?

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What circumstances would lead you to give up your new dog?* This field is required.

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I understand that I assume full responsibility for the welfare of this pet from the date of adoption. I understand that if the adoption does not work out I am required to notify Cherished Tails and return the pet to the rescue