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Name:
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Email Address:
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Adoption Application
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Name(s) of dogs or cats you wish to adopt (include breeds and ages)
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Applicants name
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If you are 21 or younger, how old are you?
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Telephone - work
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Telephone - home
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E-mail
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Home address
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City
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County
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State
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Zip
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Do you live in a
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Do you own or rent?
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If you do NOT rent your home, are you the owner of the home? Who owns the house?
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You must provide the name and phone
number of your landlord or condo association within 24 hours or we will move on to the next applicant.
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Landlord name
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Landlord phone
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Applicants employer
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Does anyone in your home have allergies to animals?
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Does anyone have asthma?
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Yes
No
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What size is your yard in square feet?
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Is your yard totally fenced in?
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Where will the pet be kept during the day? Please provide detail. If in the house, where in the house? If outside,
where outside?
RESPONSE IS REQUIRED. APPLICATION WILL BE REJECTED IF NOT ANSWERED.
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Where will the pet be kept during the night? Please provide detail. If in the house, where in the house? If outside,
where outside?
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Where will the pet be kept during routine absences such as trips to the grocery store? Please provide detail. If
in the house, where in the house? If outside, where outside?
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Do you have a pet door? If so, how is it used, how often is it used, and under what circumstances?
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Yes
No
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Do you have a crate? If so, how is it used, how often is it used, and under what circumstances?
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How many adults live in your home?
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How many children live in your home?
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What are the ages of the children?
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If you do not have children yourself, are there children who visit your home regularly (defined as once a month)?
Describe the situation in as much detail as possible. Are they relatives? Are these children supervised? Please provide details.
Failure to respond in detail will delay your application.
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I understand that Tailed Treasures has placed limitations on the types of households in which certain dogs will
be placed. For example, some dogs will not be placed in homes with young children.
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Yes
No
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Are you, your spouse or partner, housemate or anyone residing with you currently pregnant? What is her relationship
to the applicant and when is the child due? Will the mother and child be living with the applicant following the birth?
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Is anyone home during the day?
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How many hours at one stretch will the pet be without humans each day?
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Who will be the primary caregiver?
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Are you willing and able to provide pet care for the next ten or more years, including vet checks, vaccinations,
boarding, medical care, indoor housing, etc.?
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What do you think pet care costs per year, including animal vaccinations, food, toys, minimal boarding, grooming,
etc.?
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Are you willing and able to support a pet?
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Yes
No
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We require all animals adopted from us to be spayed or neutered. Do you have any questions or reservations about
this policy?
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Please list all pets you have owned
in the past ten years. If none, then include pets owned in childhood. PLEASE LIST ANY ANIMALS RESIDING WITH YOU, EVEN IF YOU
DO NOT OWN THEM.
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Pet 1
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Pet 2
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If you have additional pets, please list their names and ages here, and provide additional information as possible.
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If you have ever had a pet lost, disappear, or die at an early age, please provide details (dogs dying before age
10 or cats before age 14).
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Have you ever sold, given away, or surrendered a pet?
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Yes
No
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How do you plan to exercise your dog? (provide details)
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Have you ever trained a dog?
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yes
No
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Are you willing to give this dog time to adjust to its new environment and family members?
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yes
No
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How much time are you willing to give the dog to adjust to its new environment and family members?
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The animal may not be housebroken. Are you willing to take the time to work with the animal?
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Are there any existing circumstances (e.g., health, family, professional, financial) that could result in your being
unable to take care of this dog? What are they?
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Why did you choose this Pet?
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We require a home visit as part of the application process. Will you comply?
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Yes
No
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We require that all family members, including animals, meet the animal prior to placement. Will you comply?
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Yes
No
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Is there anything else we should know that would help us to understand your application?
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I
certify that I have answered all questions honestly and to the best of my ability. I understand that any misrepresentations
of fact may result in removal of the adopted pet from my home.
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Applicants signature
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Date
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