TAILS OF HOPE PET RESCUE
DOG ADOPTION APPLICATION
Tails of Hope Pet Rescue Waxahachie, TX 75165 Phone: (972) 937-1000
Welcome to Tails of Hope’s Adoption Program. The following information is requested
so that we can assist you in the selection of a new dog. This form and a consultation
with a Tails of Hope representative are designed to help you find the dog most compatible
with your lifestyle. Please mail this form to Tails of Hope Pet Rescue, P.O. Box 132, Forreston, TX 76041, or fax it to: (972) 937-1375
In order to be considered as an adopter you must:
• Be 21 years of age or older.
• Have identification showing your present address.
• Have the knowledge and consent of your landlord.
• Be able and willing to spend the time and money necessary to provide training,medical treatment and proper care for a pet.
Completion of this application does not guarantee adoption of a Tails of Hope dog.
Please print information on all pages. Thank you!
Name of Applicant: ______Date ______
Street Address: ______
City: ______State: ______Zip:______
Mailing Address (if different): ______
Phone #:______E-mail______Age:______
Occupation: ______
Describe in detail the dog you’re looking for:______
______
Would this be your first dog? ______
What kind of pets have you had in the past?______
Which of these do you still have? (Include age, sex and breed) ______
______
Have they been spayed or neutered? Yes No Don’t know
Are they current on vaccinations? Yes No Don’t know
What happened to the ones you no longer have?______
______
Have you ever turned your dog in to a shelter? Yes No If yes, please explain:
______
______
Have you had a pet euthanized? Yes No If yes, please explain:
______
If you have pets, will they (or it) adjust to a new dog in the house? ______
Was your last dog obedience trained? Yes No Doesn’t apply
Why do you want this dog? Companion Companion for other pet House pet
Watch dog Guard dog Hunting Personal protection Other:______
How many adults are there in your family?______
How many children? ______Children’s ages:______
Does any member of your household have an allergy to dogs? ______
Is someone home during the day? ______Who? ______
How many hours each day will the dog be without human companionship? ______
Explain:______
Which do you live in? House Apartment Condo Mobile Home Other
If other, explain:______
Do you own or rent your home? Own Rent
If you rent, may we contact the owner to obtain permission for this animal to live in your
home? Yes No
Owner’s name and phone number: ______
Do you have a completely fenced yard? Yes No What kind of fence?______
______Height ______Is there a gate? Yes No
If not, explain: ______
Do you have a dog door? Yes No
Are there times when the dog will be tied up? Yes No If yes, when?______
______
Are there stairs that lead to your home? Yes No If yes, how many?______
Will the dog spend any time in the garage? Yes No If yes, explain______
______
Do you have a pool? Yes No If yes, is there a fence around the pool? Yes No
If your new dog/puppy is not housebroken, what method will you use to train it?
______
Will you keep the dog up-to-date on vaccinations? ______
Who is your veterinarian? ______City or town: ______
Veterinarian’s phone number______
Would you be able and willing to exercise the dog on a regular basis? Yes No
Method: ______
Where will this dog be kept during the day? ______
During the night? ______
If you drive a pickup truck, would you allow the dog to ride in the back? Yes No
If you go away for a few days, or on a vacation, who will take care of the dog? ______
______
If you move, will you take the dog with you? Yes No Explain______
______
______
How much are you willing to spend on medical bills for your dog? up to $100.00
up to $500.00 up to $1000.00 up to $5000.00 whatever it takes. What would
you do if the vet bills go over this amount?______
Have you ever applied to adopt a dog from Tails of Hope before? Yes No
If yes, when? ______
Did anyone refer you to Tails of Hope? Yes No If yes, please explain:
______
How did you hear about Tails of Hope? ______
______
Are you willing to have a representative of Tails of Hope come to see where the dog
will be living?______
Are you willing to take the responsibility for this dog for the next ten to fifteen
years?______
______
What provisions will you make for the dog should you become unable to care for it?
______
Comments by applicant: ______
______
______
______
These next 2 pages will become part of the Adoption Contract if an adoption is finalized.
Will you keep your dog on monthly heartworm prevention? ______
If adopting an animal that is less than 4-5 months old, do you agree to spay/neuter the animal before the age of 6 months and provide proof? ______
If for any reason your adopted petis lost or stolen, you must notify Tails of Hope Pet Rescueimmediately, as the pet is microchipped through Tails of Hope. Do you agree? ______
If for any reason you can NOT keep your adopted pet, it MUST be returned to Tails of Hope Pet Rescue. Do you agree? ______
Although the majority of animals adopted from Tails of Hope Pet Rescue are altered, there are some circumstances in which alteration is not possible. If the animal is NOT altered prior to adoption, as the adopter, you have the responsibility to have the animal altered as soon as possible. The cost of the alteration is included in your adoption fee. If you choose to use your own veterinarian, you will be responsible for the cost. We cannot be responsible for veterinary bills incurred at non-Tails of Hope veterinarians. (only our vets)
If the animal is neglected, abused, not properly and safely confined and/or supervised, confined via chaining, or not kept up to date on routine veterinary care, then that animal can be reclaimed by Tails of Hope immediately and without question. Do you agree? ______
Tails of Hope representatives have the right to follow up on the animal being adopted whether in person, via phone, email or postal mail, and have the right to call the veterinarian that is listed in this application and discuss the care of the adopted animal. Do you agree? ______
The adopter hereby agrees to hold harmless Tails of Hope Pet Rescue, or any of its representatives, against any and all claims,damages, costs, expenses, or other items pertaining to the animal they are adopting, or anything resulting from, or caused by, the adopted animal. Do youagree? ______
Tails of Hope Pet Rescue has the right to refuse anyone whom we feel does not meet our adoption criteria.
Tails of Hope Pet Rescue is an all-volunteer organization and all adoption fees go directly to help the animals. If a refund is requested, you must do so within 14 days from the date of adoption. All refunds are at the sole discretion of Tails of Hope adoption agents. We reserve the right not to refund. Do you agree? ______
Printed name:
______
Signature: (can be done at adoption)
______