Floppy

TCGC Animal League
"Taking Care of God's Creatures"

 JP

 HOME   AVAILABLE PETS   ADOPT A PET   CONTACT US   WISH LIST   PET MEMORIALS 

 HAPPY TAILS   INFO/LINKS   FOSTER APPLICATION   GIVING UP YOUR PET   DONATIONS 

"Dedicated to the rescue and permanent placement of homeless pets"

ADOPTION APPLICATION


 

 The adoption process requires an approved application, home visit and Vet check. 
An adoption fee of $150.00 for dogs and $75 for cats is requested to help reimburse rescuer, medical expense etc. Please note this donation in non-refundable.

   Please note the use of the Enter key will submit the application - use the mouse or Tab key to navigate the form fields to avoid accidentally submitting an incomplete application.   

** We currently ONLY accept cash, money orders, and cashiers checks for our adoption fee. **
 
Contact Information
 
  Applicant Co-Applicant
 
Name:  
 
Home phone:    
 
Cell phone:  
 
Work phone:  
 
Primary e-mail address:  
 
Secondary e-mail address:  
 
Important Note:   Please double-check that the email addressess you entered are correct.
 
Street Address:  
 
City:  
 
State:  
 
Zip:  
 
Mailing Address  
(if different):  
 
How long have you lived at your current address?  
 
Type of dwelling:   House Condo Apartment Mobile home Other  
 If other, please specify:
 
 
Renters: Please provide your Landlord's contact information
 
Landlord's Name:
Landlord's Street Address:
Landlord's City:
Landlord's State:
Landlord's Zip Code:
Landlord's Phone:
Do you have your landlord's permission to have a dog/cat? Yes
No
If so, up to what size?
 
 
A complete answer to the following questions will enable us to become more familiar with your request and requirements and will help us find the dog/cat to match your needs and expectations.
 
Specific Age Desired:
Is there one or more specific dogs/cats on our web site that you are interested in? Yes
No
If so, which dog/cat(s)?
We recommend you list 3 - 5 dogs/cats in case your first choice is not available. If there is more than one dog/cat with the same name, please specify color, gender or anything that would allow us to distinguish it from the other dog/cat.
Please specify why are you interested in this particular dog/cat?
Would you consider a Special Needs dog/cat, such as one who requires medication for a permanent but controlled condition? Yes
No
Uncertain
Will you accept a Lab-mix? Yes
No
Uncertain
Preferred Activity Level: High
Medium
Calm
Any
Preferred Gender: Male
Female
Either
Ages of all adults (including yourself) and children who live at your house:
Do they share your interest in adopting a dog/cat? Yes
No
Who is the dog/cat primarily for? Adult
Child
Elderly
Entire Family
Who will care for, train and exercise the dog/cat?
Does anyone in your household have allergies? Yes
No
If Yes, to what allergens?
May we visit your home prior to application approval? Yes
No
 
 
Please list all the pets you currently own and all pets you have owned in the past:
 
Please list all pets you currently own:

Pet Name Breed Gender Spayed or
Neutered 		Age
  Male Female      Yes No   
  Male Female      Yes No   
  Male Female      Yes No   
  Male Female      Yes No   
  Male Female      Yes No   
  Male Female      Yes No   
  Male Female      Yes No   
  Male Female      Yes No   
  Male Female      Yes No   
  Male Female      Yes No   
 
Please list all pets you owned in the past:

Pet Name Breed   Gender   Spayed or Neutered Age What happened to the pet?
Male
Female		 Yes
No
Male
Female		 Yes
No
Male
Female		 Yes
No
Male
Female		 Yes
No
Male
Female		 Yes
No
Male
Female		 Yes
No
Male
Female		 Yes
No
Male
Female		 Yes
No
Male
Female		 Yes
No
Male
Female		 Yes
No
 
 
Veterinarian Information
 
  Current or Primary Veterinarian Former or Secondary Veterinarian
Name:
Street Address:
City:
State:
Zip Code:
Phone:
 
PLEASE CALL YOUR VET(S) AND GIVE CONSENT TO RELEASE
MEDICAL INFORMATION POSTED ON YOUR FILE.
 
 
Additional Information
 
Will the dog/cat be allowed in the house? Yes
No
Are you willing to housetrain the dog/cat if necessary? Yes
No
How long each day will the dog/cat be left alone (without humans)?
Where will the dog/cat stay when it is left alone?
Where will the pet be kept during the day?
Where will the pet be kept at night?
Are you familiar with the use of a dog/cat crate to train the pet during your absence or at night? Yes
No
Is your yard fenced? Yes
No
If so, please describe the type of fence, its height and the dimensions of the fenced area?
If you do not have a fence, will you install one? Yes
No
Uncertain
What is the approximate size of the dog/cat's yard area?
Will the dog/cat be walked daily? Yes
No
Will the dog/cat be exercised in a fenced yard? Yes
No
Will the dog/cat be allowed to run free without supervision? Yes
No
Will you take the dog/cat to an obedience training class? Yes
No
Uncertain
Will you take the dog/cat hunting? Yes
No
Uncertain
Have you ever owned a dog/cat? Yes
No
Have you ever owned a Labrador Retriever? Yes
No
If you have (had) a dog/cat, does (did) he or she receive monthly Heartworm preventative? Yes, every month of the year
Yes, seasonally per my vet's recommendation
No
Are you aware that dogs/cats are active? Yes
No
Are you aware that the routine costs of maintaining a dog/cat average over $500 per year? Yes
No
Have you ever sold or given away a pet, or surrendered a pet to a shelter or rescue? Yes
No
If yes, please specify why:
Please tell us why you want a dog/cat:
Please tell us a little of your lifestyle, your family including any special activities in which your dog/cat would be included. (If you have any special requirements or requests for a dog/cat, please let us know so that we can more carefully match a dog/cat to your lifestyle):
If and when you move, what will you do with your dog/cat?
Do you understand the state and local ordinances concerning licensing and leashing? Yes
No
Have you, or any member of your family/household, been cited for leash law violations or cruelty to animals in the past? Yes
No
If yes, please specify:
Please tell us how you became aware of TCGC Animal League and its programs: Adoption Event
Animal Control Officer
Animal Shelter
Facebook Cause
Friend or Relative
Internet Search
TCGC Animal League Adopter
TCGC Animal Leage Web Site
Newspaper Advertisement or Article
Petfinder.com Web Site
Veterinarian
Other (please specify below)
Is there anything else you would like us to know about your application?
 
I understand that completing this application does not guarantee adoption of this pet, and that order of applications received is not a factor in determining the best home for the pet. TCGC Animal League reserves the right to deny any application. All adoptions require an approved application, and successful home visit and vet check. Pets will be placed in a timely manner in the homes best suited to them. All of the information I have provided on this application is, to the best of my knowledge, true and complete. I understand that falsifying answers on this application, or at any other time during the application process, disqualifies me for adopting. I hereby permit TCGC Animal League to contact my veterinarian and landlord (if applicable). I also understand this application does not guarantee adoption of this pet. Please allow 48 hours for processing application.
 
Please type your name below in acceptance of this statement:

Name:     Date:
 
        
 
 
 

www.fuzzyfaces.com