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Dog Adoption Application
Please Complete the Form to Apply for our dogs! (Please know, we are not first come first serve. We must pick the home that is best for the animal in questions! Thank you for understanding!)
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* Indicates required question
Name of dog you're interested in
*
Your answer
Potential adoptor's name
*
Your answer
Are you over 18 years of age?
*
Yes
No
Current address
*
Your answer
Applicant's primary contact phone number:
*
Your answer
Applicant's email address:
*
Your answer
Preferred method of contact:
Email
Text Messages
Clear selection
Are you currently employed?
*
Yes
No
How many people live in your home?
*
Choose
1
2
3
4
5
6
7
8
9
10+
Are any of them children?
*
Yes
No
If "yes," what ages are the children?
Your answer
How many hours a day would the dog be alone?
*
None
Less the 5 Hours
8-10 Hours
10+Hours
Do you rent or own?
*
Rent
Own
If you rent, what is the landlord's name and phone number?
Your answer
Type of residence:
*
House
Condo
Apartment
Mobile Home
Do you have a gated backyard?
*
Yes
No
If "yes," what type of fence is there?
Wooden
Brick/Block Wall
Chain Link
N/A No Fence
Clear selection
What is the height of the fence?
Your answer
If you do not have a fence would you....?
Allow the Dog Outside On Leash With You
Allow the Dog Outside Off Leash With You
Allow the Dog Outside Tethered With a Leash
Other:
Clear selection
Where will the dog be while you are at work/school or out running errands?
*
Inside
Inside/Crated
Outside
Garage
Inside/Outside we have a doggy door
Other:
Where will the dog be while you are home?
*
Inside
Inside/crated
Outside
Garage
Inside/Outside we have a doggy door
Other:
Where will the dog sleep?
*
Inside
Inside (In a Crate)
Outside
Garage
Who is the dog for?
*
Myself
Child
Family
Gift for A Friend/Family
Is anyone in your home allergic to dogs?
*
Yes?
No?
If yes, how will these allergies be managed with the dog in the home?
Your answer
How often to you plan to exercise the dog?
*
Daily
A Couple Times a Week
Weekly
Never
Have you ever had to give up a dog?
*
Yes
No
If "yes," please explain why:
Moving and Couldn't Take Them
Couldn't Handle the Dog
Couldn't Afford the Dog
Other:
Clear selection
If "yes," where did the animal go?
To a Friend/Family Member
Sold/Gave Away to Stranger
Gave to Shelter
Gave to Rescue
Other:
Clear selection
What is your experience level with dogs?
*
Novice
Intermediate
Experienced
Check any problematic behaviors you are NOT willing to work with:
*
Potty Accidents
Leash Pulling
Destructive Behavior (Digging, Chewing, etc.)
Resource Guarding Towards Humans (Not sharing food or toys)
Resource Guarding Towards Other Animals (Not Sharing Food or Toys)
Aggression or fearfulness towards other animals
Aggression or fearfulness towards strangers (unknown humans)
Escaping, (Door Dashing, Fence Jumping, Digging out)
N/A I am willing to work with any of the above issues
Other:
Required
What would you do if the dog continues to display problematic behavior?
*
Contact a Trainer
Contact Tails and Scales Animal Rescue
Give up Dog
Would you ever give up a dog?
*
Yes
No
If "yes," why?
Your answer
Do you have any other pets?
*
Yes
No
Please list the type, age, gender, & breed of each animal:
Your answer
Are all your dogs or cats spayed/neutered?
Yes
No
Other:
Clear selection
Are all of your animals current (up-to-date) on their vaccinations?
Yes
No
Other:
Clear selection
Do you agree to a home inspection?
*
Yes
No
How did you hear about us?
*
Tails and Scales Website
Adopt-a-Pet
Petfinder
Adoption Events
Other:
Is there anything else you would like to add?
Your answer
Today's Date
*
MM
/
DD
/
YYYY
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