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The TRAPRS: Adoption Application
This application is to apply for adoption regarding AVAILABLE animals through The TRAPRS.
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* Indicates required question
Applicant Information
Which pet are you applying for?
*
PLEASE LIST THE PET'S NAME.
Your answer
Full Name
*
Your answer
Spouse/Partner's Full Name
*
Your answer
Date of Birth
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MM
/
DD
/
YYYY
Driver's License # / State Issued
*
Your answer
Home Address
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Your answer
City / State / Zip
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Your answer
Main Phone #
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Enter as format xxx-xxx-xxxx.
Your answer
Secondary Phone #
Enter as format xxx-xxx-xxxx.
Your answer
Email Address
*
Your answer
# of Adults in your home
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Your answer
# of Children in your home & their ages
*
Your answer
Home type?
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Single Family, Condo, Apartment, etc.
Your answer
Rent or Own?
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Rent
Own
Other:
If Rent, provide Name & Phone # for Landlord or Management Company.
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Type N/A if answer above is "Own."
Your answer
Would you allow a home visit by a Rescue Volunteer?
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Yes
No
Other:
Is your yard fenced, or will the pet be taken out on a leash at all times?
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If fenced yard, what kind of fence?
Your answer
Where would your dog go when you travel?
*
Your answer
Please describe your training philosophy.
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Your answer
What would you do if you moving somewhere that didn't allow dogs?
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Your answer
What would you do if your dog got lost?
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Your answer
Do you have experience with skittish, fearful dogs? If so, please describe.
*
Your answer
Do you use crate training?
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Yes
No
Other:
If yes, how many hours will the pet be kept in a crate per 24-hour period?
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Your answer
How many hours will the pet be alone per 24-hour period?
*
Your answer
Will pet be kept indoors or outdoors majority of the time?
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Your answer
Where will the pet sleep in your home?
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Your answer
Current/Previous Pet Information
# of Pets in your home
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Your answer
List the Type / Breed / Age / Gender of each
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Please fill out all requested details above COMPLETELY.
Your answer
Are all spayed/neutered?
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Yes
No
If not spayed/neutered, why?
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Type N/A if answer above is "Yes."
Your answer
Are all up to date on vaccinations?
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Yes
No
If not vaccinated, why?
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Type N/A if answer above is "Yes."
Your answer
Are all up to date on flea/tick/heartworm preventative?
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Yes
No
If not on preventatives, why?
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Type N/A if answer above is "Yes."
Your answer
Any pets with medical or behavioral issues?
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Your answer
Has there been Parvo or Distemper at your home in last 10 years?
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Yes
No
If yes, how long ago?
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Type N/A if answer above is "No."
Your answer
Are you willing to provide regular vet visits, special medical treatment, monthly heartworm preventative and regular vaccinations for adopted pets?
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Yes
No
If not willing, why?
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Type N/A if answer above is "Yes."
Your answer
Veterinarian Name
*
Your answer
Veterinarian Phone #
*
Your answer
What other rescues/shelter have you adopted from in the past? How recently?
*
Your answer
Have you ever had to give up a pet?
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Yes
No
If yes, under what circumstances?
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Type N/A if answer above is "No."
Your answer
What sort of pet do you prefer to adopt?
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Examples: breed, special needs, medical/behavioral issues, elderly, puppy, etc.
Your answer
Where did you see this available pet?
*
Petfinder
Adopt-A-Pet
Other:
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