Pawsitive Tails to Remember - Adoption Application for DOGS

Pawsitive Tails to Remember
~Adoption Application~ Dog
Thank you for your interest in adopting a rescued dog, this will be an extremely rewarding experience. NOTE: WE WILL NOT CALL ANYONE WITHOUT A COMPLETED APPLICATION SUBMITTED TO US TO REVIEW. Before completing the application, please review our adoption process to make sure that you understand all of the terms and conditions. PLEASE READ: Step 1: Please read the entire post for the dog. Complete and submit Adoption Application. Step 2: If we feel that you are a good match for the dog you are interested in, someone will call you to discuss your application. Step 3: We will chose the top application first and our top choice will get the first meet and greet. If that goes well, we will proceed with the adoption. If it’s not a match, we will contact our next choice and so forth. Step 4. Home Check Done (Walking Video of your home or via FaceTime) Step 5. Adopter will complete the Adoption Contract and will pay their adoption donation to the rescue. NOTE: ADOPTION DONATIONS ARE NON-REFUNDABLE AND ARE CONSIDERED A CHARITABLE DONATION TO YOUR DOG'S RESCUE ORGANIZATION.
Please complete and sign this form, click send, which will submit your application directly to our email address. Please be sure that you get a confirmation that is was sent. You MUST answer the question at the very end - if you missed answering a required question, it will highlight in red. Answer the missing question, then scroll down to the bottom and answer that question again and hit continue. You will get a screen that is asking you to review your answers and scroll all the way down to the bottom and hit submit. You will then get a confirmation that it was sent! THIS AGREEMENT AND YOUR CONTRACT MUST BE SIGNED. If you do not get a response to your e-mail within 1-2 days, please email.
How did you find us?

How did you find us? RescueMe AdoptAPet Pet Finder Referral
Name of the PAWSITIVE TAILS TO REMEMBER dog you are interested in adopting:
PERSONAL INFORMATION
Name Name First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Age
Cell Cell - ### - ### ####
Home Home - ### - ### ####
Email
Occupation
Current employer
If retired, unemployed or homemaker, please note here:
How many hours do you work each DAY (w/travel time): Enter zero if you don’t work.
Workplace Info:

Workplace Info: Work from home Work away from home Half and Half Not Applicable
HOME ENVIRONMENT
Do you live in a ...

Do you live in a ... House Townhouse/Condo Apartment Shared residence with roommates Other Other
How long have you lived at this address?
Do you own or rent at your current residence?

Do you own or rent at your current residence? Own Rent
If you rent or share a residence, have you confirmed with your landlord that you can have pets?

If you rent or share a residence, have you confirmed with your landlord that you can have pets? Yes No N/A
Please provide your landlord's name Please provide your landlord's name First Last
Please provide your landlord's contact number Please provide your landlord's contact number - ### - ### ####
Do you have a FENCED yard with grass?

Do you have a FENCED yard with grass? Yes No Other - Please Explain Other - Please Explain
Type of Fence:

Type of Fence: 6 ft Wood 6 ft Cement 6 ft Chain Link NO FENCE Other Other
Do you have a doggie door?

Do you have a doggie door? Yes No
HOUSEHOLD INFORMATION
Please list all ADULTS living in your home (include name and relationship).
Please list all CHILDREN under the age of 18 yrs living in your home (include name, age and relationship).
PETS CURRENTLY IN YOUR HOME:
Please list all PETS currently in your home (name, gender, age, breed/species)
Are they all spayed/neutered?

Are they all spayed/neutered? Yes No N/A
Are they all current on their vaccinations and heart worm prevention?

Are they all current on their vaccinations and heart worm prevention? Yes No N/A
QUESTIONS IN REGARD TO THE RESCUE PET YOU ARE APPLYING FOR:
Why do you want to adopt a pet at this time?
Have you applied for any other dogs?

Have you applied for any other dogs? Yes No
If YES, do you currently have a pending meet and greet?

If YES, do you currently have a pending meet and greet? Yes No
What are you looking for in a dog (i.e. breed, age, sex, size, personality, energy level)?
How many hours will the dog be left alone on a typical DAY?
Where will the dog be when you are not home?

Where will the dog be when you are not home? Indoors (loose) Indoors (one room) Laundry room Crated Balcony/patio Yard Other Other
Please specify where the dog will sleep at night:

Please specify where the dog will sleep at night: Dog bed in bedroom My bed Kitchen Living room Crate Other Other
Do you plan to keep the dog in a crate?

Do you plan to keep the dog in a crate? Yes No
How many hours each day will the dog be crated?
Will any place be off-limits when you are home? (i.e. furniture, bedrooms, etc)
How will the dog be exercised? Please be detailed.
What type of food do you plan to use? i.e.brand, home cooked; kibble, canned, combination.
Who will care for the pet if you have to travel?
FUTURE CARE ARRANGEMENTS: Have you made arrangements for someone to take the dog in the event of your inability to care for him/her?
HIGH IMPORTANCE: Do you agree to allow the dog 30 days to decompress, acclimate and to settle into your home if the dog exhibits ANY behavioral problems after adoption? PLEASE BE TRUTHFUL.

HIGH IMPORTANCE: Do you agree to allow the dog 30 days to decompress, acclimate and to settle into your home if the dog exhibits ANY behavioral problems after adoption? PLEASE BE TRUTHFUL. Yes No Other Other
HIGH IMPORTANCE: Do you agree to participate in obedience classes, training or to seek professional advice if the dog exhibits behavioral problems adapting to its new home? You are adopting a rescue dog who may or may not have some issues that will require further and more in depth training. Shelter dogs come with “baggage” and many come to us with PTSD due to their past lives or experiences in the shelter system. We do our best to work with them while in our care, but the adopter must be prepared in the event more work is needed. PLEASE BE TRUTHFUL.

HIGH IMPORTANCE: Do you agree to participate in obedience classes, training or to seek professional advice if the dog exhibits behavioral problems adapting to its new home? You are adopting a rescue dog who may or may not have some issues that will require further and more in depth training. Shelter dogs come with “baggage” and many come to us with PTSD due to their past lives or experiences in the shelter system. We do our best to work with them while in our care, but the adopter must be prepared in the event more work is needed. PLEASE BE TRUTHFUL. Yes No Other Other
Do you agree to seek medical care for any existing or future medical issues? Do you agree that you will provide yearly vet care as needed? By this we mean, shots, exams, dental care, nail trims, grooming (if applicable), and any other needed medical required to give them a long life.

Do you agree to seek medical care for any existing or future medical issues? Do you agree that you will provide yearly vet care as needed? By this we mean, shots, exams, dental care, nail trims, grooming (if applicable), and any other needed medical required to give them a long life. Yes No Other Other
Under what circumstances would you consider giving up a pet?

Under what circumstances would you consider giving up a pet? Destructive behavior Barking Not housebroken Biting Too shy or fearful Shedding Separation Anxiety Medical issues Allergies New baby Divorce Moving Personal health issues Financial issues None of the above (I would not give up my pets) Other Other
Please provide any additional information that you would like PTR to consider when reviewing your application.
REFERENCE:

Please provide 1 personal reference, over the age of 18, who is not living with you.
REFERENCE REFERENCE First Last
Relationship
Phone - cell Phone - cell - ### - ### ####
VETERINARIAN'S NAME VETERINARIAN'S NAME First Last
Practice Name
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Number Phone Number - ### - ### ####
I certify that the above information is true and accurate to the best of my knowledge, and that I have not willfully concealed any information that may hinder my ability to properly care for a dog. I certify that I have never been convicted of animal cruelty, neglect, or abandonment by a court of law or other governmental authority. I understand that submission of this application is not a guarantee of adoption through PTR.
Date Date / MM / DD YYYY
Name Name First Last
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Thank you for applying to adopt a Pawsitive Tails to Remember rescued dog!

We appreciate your taking time to complete our application. It will be processed as quickly as possible. We know that you must be excited about the possibility of adopting a new companion, but please, be patient. You will be contacted as soon as possible.

IF YOU HAVE ANY QUESTIONS, PLEASE CONTACT:

Terri McCabe, CEO
pawsitivetailstoremember@gmail.com
303-242-0118

Thank you, the Pawsitive Tails to Remember Team
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Pawsitive Tails to Remember - Adoption Application for DOGS

Pawsitive Tails to Remember - Adoption Application for DOGS

PERSONAL INFORMATION

HOME ENVIRONMENT

HOUSEHOLD INFORMATION

PETS CURRENTLY IN YOUR HOME:

QUESTIONS IN REGARD TO THE RESCUE PET YOU ARE APPLYING FOR:

REFERENCE: