Pet interested in adopting (Put Foster if interested in Fostering):
Your Date of Birth (not pets)
Place of Employment:
Proximity of your home to your place of Employment:
I work from home
My work is 0-20 miles from my home
My work is 21-40 miles from my home
My work is 41-60 miles from my home
My work is 60 or more miles from my home
Name(s) & relationship(s) of other adults in household:
Name(s) & age(s) of children in household:
How many times have you applied for adoption in the past year?
What was the outcome of the application & why?
Why are you interested in adopting a pet?
What characteristics are most important to you in a pet?
Do any family members have allergies to hair, dust, or dander?
Are ALL family members in agreement about the adoption of a pet?
Will this pet primarily be kept:
When outdoors, will the pet be:
free to roam in unfenced yard
tied/chained in unfenced yard
leashed in unfenced yard
free to roam in fenced yard
tied/chained in fenced yard
Where will this pet be kept during the day?
How many hours at a time will this pet be left alone?
Who will care for this animal when you are out of town?
Take pet with us
Boarding @ Daycare
Boarding @ Vet
Where will pet sleep at night?
Do you own a truck or Jeep?
If yes, where in this vehicle will your pet ride?
What type of area is your home located in?
What type of residence is your home (ie, apartment, condominium, townhome, single family home, etc)
Do you own or rent?
If renting, are you allowed to have pets?
Is there a pet limit, weight limit or breed restriction? If yes, what is it?
Property Manager's Name & Number
Pet Deposit Fee Amount:
Do you have a secure, fenced-in yard?
What type of fence do you have?
How tall is your fence?
If no fence, how do you plan to exercise your pet?
Do you have a pool?
If yes, is it protected?
What is your family's activity level?
Are you prepared for the financial responsibility of owning a pet:
Do you have any current pets?
If so, please list their Name(s), Type of Pet, Breed, Sex, & Age
Are they all spayed or neutered?
Are they current on vaccinations?
Are they all on Heartworm preventative?
If on Heartworm preventative, what brand do you use?
Are you familiar with heartworm disease?
Other than your current pets, please list your previous pets during the last 10 years. Name(s), Type of Pet, Breed, Sex, Reason they are no longer with you, spayed or neutered?
Have you ever given up an animal for adoption or gotten rid of an animal?
If yes, please state the reason and what you did with the animal.
Please list your current veterinarian and their phone number.
Do you give TLC permission to contact your veterinarian?
If adopting a puppy, have you adopted a puppy before and are you aware of the extensive care and attention they require at a young age?
Yes, I have had a puppy before.
No, I have not had a puppy before but I am aware of the commitment it involves.
I am not interested in adopting a young puppy.
If adopting a pet that is not yet housetrained, do you realize that you'll be responsible for housetraining him/her?
Have you house trained a dog before?
Are you familiar with crate-training?
Would you use it?
What will you do if you animal chews furniture or displays destructive behavior?
Do you plan to take your pet to obedience training?
Do you have a set limit as to how much you will spend on your pet to save his or her life?
What would be your limit to spend to save the life of your pet?
Please list a personal reference that we may contact if needed.
Any comments you would like to add?