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Dog Adoption Application
Application to adopt a dog
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* Indicates required question
Email
*
Your email
Date
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MM
/
DD
/
YYYY
Name
*
Your answer
Address street, city, state, zip
*
Your answer
Phone
*
Your answer
Dog or breed of interest? Why?
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Your answer
Please list age, sex, color or size preference
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Your answer
I live in a:
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House
Apartment/Trailer
Other:
Rent or own? How long?
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Your answer
PERSONAL REFERENCE: Name/Relationship/Contact info
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Your answer
How many people in your household? # of children (please list age of children)
*
Your answer
Other pets in household? Spayed/Neutered?
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Your answer
Do you have a fenced yard? Kennel run?
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Your answer
Plans for this dog? (Pet, obedience, agility, hunting, herding, Frisbee, fly ball, guard, other)
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Your answer
Where will this dog spend the day/night?
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Your answer
How many hours will the dog spend alone in an average day?
Your answer
Does anyone in your household have allergies to animals?
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Yes
No
Maybe
What will you do if the new pet doesn’t get along with your present pet(s)?
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Your answer
Why would you get rid of a dog?
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Your answer
Do you understand that TAS requires this dog be spayed/neutered?
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Your answer
Have you or anyone in your family ever been convicted or cited for crimes against animals?
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Yes
No
Would you be willing to let a representative of TAS visit your home by appointment? If not, why?
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Your answer
Do you agree to give regular health care & grooming required for this breed?
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Yes
No
Do you agree to contact TAS if you do not want or can no longer keep this dog?
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Yes
No
Are you over 18 years of age? If not, do you have your parents permission and support in getting this dog?
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Yes
No
Other:
Do you understand that TAS has an adoption contract for you to sign?
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Yes
No
Do you understand that TAS reserves the right to refuse an applicant for any reason?
*
Yes
No
TAS is a non-profit organization and in order to continue rescuing pets we must ask for an adoption fee so can help other pets in-need. Do you understand that TAS requires an adoption fee for each pet?
*
Yes
No
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