Recycled Tails Application
This application applies to fostering and adopting.
Sign in to Google
to save your progress.
Learn more
* Required
Are you interested in fostering or adopting?
*
Fostering
Adopting
Name of the animal you are interested in?
*
Your answer
Your full name:
*
Your answer
Your street address:
*
Your answer
Your city
*
Your answer
Your state
*
Your answer
Your zip code
*
Your answer
Length of time at current residence:
*
Your answer
Home telephone number:
Your answer
Cell number:
*
Your answer
Email address:
*
Your answer
Names and ages of all members of your household:
*
Your answer
Is anyone in your house allergic to pet?
*
Yes
No
Name and phone of your veterinarian:
*
Your answer
Name and phone number of two references that are not family members:
*
Your answer
Type of housing:
*
Own House
Rent House
Rent Apartment
Other
If you rent, what is the name of phone number of your landlord?
Your answer
In the event that Recycled Tails feels that it would be necessary to see where the animal will be living, would a home visit be ok with you?
*
Yes
No
Have you owned any pets in the past 5 years?
*
Yes
No
If so, please list 1) Type of Animal 2) Name 3) Age 4) Sex 5)Spayed/Neutered 6)Where they are now?
Your answer
Are your current pets up to date with vaccines?:
Yes
No
Clear selection
Are your current pets up to date with heartworm and flea/tick preventative?
Yes
No
Clear selection
If you do not have any current pets do you understand the importance of both of these things?
Yes
No
Clear selection
Where will the pet spend most of its time?
*
Example: House/fenced yard/garage/tied outside/kennel/basement/crate
Your answer
How many hours per day will the dog be left alone?
*
Your answer
Have you ever given a pet of yours away or taken one to a shelter? If so, please tell why.
*
Your answer
When away on an extended trip, what have you planned for your animal’s care?
*
Your answer
If you must move will you take your animal with you?
*
Yes
No
Are you willing to take responsibility for this animal for the next 10 to 20 years? (applies to adopters and not fosters)
*
A pet is a serious commitment. Please take time to really think about this before proceeding.
Yes
No
If for any reason you become unable to take care of this animal do you agree to return him/her back to Recycled Tails?
*
Yes
No
Please tell us why you want a pet:
*
Your answer
How did you find out about Recycled Tails?
*
Choose
Adopt-a-Pet
Event
Petfinder
Social Media
Word of Mouth
Consent
*
I hereby authorize my veterinarian to release to Recycled Tails, information about my veterinary records of any and all animals I own or have owned. I certify that all the information in the application is true and correct and I understand that false information may void the application. I understand that the submission of an application is in no way a guarantee of being approved for adoption. Approved applicants will be contacted by Recycled Tails representative.
Yes
No
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
