Adoption Application

Name of Dog Applying For *

Your Full Name *

First

Last

Your Age *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Cell Number *

Alternate Number *

Marital Status *

Spouse/Partner's Name *

Will this be the first pet you have ever owned? *

Yes No

Will you allow Happy Tails to do a home visit? *

Yes No

Are you employeed? *

Yes No

What type of work do you do? *

Empoyer's/Company Name *

Employeer Address *

How many hours do you work outside the home? *

Are you financially able to care for a new pet? *

Yes No

Do you rent or own? *

Rent Own

Type of Residence? *

Single Family Condo Apartment Mobile Home

If you rent, do you have your landlord's permission to own a pet? *

Yes No

How many pets are allowed where you live? *

How long have you lived there? *

Are you planning to move soon? *

If you had to move to a place that did not allow pets, what would you do with your adopted dog? *

Do you live in a high rise building? *

Yes No

Do you have a balcony? *

Yes No

If yes, is your balcony screened in? *

Yes No

Do you have a backyard? *

Yes No

If yes, is your backyard fenced in? *

Yes No

Do you or anyone in your household smoke? *

Yes No

How many hours will your dog be left alone? *

Will pet be inside, outside, or both during the day? *

Where will the dog sleep? *

Number of adults in your household? *

Number of children in your household (provide ages) *

Who will be the primary caregiver for the pet? *

Do you own other animals? If yes, please list their name, breed, ages, and if spay/neutered: *

Are your pets current on vaccines? *

Yes No

Have you ever surrendered an animal to a shelter? If so, please explain: *

Do all members of your household agree to this adoption? *

Yes No

Is anyone in your home allergic to dogs? *

Which best describes your household? *

Busy Quiet Other

Will you provide vet visits and ensure yearly vaccines? *

Yes No

Vet's name and phone number *

If you don't have a vet need a referral, check below *

I need a vet referral

Where will the dog stay when you are away on vacation? *

Would you consider a dog sitting service? *

Yes No

What will you do if your dog urinates in your home? *

If a new spouse/partner/roommate moves in and is allergic to this dog, what would you do? *

What would you do with this dog if a new baby arrives? *

If you are no longer physically able to care for this dog, what arrangements would you make? *

Do you agree to contact Happy Tails Dog Rescue if you are no longer able to care for this pet? *

Yes No

Please list the name, phone number, and relationship of ONE reference who can attest to your ability to care for a new dog: *

The information provided above is true to the best of my knowledge. If any information is found to be false, Happy Tails Dog Rescue has the right to reclaim the adopted pet. We reserve the right to refuse any applicant we feel is not a good fit for the dog. *

I agree

Online Dog Adoption Application