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Pet Adoption Form

Texas Tailwaggers Village Rescue
P. O. Box 2072, Lewisville, Texas 75029-2072
Phone: 214-868-0480
Petfinder Site: www.txtailwaggers.petfinder.org
Email: TxTailwaggers@aol.com

ADOPTION APPLICATION

OUR ADOPTION FEES:

DOGS are $160 - $200. The adoption fee for dogs and puppies includes spaying/neutering, vet visit before adoption, deworming, heartworm testing (for dogs over 6 months old), treatment of heartworms if positive and heartworm preventative each month if test is negative, flea and tick prevention, all vaccinations including distemper, parvo, parainfluenza, corona, leptospirosis, bordetella and rabies, any other medical treatment necessary to make them healthy for adoption including dental if necessary for medical rather than cosmetic reasons, microchip, rescue ID tag and a collar plus all food and other supplies needed in foster care until adopted.

CATS are a $110 adoption fee; the fee includes spay/neuter, vaccinations, vet exam, feline leukemia/feline aids test, deworming, plus all food, hw prevention, flea tick meds, and other supplies needed in foster care until adopted.

ADOPTION PROCESS SUMMARY (basic):

1.) Receive a completed an application.

2.) Adoption counselor(s) call and check the vet reference, go over the app and request more information from the applicant if there are questions about any of the information on it.

3.) References are checked.

4.) A home visit is done with or without the animal in attendance according to the situation.

5.) The applicant is approved or disapproved and informed.

6.) An Adoption Agreement Contract is completed.

An Adoption Counselor and the Foster Mom or Dad review all applications and try to make a selection for each animal on which home and family, in our opinion, is the best match for that individual animal. This is not an overnight process, and can take up to 2 weeks.

We Do Not Adopt Animals

To Anyone Living Beyond a Reasonable Driving Distance of The North Dallas Metroplex area.

Adoption Requirements:

Adopter must be 21 years of age or older
Have identification showing current address
Be able and willing to spend the time and money necessary to provide training, medical attention, and proper care and attention for a pet.

Texas Tailwaggers Village Rescue reserves the right to refuse placement of an animal for any reason. All potential adoptive homes are screened for suitable placement of animals.

Date:

Name of Animal(s) in which you are interested:

Name:	Age:	Driver’s Lic. #:
Street Address:	P.O. Box:
City:	State:	Zip Code:	Email Address:
Home Phone:	Work Phone:	Cell Phone:

What type of animal are you interested in adopting?		Why do you want a pet?
Do you have any preferences in breed, sex, size, coat length, etc.		Is this your first experience with a pet?	Yes No

Please list all animals currently living in household:

Breed & Name:

Age:

Spayed or Neutered:

Yes
No

Kept Where:

Breed & Name:

Age:

Spayed or Neutered:

Yes
No

Kept Where:

Breed & Name:

Age:

Spayed or Neutered:

Yes
No

Kept Where:

Breed & Name:

Age:

Spayed or Neutered:

Yes
No

Kept Where:

Breed & Name:

Age:

Spayed or Neutered:

Yes
No

Kept Where:

Please list the animals you have owned in the past 10 years:

Breed & Name:

Age:

Spayed or Neutered:

Yes
No

Kept Where:

Reason no longer with you (if pet has passed, please give details) and dates:
	Breed & Name:	Age:	Spayed or Neutered:	Yes No	Kept Where:
Reason no longer with you (if pet has passed, please give details) and dates:

	Breed & Name:		Age:			Spayed or Neutered:	Yes No	Kept Where:
Reason no longer with you (if pet has passed, please give details) and dates:

Breed & Name:

Age:

Spayed or Neutered:

Yes
No

Kept Where:

Reason no longer with you (if pet has passed, please give details) and dates:

Breed & Name:

Age:

Spayed or Neutered:

Yes
No

Kept Where:

Reason no longer with you (if pet has passed, please give details) and dates:

Please tell us about any other experience with animals in your life.

Is each animal in your household current on rabies and viral vaccinations?

Yes
No

Have any of your animals been diagnosed with an infectious disease (FIV, Felv, FIP, Distemper, Parvovirus)

Yes
No

Who is your veterinarian?

Phone Number:

Other veterinarian you’ve seen in last 10 yrs?

Phone Number:

Have you adopted an animal before?

Yes
No

If “Yes”, from what group?

Have you given an animal up before?

Yes
No

If “Yes”, to whom?

Do you:

Rent
Own

Type of Home:

How long have you lived at your current address?

years Months

Do you plan to move soon?

Yes
No

If Yes – Why? Where? When?

If renting:

Pets Allowed?

Yes
No

Deposit required per pet?

Size/weight limit per pet?

lbs.

Proof of paid pet deposit required to begin application processing. – Please provide by email, snail mail or fax.

If you had to move, what would you do with your pets?

Where would your pet stay if you went out of town?

Are you a student?		Yes No	Do you travel frequently?	Yes No
How many people live in your household?			Relationship and Ages:
If you were to add a baby to your family, by whatever means, what arrangements would you make for this pet?				Describe any regular visitors, both human and companion animal, that visit your home:
Anyone in household allergic to animals?	Yes No		Who will be responsible for the care of this pet		Do you have the consent of all adults in the household to adopt this animal?	Yes No

Your Occupation:		Your Company:		How long at your present job?	Years	How many days per week do you work on average?
Other Household Occupant's Occupation:		Other Household Occupant's Company:		How long has other household occupant been at present job?	Years	How many days per week do other Household Occupants work on average?

Where will this pet be kept during the day?		At night?		Is anyone home during the day?	Yes No	How much time will this pet spend alone?	hours
How long do you plan to keep this pet?

Personal References (other than family) who are familiar with you and your pets:

	Reference 1	Reference 2
Name
Phone
Best Time To Call

Dog Adopters Only:

Do you know the leash/licensing laws in your city?	Yes No	Do you have a fenced yard?	Yes No
If yes, how high is the fence?	ft.	What type?
Does this fence enclose the outside area the dog will have access to necessities?	Yes No	Do you have a dog house or shelter in your back yard?	Yes No

Do you realize that you will probably have to housetrain this dog?

Yes
No

Have you housetrained dogs before?

Yes
No

If so, how?

Are you familiar with crate training?	Yes No	Would you use it?	Yes No
How will you confine your dog?		Do you plan to take your dog to obedience training?	Yes No

Are you familiar with heartworm disease?

Yes
No

If you have dogs, are they on heartworm preventative?

Yes
No

What kind?

Do you have hobbies or interests you hope your dog will become involved in? Please describe:

How do you plan to transport this dog?

No animal is perfect! Please check ALL of the dog behaviors you are
UNWILLING or UNABLE to deal with, handle or work through to a resolution:

Cat Adopters Only:

Do you plan to declaw this cat?	Yes No	Are you aware of alternatives to declawing?	Yes No
Have you litter box trained cats before?	Yes No	Where will you keep the litter box?

No animal is perfect! Please check ALL of the dog behaviors you are
UNWILLING or UNABLE to deal with, handle or work through to a resolution:

Eliminating outside litter box
Scratching furniture or carpet
Jumping on counters
Mouthiness

Aggression toward other animals
Shedding
Other:

Certification

We will attempt to provide you with an honest evaluation of temperament on any animal we have in our program. Do you realize that often the complete history of an animal may not be known and you may encounter some behavioral problems such as, but not limited to, barking, digging, and chewing? YesNo

Are you willing to work with us or a trainer to correct these problems? YesNo

By submitting this form, I certify that the information provided on this profile is true and correct. I am also financially and physically able to care for this animal. I understand that proper food and veterinarian care can be costly and I am able to meet these requirements. I also understand that other applications for this animal may be under consideration with mine (in an attempt to located the “best” match, in TTVR’s opinion, considering the family and the personality/temperament and needs of the animal) and until I have been contacted personally and an Adoption Agreement has been fully executed, that Texas Tailwaggers Village Rescue reserves the right to refuse any adoption, with or without cause.

How did you hear

about us?

Word of Mouth (who )
Internet Search Engine (which )
Petfinder.com
Newspaper

Our Website
Banner
Bumper Sticker
Other:

Your response to the following question will in NO way influence
the adoption decision about the animal for which you are applying.

Would you like to have a friendly coordinator contact you to answer questions about opportunities to
help animals as a volunteer for Texas Tailwaggers Village Rescue? YesNo

If so, by: Email Telephone

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