Adopt Other Name* First Last Occupation*Spouse/Partner's Name First Last Spouse/Partner's OccupationPrimary Phone*Work PhoneCell PhoneAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* Enter Email Confirm Email Emergency Contact* First Last Emergency Contact PhoneName of Animal you are interested in adopting*Have you ever been approved to adopt from us before?*Please SelectYesNoIf you, who and when?Have you owned a small animal in your adult life?*Please SelectYesNoWho are you adopting this animal for?*Please SelectYourselfSomeone elseAre all members in the household in agreement about adopting an animal? (This includes any and all roomates)*Please SelectYesNoAre you 18 years or older?*Please SelectYesNoType of dwelling*Please SelectHouseApartmentCondoOtherDo you own or rent?*Please SelectOwnRentIf in a renting situation have you cleared the adoption of an animal with the owner?Please SelectYesNoWhere will the animal live?*Please SelectIndoorsOutdoorsBothDo you have any other animals?*Please SelectYesNoWhat kind and how many animals?Are all the animals you have spayed/neutered?Please SelectYesNoIf no, why not?Are all the animals up-to-date on their vaccinationsPlease SelectYesNoIf no, why not?Who is your veterinarian?Which veterinary clinic is your vet at?Do you regularly take your animals to the vet?Please SelectYesNoDo your other animals get along with animals?Please SelectYesNoAre you aware that animals are nocturnal animals? (awake most the night)*Please SelectYesNoWhere will you keep the pet while you are out of home?*If you go on vacation what arrangements will you make for the animal?*Describe your home environment. (calm and quiet / busy but relaxed / busy and chaotic)*Are there any children in the home?*Please SelectYesNoIs anyone in your home known to be allergic to animals?Is anyone in your home known to be allergic to animals?Please SelectYesNoAre there any animal behaviour/traits you will not tolerate?*Please list a few:*How much do you think it will cost a month to feed an animal?*How much do you think it will cost for vet care for the first 6 months?*Would you be willing to have a representative of TBDHS visit your home PRIOR to adoption?*Please SelectYesNoWhy do you want to adopt this animal?*Is there any reason why you would consider returning this animal?*Please explain why:References are required:References are required: First Last If renting, landlord reference required:Landlord Address: Street Address Address Line 2 City State / Province / Region ZIP / Postal Code CAPTCHANameThis field is for validation purposes and should be left unchanged.