Other Adoption

Name*

First Last

Occupation*

Spouse/Partner's Name

First Last

Spouse/Partner's Occupation

Primary Phone*

Work Phone

Cell Phone

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email*

Enter Email Confirm Email

Emergency Contact*

First Last

Emergency Contact Phone

Name of Animal you are interested in adopting*

Have you ever been approved to adopt from us before?*

If you, who and when?

Have you owned a small animal in your adult life?*

Who are you adopting this animal for?*

Are all members in the household in agreement about adopting an animal? (This includes any and all roomates)*

Are you 18 years or older?*

Type of dwelling*

Do you own or rent?*

If in a renting situation have you cleared the adoption of an animal with the owner?

Where will the animal live?*

Do you have any other animals?*

What kind and how many animals?

Are all the animals you have spayed/neutered?

If no, why not?

Are all the animals up-to-date on their vaccinations

If no, why not?

Who is your veterinarian?

Which veterinary clinic is your vet at?

Do you regularly take your animals to the vet?

Do your other animals get along with animals?

Are you aware that animals are nocturnal animals? (awake most the night)*

Where 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?*

Is anyone in your home known to be allergic to animals?

Are 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?*

Why do you want to adopt this animal?*

Is there any reason why you would consider returning this animal?*

Please explain why:

References are required:

First Last

If renting, landlord reference required:

Landlord Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

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Email

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