Adoption Application - tzuzoorescue.com

Applicant's Information

Applicant's Name*

Age*

Address*

Street Address Address Line 2 City State ZIP Code

Home Phone*

Work Phone

Cell Phone

Personal Email*

Enter Email Confirm Email

Work Email

Enter Email Confirm Email

Occupation*

Employer

Employer's Address

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

Do you have a Co-Applicant?*

Yes
No

Co-Applicant's Information

Co-Applicant's Name*

Co-Applicant's Age*

Please enter a number from 18 to 99.

Does the Co-Applicant live at the same address?*

Yes
No

Co-Applicant's Address*

Street Address Address Line 2 City State ZIP Code

Co-Applicant's Home Phone*

Co-Applicant's Work Phone

Co-Applicant's Cell Phone

Co-Applicant's Personal Email*

Enter Email Confirm Email

Co-Applicant's Work Email

Enter Email Confirm Email

Co-Applicant's Occupation*

Co-Applicant's Employer

Co-Applicant's Employer's Address

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

Dog Interested in Adopting

Which dog(s) are you interested in adopting?

If the dog you chose is not available, what characteristics are you looking for?

How did you hear about Tzu Zoo Rescue?

Your Home History

Which best describes your current residence?*

Own a single family home
Rent/lease a single family home
Own/rent/lease a townhome
Rent/lease an apartment

Do you have other people living with you?*

Yes
No

How many people live at your residence?*

Name, Age, and Relationship to you of residents of your home.

Have you ever sold, given away or surrendered a pet?*

Yes
No

Do you have animals that currently live in your household?*

Yes
No

What animals currently live in your household?

Name*

First

Type and Breed*

Sex*

Male
Female

Are they spayed or neutered?*

Yes
No

Age*

Current age as a numeral only.

Amount of Time Owned*

Where do they stay when you are not at home during the day?*

Have you owned a dog(s) in the past?*

Yes
No

What happened to the dog(s)?*

Please include name, type, breed, age, how long owned and what happened to the dog(s).

Your Yard

Do you have a fenced yard?*

Yes
No

Type of fence?*

Examples: wood, chain link, cattle panel, white picket

Height of fence?*

Is the fence solid and secure?*

Yes
No

Can a dog dig under the fence?

Yes
No

Height of the Fence?

What type of gates?*

Can children open the gates?

Yes
No

What types of improvements are needed to secure your yard?

If you have a pool how is it secured?*

If you do not have access to a fenced area, please explain how you plan to exercise your dog and relieve itself?

Can strangers gain access to your yard?*

Yes
No

Does everyone in the family want a dog?*

Yes
No

Your New Dog's Lifestyle

Approximately how many hours a day will your dog be alone?*

Where will your dog spend the day?*

Where will your dog sleep at night?*

Your new pet may not be housebroken. Are there rugs, furniture, etc. that you cannot tolerate being soiled or chewed?*

Yes
No

How will you work with this issue?*

When you travel, who will care for your dog while you are away?*

Have you asked yourself whether your lifestyle is so busy you might not have the time or energy to properly care for a dog?*

Yes
No

Behavior and Training

To facilitate the bonding process, would you be willing to participate in obedience training with your dog?*

Yes
No

If not why?*

Your new dog will need at least 4 to 6 weeks to become familiar with your home. How will you housebreak him/her during this time, if needed?*

What will you do with your new dog if you move?*

What will you do if the home/apartment into which you are moving does not allow pets?*

What will you do if your dog exhibits behavior problems?*

Under what circumstances would you feel you would need to re-home your pet?*

How would you do it?*

Veterinary Reference

This should be a veterinarian you have used for your current pet or any past pets durig the past five (5) years.

Name

First Last

Address

Street Address Address Line 2 City State ZIP Code

Do you clearly understand that it may cost approximately $2400 a year for veterinary care, grooming and proper food and that the lifespan of a small dog may reach 15 years or more?

Yes
No

By signing this application I acknowledge that all my statements are true and correct. I have never been accused or convicted of animal neglect or cruelty. I also state it is my intention to give the dog I adopt love and respect, welcome this dog as a part of my family and into my home, and be dedicated to working thru any problems with this dog.*

Yes
No

Thank you for considering a rescued dog for your next pet and your interest in one of our dogs.<\br> Please fax to 972-767-3863 or email tzuzoorescue@gmail.com.