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Adoption Application

Home / Adoption Application

Thank you for applying to adopt one of our wonderful dogs! Once complete please press the submit button to send your application.

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
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.
Does anyone smoke in the house?*
- Yes
- No
Have you ever sold, given away or surrendered a pet?*
- Yes
- No
Do you have animals that currently live in your household?*
- Yes
- No
Animal 1
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 does the pet stay when you are not home?*
Do you have another pet?*
- Yes
- No
Animal 2
Name*
First
Type and Breed*
First
Sex*
- Male
- Female
Are they spayed or neutered?*
- Yes
- No
Age*
Current age as a numeral only.
Amount of Time Owned*
Where does the pet stay when you are not home?*
Do you have another pet?*
- Yes
- No
Animal 3
Name*
First
Type and Breed*
First
Sex*
- Male
- Female
Are they spayed or neutered?*
- Yes
- No
Age*
Amount of Time Owned*
Where does the pet stay when you are not home?*
Do you have another pet?*
- Yes
- No
Animal 4
Name*
First
Type and Breed*
First
Sex*
- Male
- Female
Are they spayed or neutered?*
- Yes
- No
Age*
Current age as a numeral only.
Amount of Time Owned*
Where does the pet stay when you are not home?*
Do you have another pet?*
- Yes
- No
Animal 5
Name*
First
Type and Breed*
First
Sex*
- Male
- Female
Are they spayed or neutered?*
- Yes
- No
Age*
Current age as a numeral only.
Amount of Time Owned*
Where does the pet stay when you are not home?*
Dogs You Have Owned In The Past
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
What type of gates?*
What types of improvements are needed to secure your yard?
Do you have a pool?*
- Yes
- No
How is it secured?*
Do you have a dog run?*
- Yes
- No
How is it secured?*
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?*
- Loose Indoors
- Basement
- Crate
- Garage
- Kennel Run
- Loose Outdoors in Fenced Yard
Where will your dog sleep at night?*
Do you have a dog door?*
- Yes
- No
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
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?*
What characteristics/personality traits are you looking for in your pet?*

*PLEASE NOTE: the responses to these two questions DO NOT affect your approval. They are strictly to help us determine the right pet for your family.
*Some of our dogs may have minor health issues such as KCS (dry eye), thyroid problems which would entail a pill or drops daily. Can you accept these type of issues?*
- Yes
- No
*Some dogs have more major health issues such as kidney disease, bladder stones diabetes, etc. These would entail special diets and medications. Can you accept these types of issues?*
- Yes
- No
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
How did you find out about Tzu Zoo Rescue?
- Petfinder
- Tzu Zoo Rescue Website
- Friend
- Web Search
By submitting 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
Do you clearly understand that it may cost approximately $1200 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

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