Your Name: First: Last:
Your Address: City: State: Zip:
Daytime Phone: Evening Phone: Email Address:
Employer: Number of hours you work per week:
How did you hear about Twin Cities Pet Rescue?
1. Name of the dog you are applying for or type of dog you are interested in adopting:
2. Why are you interested in this particular dog or breed? Why do you feel this dog or breed is right for you?
3. What do you know about this breed?
4. Please explain where and how the dog will live by describing what a typical day would look like for the dog.
5. Will the dog primarily live inside or outside? Where will the dog be when you are not home? Where will the dog be while you are sleeping?
6. How many hours per day will the dog be left alone?
7. Do you currently have a regular veterinarian? If so, what is the name, address and phone number of the clinic?
8. Are you planning to take the dog you are applying for to obedience classes? Why or why not? *Please note that training may be a requirement for the adoptions of some Twin Cities Pet Rescue dogs.
9. What behavior issues can you deal with comfortably?
10. What behavior issues can you not deal with comfortably?
11. If you were to return this dog, for what reason(s) would it be?
12. Are you prepared and able to deal with unforeseen medical emergencies or behavior issues?
13. Please list all members of your household. Include name, age and their relationship to you.
14. If you do not currently have children, do you plan to someday? How will the dog's life change?
15. Does everyone in your home want a dog? Who will primarily be responsible for the dog?
16. What type of home (single family, apartment, townhome, etc) do you live in? Do you rent or own? How long have you lived there?
17. If you own your home, who provides your home owners insurance? Do they permit this breed/type of dog?
18. If you rent or are part of an association, are pets allowed? Are there any size limits or limit to the total number of pets allowed? Are there any breed restrictions?
19. If you rent, what is the name and phone number of your landlord?
20. Do you have a fenced in yard? If yes, what is the height and type of fence? Are your gates locked? If your yard is not fenced, please explain how the dog will be allowed to urinate/defecate.
21. Do you have a pool? Is it fenced separately?
22. Do you think you will move within the next ten years? If yes, are you willing to restrict your housing to where a dog would be allowed?
23. Do you have other pets? If yes, please describe your pets in detail including breed, age and gender. If you have other dogs or cats, are they spayed/neutered and current on vaccinations? If no, please explain why.
24. Do you have any problems with your current pets? What are you doing to address any problems you may be having?
25. Please list all pets you have had in the last ten years, and why they are no longer with you.
Please provide two references that we may contact:
Thank you for completing this application and your interest in rescuing a dog. This application is not a legal, binding contract and does not guarantee pet adoption. Our goal is to place Twin Cities Pet Rescue dogs in to permanent homes and we reserve the right to refuse an adoption we do not feel appropriate. Incomplete applications will not be reviewed.
By entering your name below and clicking 'submit' you confirm that all above information is correct and agree that Twin Cities Pet Rescue may verify all above information, which may include contacting your references, veterinarian and landlord.
Your Name:
