Adoption Application

Adoption Application

In order to be considered, you must:

Be 18 years of age or older
Have a valid picture ID showing your current address
Have landlord consent (if applicable)
Be willing to spend the necessary time and money to ensure the pet's optimal health and happiness
Have full agreement and support of pet adoption(s) from ALL household members PRIOR to completing this application

Name First Last
Address
Street Address

Address Line 2

City

State

Zip Code
Home Phone - (###) - ### ####
Cell Phone - (###) - ### ####
Work Phone - (###) - ### ####
Email
Employment Status
Occupation
What type of home do you live in?
Do you rent your home?
Yes No
Landlord Name (if renting)
Landlord Contact Number (if renting) - (###) - ### ####
How long have you lived at your current address?
Have you adopted from us before? Yes No
What type of pet are you interested in adopting?
What age pet are you interested in adopting? Baby Young Adult Senior
Why are you interested in adopting a pet? Companion for self Companion for children Companion for other pet(s) Guarding/Protection Hunting/Herding Mouser Other
If there is a specific pet in our program that you are interested in, please enter the name here.

Please list all members of your household:

Do all household members agree to adopt? Yes No
Does any member of your family or regular weekend visitor have allergies to pets? Yes No
Who will be primarily responsible for the care and supervision of the pet?
Where will the pet stay?
Where will the pet be kept during your vacations or absences from home?
Select the reasons that would make you return or give away a pet. Moving to another state Having a baby The pet has fleas or sheds fur Moving to a new home or apartment Getting married or divorced The pet destroys household items Children will not take care of the pet Moving to an apartment or residence that does not permit pets

Please list past (last 5 years) and current pets below:

Are your current pets up-to-date on vaccinations? Yes No
Veterinarian Name
Clinic/Practice Name
Veterinarian Phone - (###) - ### ####
As part of the adoption process, a TAAS volunteer will call your veterinarian for a reference, or your personal reference if you do not currently have a veterinarian. If applicable, we will also confirm with your landlord that you are allowed to have pets in your home. By initialing here, you agree to these provisions.
Initials:
I have read this application and provided accurate information to the best of my knowledge. Any misrepresentation of facts may result in the adopted animal being removed from the home.
Signature:
IMPORTANT: After clicking Submit, please wait for the confirmation page.