Adoption Application for Benji - Saving Tails Animal Rescue

Basic Information

First Name

Last Name

Street Address Address Line 2

City

State

Zip Code

Mobile Phone

Alternate Phone

Date of Birth

Employer

Hours Worked per Week

Questions Provide the name(s) of the dog(s) that you are interested in meeting/adopting. Or, provide information on what specific type of breed and type of dog that you are interested in adopting. Where did you hear about the dog and/or the rescue group? Why do you think this dog or breed of dog would be a good fit for you? What do you know about this breed of dog? Please list all members living in your home including age, gender, and relationship. If you do not currently have children in the home, how do you think that your dog’s life will change if you were to have children? Does everyone in your home want to add a new dog to the household? Who will primarily be responsible for the care of the dog? What type of home do you live? Do you rent or own (e.g. single family, apartment, townhome, etc.)? How long have you lived at that residence? Do you allow smoking in your home? If so, how often? If you own, who is your homeowner’s insurance provider? Are you familiar with your homeowner’s policy regarding dogs? Does your home owners insurance cover the breed of dog that you are interested in? Are you familiar with your city ordinances regarding owning pets? Is your pet required to be licensed? If you rent; or if you are part of an association, are you aware of the animal policy? Are there any number, size, or breed restrictions. Please provide the contact information to your apartment complex, or your landlord. Do you plan on moving in the next 10 yrs.? If so, what would your plans be for including all animals in the move? Do you have a fenced in yard? If so, what type of fencing? If not, how would you plan to exercise or let your dog out to relieve himself or herself? Do you have a pool? If so, is it fenced separately? Where will the dog primarily be homed- indoors, outdoors, or a combination of both? Where will the dog be kept when home alone? Where will the dog sleep at night? How many times do you plan on walking your dog per week? Do you plan on taking your dog to professional training classes? Why or why not? -Please note that training classes may be required for certain dog’s adoptions. Do you have any other pets? If so, please describe your pet(s) in detail including breed, age, and gender. Are they spayed/neutered and current on all vaccinations? Please list all animals that you have owned in the past 10 years, including breed, gender, and reason they are no longer with you. If you do have pets, how do they interact with other dogs? What would your plan be for welcoming a new dog in to the home? Do you have a primary veterinarian that you currently use? If so, please provide the contact information for the vet clinic. Do your current pets have any health or behavioral issues? What behavioral or health issues are you prepared to deal with? What issues would you not be willing to deal with? If you found it necessary to return a dog, what would the reason be? Please describe a typical day in the life of your pet(s). Please provide references that may be contacted, including name, relationship, phone, and email. Thank you for taking the time to complete a Saving Tails Animal Rescue Dog Adoption Application! Please let me know if you have any specific questions regarding the dog that you are interested in adopting, or the STAR adoption process.