Obsolete Chasin' Tail Rescue Adoption Application Form

Obsolete Chasin' Tail Rescue Adoption Application Form

This form is no longer in use Please go to Chasintailrescuenc.com and follow the link there
Adopter

First NameLast Name
Co - Adopter

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
Phone Number

Area CodePhone Number
How did you hear about us?
What made you decide on a dog?
Type of dwelling:
How long have you lived there?
Do you have a fence that is secure?

YesNo
Have you had dogs before?

YesNo
Have you ever had to give up a dog?

YesNo
If yes, for what reason?
Is everyone in household in agreement to adopting an animal?

YesNo
How many other pets do you have and what are they?
Anyone in household allergic to animals?

YesNo
Who will train, feed and exercise the animal?
Where will the dog be kept at night?
Will the dog be tied up?

YesNo
Who is your Vet? Please provide at least name and phone number, address would be appreciated but not mandatory.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Provide a reference that is not family member

First NameLast Name
Reference Person's Number

Area CodePhone Number
May we visit your home before and after adoption?

YesNo
What type of dog/cat or specific dog/cat from our adoptable animals are you interested in?
Often times we have multiple applications for the same animal and cannot guarentee a particular one. To help us in finding the best situation for each one, can you tell us why you feel you would be the best home for the dog/Cat you're interested in?
* I / we agree that if we adopt a dog, we will provide professional vet care, a nutritious diet, and a loving home.

*We also agree that we will return the dog if we can no longer keep it.

*No member of our household has ever been convicted of cruelty to animals.
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