Floppy

TCGC Animal League
"Taking Care of God's Creatures"

JP

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"Dedicated to the rescue and permanent placement of homeless pets"

ADOPTION APPLICATION


 
A donation of $125.00 for dogs and $50 for cats is requested to help reimburse rescuer, medical expense etc. Please note this donation in non-refundable.

   Please note the use of the Enter key will submit the application - use the Tab key to navigate the form fields to avoid accidentally submitting an incomplete application.   
 
Email address:
 
Pet applying for:
 
Name:
 
Street address:
 
City: State: Zip:
 
Home phone: Work phone:
 
Do you own or rent your home? Own Rent
 
Type of dwelling: House Condo House Mobile home
 
Do you have a fenced yard? No Yes
 
Type of fence:
 
If your yard is not fenced, what type of confinement do you plan on using for this pet?
 
Have you ever owned a dog/cat before? No Yes
 
Please list all pets you currently own:


Pet Name Breed Gender Age
  Male Female   
  Male Female   
  Male Female   
  Male Female   
  Male Female   
 
How many adults are in your household?
 
How many children are in your household?
 
Age and gender of children:
 
Is anyone is your household allergic to dogs/cats? No Yes
 
Are you willing to housetrain the dog if necessary? No Yes
 
Where will the pet be kept during the...
Day?
Night?
 
Have you released a pet to a rescue group or animal shelter? No Yes
 
Are you established with a Vet? No Yes
 
If yes, who is your Vet?
      Phone:
 
May we contact your Vet? No Yes
 
I understand that completing this application does not guarantee adoption of this pet. TCGC Animal League reserves the right to deny any application. All of the information I have provided on this application is, to the best of my knowledge, true and complete. I understand that falsifying answers on this application, or at any other time during the application process, disqualifies me for adopting. I also understand this application does not guarantee adoption of this pet. Please allow 48 hours for processing application.
 
Please type your name below in acceptance of this statement:

Name:     Date:
 
     
 

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