Tails of Second Chances Adoption Application (You will be contacted via EMAIL ONLY-PLEASE check your spam folder for communication)

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

County *

E-mail Address *

Employer(If self-employed please list industry) *

Date of Birth *

HOUSING *

Rent

Own

Rent to own

Live with Parents

HOUSING *

House

Condo

Apartment

Mobile Home

If you rent please provide us with your Landlord's name and phone number.

Do you have a fence? *

Yes

No

If you do have a fence (for dogs), what type:

If you do not have a fence, how do you plan on exercising your pet? (please be advised that some dogs do require a physical fence)

Please list NAME (FIRST AND LAST) & AGE of ALL people living in with you, INCLUDING YOURSELF. *

0/500 words

Does anyone in the home have allergies? *

Yes

No

Does everyone in the home agree with this adoption ? *

Yes

No

Who will be primarily responsible for the dog's (cat's) care? *

0/25 words

If something should happen to you or you can no longer care for the dog, who would be the new caretaker for the dog(cat)? Please list the name & email or phone # for this individual. *

0/200 words

How much do you think you will spend yearly for the care of your dog(cat)?
(medical care, food, toys, supplies, training, etc..EVERYTHING involved in PROPERLY caring for your pet) *

0/5 words

Do you currently own a dog, cat or other pet? *

Yes

No

Please list type of pet, name, age and how long you have had this pet.

0/500 words

PLEASE CALL YOUR VET AND AUTHORIZE THEM TO RELEASE YOUR VET HISTORY To Tails of Second Chances

Please provide us with the name, address and phone number of your vet and what name records are listed under. (To speed up the application process, please contact your vet and authorize them to release your vet history to Tails of Second Chances)

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What brand of food do you feed? *

0/100 words

If you use heartworm and flea prevention what type/brand do you use? *

0/25 words

Have you owned a dog(cat) or any pet within the past 15 years? (other than pets listed above)? *

Yes

No

If YES, please tell us( general time period is fine):
What type of Pet
How long you owned the pet
What happened to the pet
How long since you owned this pet

0/5000 words

Please provide us with the name, address and phone number of the vet you used (if different from vet listed above): (To speed up the application process, please contact your vet and authorize them to release your vet history to Tails of Second Chaces)

0/100 words

How much time will you spend with your pet each day? Where will they stay when you are gone? *

0/100 words

How much time will your pet stay outside each day? Where ? Will they be left unattended, if so for how long? *

0/500 words

My dog will primarily be a (Check all that apply): ANSWER ONLY IF APPLYING FOR A DOG

My CAT will primarily be a (Check all that apply): ANSWER ONLY IF APPLYING FOR A CAT

My dog(cat) need to get along with: *

What dog(cat) are you interested in adopting and why did you choose this dog/breed? *

0/500 words

Please provide us with the name and phone# for one personal reference. *

How did you hear about us? You can also use this block to add additional information. *

0/5000 words

Have you applied or adopted from any other rescues, shelters, groups, etc? If so please list name of group. *

0/5000 words

"I understand that owning a dog(cat) is a lifelong commitment and that I am willing to take on this commitment if I adopt a Tails of Second Chances Rescue . I certify that all the information provided in this application is accurate and true. By signing I authorize Tails of Second Chances to contact my vet (if applicable) to verify vet history for current and/or previous pets.
Applicant's name/e-signature: * 🛈

Tails of Second Chances has the right to deny any application submitted to Tails of Second Chances if they feel that the applicant will not provide the right home to one of our dogs or if the applicant does not meet the requirements for adoption listed for a specific dog. Tails of Second Chances has the right to set the adoption requirements(established vet reference, fenced yard, etc...)for any dog in their care to guarantee the best fit for the dog.

Thank you for taking the time to fill out this application. We will review it as soon as possible and you will be contacted if your application is approved. By submitting this application it in no way guarantees you will be approved to adopt a dog(cat) from Tails of Second Chances. Unfortunately, we do not always have the time to contact every application we receive. If your application is approved you will be contacted by a representative within 72 hours. Adoptions are NOT handled through the clinic, so calling there will NOT speed up the process.

You must be at least 21 years old to adopt from our organization.

INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED.

THANK YOU FOR CHOOSING TO RESCUE A HOMELESS DOG OR CAT!!!!