HappyTails Adoption Screening E-Form

Just complete this form and click on submit when ready to send. Please be sure to complete ALL fields.
** YOU MUST BE AT LEAST 18 YEARS OLD TO FILL OUT THIS FORM **
PLEASE BE SURE TO DOUBLE CHECK YOUR EMAIL ADDRESS OR WE WILL NOT BE ABLE TO CONTACT YOU!!.

HappyTails Rescue has a very strict Spay/Neuter Policy. If you currently have a cat(s) or dog(s) or both and they are NOT spayed or neutered for any reason other than age or medical condition (to be verifed by your veterinarian), DO NOT submit this application, it will be automatically denied.

Name:

Age:

Spouse Name:

Spouse Age:

Home Phone:

Cell Phone:

Address:

City:

State:

Zip:

Work Phone:

How long have you lived at this address?:

Occupation:

Employer:

Time With Employer:

Spouse Occupation:

Spouse's Employer:

E-Mail:

Name & number of animal you are interested in:

Why this particular animal?:

How long have you been looking for a new pet?:

Do you live in an: Apartment townhouse/condo private home

Do you: own / rent?

Do you have a fenced in yard?: Yes / No?        Completely Fenced?: Yes / No?

If renting does your landlord allow pets?: Yes / No
Name and phone number of Landlord:

Household make up: Number of adults
Number of children

Describe each person in the household:

Please list ALL members of the household. Thanks!

Name
Age:
Relation:

Name:
Age:
Relation:

Name
Age:
Relation:

Name
Age:
Relation:
Name:
Age:
Relation:

Name
Age:
Relation:

If there is anyone else living in your home please list them in detail below.

Do any children visit you? yes / no

Describe pets residing with you, ie. type, age, animal name and if spayed / neutered :
HappyTails Rescue has a very strict Spay/Neuter Policy. If you currently have a cat(s) or dog(s) or both and they are NOT spayed or neutered for any reason other than age or medical condition (to be verifed by your veterinarian), DO NOT submit this application, it will be automatically denied.

Who will be responsible for caring for this pet?:

Where will your pet spend a most of it's time?:

How many hours will it be left alone?:

How do you feel about crate training?:

Have you owned a dog before? If so what kind? Please provide names and years you had them.

What happened to them? Please provide details:

NAME and PHONE NUMBER of your CURRENT VETERINARIAN? If you do not currently have a vet, please list any past vets with name of pet and year you used them.:

When were you last there, and the name of the animal seen?:

Who's name is the animal under:

How often should a dog see a veterinarian?:

How much and how often should you feed a dog?:

Describe your lifestyle, i.e. Active, Relaxed?:

What do you like to do in your spare time?:

Why do you want a dog?:

If applicable; What are your children's hobbies and/or play habits?:

Do you frequently entertain, or get many visitors?:   yes / no

Do you have rules for your household?:   yes / no
If so, briefly describe them:

We require animals to be spayed/neutered, do you have any questions or reservations about this policy?:   yes / no
If so, describe:

Name, phone number and relationship of 2 personal references? Not relatives:

Do you agree to return your adopted pet to HappyTails Rescue if for any reason you are unable to keep it?
yes / no

How did you hear about our organization?:

Since most animals have unknown medical backgrounds, are you prepared to take your new pet for a complete veterinary exam within 2 days of adoption, and to provide any necessary medical treatment at your own expense?yes / no

The purpose of this application is to place the pet in what we feel is the best suitable home.
We reserve the right to refuse any adoption.
Thank you for your application!!!

Name:
Age:
Spouse Name:
Spouse Age:
Home Phone:
Cell Phone:
Address:
City:
State:
Zip:
Work Phone:
How long have you lived at this address?:
Occupation:
Employer:
Time With Employer:
Spouse Occupation:
Spouse's Employer:
E-Mail:
Name & number of animal you are interested in:
Why this particular animal?:
How long have you been looking for a new pet?:
Do you live in an:	Apartment townhouse/condo private home
Do you:	own / rent?
Do you have a fenced in yard?:	Yes / No? Completely Fenced?: Yes / No?
If renting does your landlord allow pets?:	Yes / No
Name and phone number of Landlord:
Household make up:	Number of adults Number of children
Describe each person in the household:	Please list ALL members of the household. Thanks! Name Age: Relation: Name: Age: Relation: Name Age: Relation: Name Age: Relation: Name: Age: Relation: Name Age: Relation: If there is anyone else living in your home please list them in detail below.
Do any children visit you? yes / no
Describe pets residing with you, ie. type, age, animal name and if spayed / neutered : HappyTails Rescue has a very strict Spay/Neuter Policy. If you currently have a cat(s) or dog(s) or both and they are NOT spayed or neutered for any reason other than age or medical condition (to be verifed by your veterinarian), DO NOT submit this application, it will be automatically denied.
Who will be responsible for caring for this pet?:
Where will your pet spend a most of it's time?:
How many hours will it be left alone?:
How do you feel about crate training?:
Have you owned a dog before? If so what kind? Please provide names and years you had them.
What happened to them? Please provide details:
NAME and PHONE NUMBER of your CURRENT VETERINARIAN? If you do not currently have a vet, please list any past vets with name of pet and year you used them.:
When were you last there, and the name of the animal seen?:
Who's name is the animal under:
How often should a dog see a veterinarian?:
How much and how often should you feed a dog?:
Describe your lifestyle, i.e. Active, Relaxed?:
What do you like to do in your spare time?:
Why do you want a dog?:
If applicable; What are your children's hobbies and/or play habits?:
Do you frequently entertain, or get many visitors?: yes / no
Do you have rules for your household?: yes / no If so, briefly describe them:
We require animals to be spayed/neutered, do you have any questions or reservations about this policy?: yes / no If so, describe:
Name, phone number and relationship of 2 personal references? Not relatives:
Do you agree to return your adopted pet to HappyTails Rescue if for any reason you are unable to keep it? yes / no
How did you hear about our organization?:
Since most animals have unknown medical backgrounds, are you prepared to take your new pet for a complete veterinary exam within 2 days of adoption, and to provide any necessary medical treatment at your own expense?yes / no
The purpose of this application is to place the pet in what we feel is the best suitable home. We reserve the right to refuse any adoption. Thank you for your application!!!