Adoption Application Your InformationName* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* Phone*Date of Birth*Drivers License Number*Expiration Date*Home InformationHow many people live at home?*How many under the age of 18? Please list ages.Do You?*Own HomeRent HomeLive with ParentsOtherIf other, please explain:How long have you lived at the above address?*How many hours per day will your pet be left alone?*Does anyone in your family have allergies to animals?*YesNoIf yes to allergies, please explain:Should you be unable to care for your pet, who will assume his/her care? (Name, address and phone #):*Do you currently own pets or have owned them in the past?*YesNoIf yes to the above, what types (cats, dogs, other)*Provide Current/Past Veterinarian Name, Address and Phone #:*How long have you used this Veterinarian*What pets do you currently have in your home (list name, type, age, sex, spayed/neutered, vaccination status and how long you have had him/her):*What other animals have you owned in the past and what happened to them?*Have you ever surrendered an animal to a shelter, rescue or animal control facility?*YesNoIf yes, please describe the circumstances:*Animal InformationI am applying to adopt a:*CatDogAdoptable Animal's Name:*When no one is home, where will the animal be kept:*Free Roam in HouseKitchen/Bathroom/Laundry areaCrateOtherIf other, please explain:*If you move, will you take your pet with you?*YesNoDo you have a yard?*YesNoIf yard is fenced, list type of fence and height:*When your dog is outside, he/she will be: Fenced in Yard Tie Out Patio Area Dog Run Leash Walks Invisible Fence Indoor Only Which of the following behaviors or characteristics would cause you to return your dog?*Examples, chewing, jumping on furniture, shedding, digging, accidents in house ... Will this cat be:*An Indoor CatAn Outdoor CatAn Indoor/Outdoor CatIf indoor only, are there any circumstances where he/she will be allowed outside (if so, explain):Do you plan to declaw this cat?*YesNoTails of Hope reserves the right to refuse adoption to anyone. The information contained within this application is to the best of your ability accurate and correct. I understand that Tails of Hope, Inc. has the right to reclaim the animal if any given information is found to be false. I authorize the release of veterinarian information related to current and past pets to Tails of Hope.Initial to agree to the above"*