OTHER ADOPTION ADOPTION ADOPTION Adoption Fees Adoption Fees Name* First Last Occupation*Spouse/Partner's Name First Last Spouse/Partner's OccupationPrimary Phone*Cell PhoneWork PhoneAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email Address* Emergency Contact* First Last Emergency Contact Phone*Name of Animal you are interested in adopting*Have you ever been approved to adopt from us before?*YesNoIf yes, who and when?Have you owned an other(s) before in your adult life?*YesNoWho are you adopting this animal for?*YourselfSomeone elseAre you 18 years or older?*YesNoAre all members in the household in agreement about adopting an animal? (This includes any and all roomates)*YesNoType of dwelling*HouseApartmentCondoOtherDo you own or rent?*OwnRentIf in a renting situation have you cleared the adoption of an animal with the owner?YesNoPlease provide proof witha letter or agreementAccepted file types: pdf, jpg, png.PDF format preferedWhere will the animal live?*IndoorsOutdoorsBothDo you have any other animals?*YesNoWhat kind and how many animals?Are all the animals you have spayed/neutered?YesNoIf no, why not?Are all the animals up-to-date on their vaccinationsYesNoIf not, why not?Who is your veterinarian?Which veterinary clinic is your vet at?Do you regularly take your animals to the vet?YesNoDo your other animals get along with animals?YesNoDo you believe an animal should be declawed?YesNoAre you aware that animals are nocturnal animals? (awake most the night)*YesNoWhere will you keep the cat while you are out of home?*Where will you keep the animal at night?*If you go on vacation what arrangements will you make for the animal?*Describe a typical day for your animal:*Describe your home environment. (calm and quiet / busy but relaxed / busy and chaotic)Are there any children in the home?*YesNoIf yes, what are their ages?Is anyone in your home known to be allergic to animals?YesNoAre there any animal behaviour/traits you will not tolerate?*Are you familiar with the needs of an animal?*YesNoPlease list a few:*Have you had experience training animals?*YesNoDescribe the methods of training you like to use:*How much do you think it will cost a month to feed an animal?*How much do you think it will cost for vet care for the first 6 months?*Have you ever had to retrieve an animal for running at large?*YesNoReason the animal went missing from the start?*Would you be willing to have a representative of TBDHS visit your home PRIOR to adoption?*YesNoWould you be willing to have a representative of TBDHS visit your home AFTER the adoption?*YesNoWhy do you want to adopt this animal?*Why should this animal go to your family?*Is there any reason why you would consider returning this animal?*Please explain why:References are required:Landlord Name:If renting, landlord reference required: First Last Landlord Address: Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Landlord Phone:Veterinary Clinic ReferenceIn submitting this form online, I authorize the TBDHS to receive information from my veterinarian regarding a reference for an adoption.Veterinary Name: First Last Veterinary Phone:Veterinarian Address: Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Minimum of 2 local individuals who DO NOT reside with youIndividual 1 Name:* First Last Individual 1 Phone:*Relationship to Individual 1:*Individual 2 Name:* First Last Individual 2 Phone:*Relationship to Individual 2:*Individual 3 Name: First Last Individual 3 Phone:Relationship to Individual 3:CAPTCHA