Thompson River Animal Care Shelter Dog/Puppy Adoption Application

Please fill in all fields marked with a *
	Pet's Name: (being considered)	*
	Your Name:	*
	Co-Applicant's Name:
	Address:
	City, St Zip:
	Home Phone Number:
	Work Phone Number:
	Length of time at this address:
	Residence Type	House Townhouse Apartment*
	Do you own or rent?	Own Home Rent Live with parents*
	If renting, name and phone of Landlord:
	May we contact your landlord to ensure permission to have this pet live with you?	YesNo
	Do you have a fenced yard?	YesNo
	Fence Height:
	Type of Fencing:
	Is there a gate?	YesNo
	Is it Secure?	YesNo
	Why do you want this dog?	CompanionCompanion for other PetWatchdog HuntingOther
	If other, please specify:
	What breed is your most desired?:
	Size:
	What are DESIRED QUALITIES in a dog?	Good with kids Good with dogs Good with cats Housebroken Independant Has some obedience training
	Other?:
	What kind of dog behaviors do you find undesirable?:
	How would you deal with these issues?:
	If not housetrained, how would you handle this?:
	What kind of excercise/activities do you want to do with this dog?:

PLEASE TELL US ABOUT YOUR HOUSEHOLD
	Dog Experience	First time owner Have had one or two Knowledgeable and experienced*
	Home Atmosphere	busy/grand central station some activity calm/low key*
	What will happen to the dog of you have to move?:
	Is anyone in your household allergic to pets?:
	How will you deal with this allergy?:
	Have you ever applied for or adopted an animal from a shelter?	yes no
	If yes, when?:
	What was the outcome?:
	Current Pets:	Pet Type Ages Are they spayed or neutered?




	Have you ever turned a pet into a shelter?	yes no
	Why?:
	Have you ever had a pet euthanized?	yes no
	Why?:
	Is anyone home during the day?	yes no
	If yes, who?:
	How many adults live in your home?:
	Children?:
	Children's ages?:
	Where will the dog be kept?:
	During the day?:
	During the night?:
	When you are not at home?:
	When you are on vacation?:
	How many hours a day will the dog be alone?:
	Will the dog ever be chained and for how long?:
	Will the dog be kept in a garage or a shed and for how long?:
	Will the dog be riding in the back of your truck?:
	How will you secure the dog in the truck?:
	What veterinarian/veterinary hospital sees your pets?:
	May we contact them?:
	Phone number (if known)?:
	Are your pet vaccinated?:
	How much are you will to spend on monthly vet bills?:
	ARE YOU WILLING TO TAKE RESPONSIBILITY for this Dog for the next 10-15 years?:
	What provisions will you make for the Dog should you be unable to care for it?:
	What is you email address?	*
		I certify that all the information in this application is true, and I understand that false information may void this application. I understand that TRACS reserves the right to decline any adoption request.