Application for Adoption | Rural T.A.N.K Rescue

Name of animal you are applying to adopt - If this animal is not available, will you consider another available one?

Full names of adult applicant(s) and age(s):

Occupation(s):

Full physical address where you reside: - include city, state and zip coe

Mailing address (if different):

Phone

Best time to call:

Email

Number of children (and ages):

Do the children know the proper way to handle animals and/or have they been around animals?

What type of home do you live in (single family, RV, town home, apartment, farm, etc.)

How long have you lived at this address?

Do you own or rent? If your parents own it, please include their name & contact informaion

If you rent, please give the rules governing pets and the landlord's name and contact number. By providing this information you are allowing Rural T.A.N.K. to contact your landlord. Please inform them of this call so they will speak to us.

Does anyone in the family have a known allergy to dogs or cats? If yes, are they on any medication for the allergy?

Do you have a fenced in backyard? If so, is the fence sturdy and relaible?

Where will this pet spend most of the time?

Do you plan on restraining the dog while outside with anything other than a leash?

What other pets do you currently have? MUST list all: type of animal, name, breed, color, gender, age, approximate weight. If none, indicate "none."

If you do not have current pets, have you owned an animal before? If so, please list how long ago, name, breed, gender, age and if the animal was current on all medical. What happened to the pet? If this is not applicable, indicate "n/a".

How do you discipline/correct your pet?

If adopting a dog, have you ever survived "puppihood"? If adopting a cat, have you ever survived "kittihood"?

Veterinarian: Please provide the information for your current veterinarian, previously seen, or one you will be using if you do not have a vet currently. Please include the clinic name and phone number. By providing Rural T.A.N.K. this information, you are allowing us to call your vet. Please call your vet to authorize the release of this information to us.

Are there any limitations to the type/size/breed/personality of the dog you are willing to adopt?

Where will the dog or cat sleep (describe)?

The number of hours (on average) the dog or cat will spend alone and where?

Who will have primary responsibility for the dog or cat's daily care?

Do you agree to keep the cat or dog as an indoor pet? If not, why?

Do you agree to contact Rural T.A.N.K. if you can no longer keep this dog or cat?

How do you plan on caring for the cat or dog when you are out of town?

Please provide the name, phone number, and the relationship to you for your personal reference #1:

Please provide the name, phone number, and the relationship to you for your personal reference #2:

Type Full Name Here:

Rural T.A.N.K. Rescue

Adoption Application

Adoption Application