ADOPTION Application Name * First Name Last Name Are you at least 18 years old? * *Please note you must be at least 18 to adopt a dog Yes No Age * Email * Cell Phone * (###) ### #### Home Phone (###) ### #### Occupation * Name of Employer or School * Address Address 1 Address 2 City State/Province Zip/Postal Code Country How long have you lived here? * Do you have a pool? Is it fenced? * Type of Housing 1 * Own Rent Live with Parents Other If you chose 'other' please specify: Type of Housing 2 Single Family Home Apartment Condo/Townhouse If you chose 'other' please specify: If renting: Provide full name of landlord: If renting: Provide landlord's phone number: (###) ### #### If renting: Does your landlord approve of adopting a dog? Yes No Does your housing have any size/weight restrictions? * Yes No If such restrictions exist, are you willing to provide documentation to show that the adoption of the dog(s) you have selected does not violate any of those restrictions? * YES NO Home Activity Level * Calm/Quiet/Minimal Visitors Active/Busy/Loud/Visitors Often Other Does your housing have any breed restrictions? * Yes No If you chose 'other' please specify: Do you have a backyard? If yes, please specify fence height and whether or not it's fully enclosed * Including you, how many people live in your home? * Are there children in the home? * Yes No If yes, please list name, age and any experience with dogs for each child Are you willing to supervise your adopted dog at all times when around children? * Yes No Please provide full name, age and relationship of all adults in your home * Does everyone in your home agree to adopting a dog? * Yes No Is anyone in your home allergic to animals? * Yes No Are there other animals in your home? * Yes No Please list each animal in your home and include their breed, age, sex and personality traits. Do they get along with other dogs? Where did you get your current pets and how long have you had them? (pet store, breeder, shelter, rescue) Are your current pets spayed/neutered? * Yes No I don't have pets Are your current pets up to date on all vaccinations? * Yes No I don't have pets Where do you current pets sleep? Do you know how many dog(s) and/or cat(s) and/or other pets you are permitted by local laws to maintain at a residence in the jurisdiction in which you live? * YES NO If so, how many dogs and how many cats? How do you know? * Have you ever had a dog that is no longer with you? * Yes No If yes, for each dog please list their breed, age, sex, where they came from (shelter, breeder, etc) how long they were with you and how you lost him/her If yes, were they spayed/neutered? Yes No If yes, were they up to date on all vaccinations and heart worm prevention? Yes No If yes, where did they sleep? (in your bed, a crate, on a dog bed, in the garage, in the backyard, etc) What does a normal day for you look like? Do you leave the house for work or school certain days of the week? If so, please describe how your adopted dog will be cared for during these hours * How many hours per day will your adoted dog be left alone? * Where will your adopted dog be when left alone? * Where will your adopted dog sleep? * If necessary, would you be able to keep your adopted dog separate from your personal dogs in order to decompress? * Yes No There are no other dogs in the home Why do you want to adopt a dog? * Do you have reliable transportation? * Yes No Are you willing to work with your adopted dog on any behavioral issues? This can include separation anxiety, barking, digging, accidents in the house, chewing, pulling on the leash, etc * Yes No Are you willing to use a crate for a dog if recommended? * Yes No Are there any behavioral issues you aren't willing to work on? What would be a dealbreaker for you? Please explain in full detail * Are you willing to provide professional training for your rescue dog to address any unwanted behaviors? * Yes No Have you had any experience with with an emotionally or physically neglected or abused dog? * Yes No We cannot guarantee a dog to be housebroken, are you equipped to train with love and patience? * Yes No What are you plans to exercise your adopted dog? Please list any parks near by or trails, how many walks a day, approximate length, activities such as agility * On average, how often will your adopted dog be exercised each day? * Do you agree to a home check prior to adopting? * Yes No Are you willing to provide veterinarian treatment for your adopted dog(s) as needed, including annual exams, DHLPP and rabies vaccinations, heart worm and intestinal parasite checks, to be followed by regular use of preventatives? * Yes No Are you willing to keep a collar, air tag/tracker and ID tag on your adopted dog at all times? * Yes No Are you willing to keep your adopted dog on a leash at all times outside of the home unless they are in a private enclosed backyard that is supervised? * Yes No Will you ensure that your adopted dog(s) will reside inside your home and will not be left outside unattended overnight or for any considerable length of time, and that your adopted dog will not be tethered at any time? * Yes No How often do you travel? Do you have any upcoming trips planned? * If you go out of town, who will care for your adopted dog? * Have you ever surrendered a pet to a shelter or rescue? * Yes No If yes, please explain: * Is there a certain dog you are hoping to adopt? If that dog is no longer in need of a home, would you be open to adopting another dog in need? * Please share your preferences in terms of size, breed, energy level, etc. Adopters for large dogs are our biggest need. Are there any breeds you don't feel comfortable adopting? * Has anyone in your home been convicted of a felony or animal cruelty charge? * Yes No If yes, please explain: Please provide two personal references that don't live in your home and aren't related to you. Include full name, phone number, relationship and years known for each: * Please provide full name and contact info of at least one other adult in your home: * Is there anything else you would like us to know? Please provide links to your social media profiles: * Instagram, Facebook, Blogs, etc By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully. I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the forfeiture of any Tofu’s Dreamworld animal adopted by me. I certify that the above information is correct, and I understand that the information will be verified. I understand that by submitting this form electronically, I agree to release and covenant to hold harmless Tofu’s Dreamworld and it's members from any claims, damages, costs, or actions incurred because of the care or actions of the adopted dog. I accept full responsibility for the dog(s) actions at all times, and release Tofu’s Dreamworld from any liabilities or damages that may be incurred. I agree to have Tofu’s Dreamworld complete reference call checks and conduct a home visit inspection to be able to approve my adoption application. * I agree Signature * Date MM DD YYYY Thank you!
