ADOPTION APPLICATION Provide a loving and safe home by adopting Name * First Name Last Name Preferred Pronouns She/ Her He/ Him They/ Them Other If other, please specify: Address Address 1 Address 2 City State/Province Zip/Postal Code Country Daytime Phone (###) ### #### Evening Phone (###) ### #### Best Time to Call Hour Minute Second AM PM Email Address * Name of dog(s) you're applying for: Why do you think you’d be the best match for this dog? Are you willing and able to work through any of the dog’s weaknesses mentioned in their bio? Yes No How long have you been looking to adopt a dog? * Just started Two months or less Three months or more Are you currently in the adoption process with another rescue organization? * Select an option from the drop down menu below. Yes No Family and Housing How many adults are there in your home and what is their relation to you? How many children and what are their ages? If yes, what is your child/ children’s experiences with dogs? What type of home do you live in single family, town home, apartment, farm, etc.? Please describe your household: Active Noisy Quiet Average If you rent, does your landlord allow pets? Can you provide written consent? Does anyone in the family have a known allergy to dogs? * Yes No Is everyone in agreement with the decision to adopt a dog? * Yes No Do you have time to provide adequate love and attention? * Yes No Other Pets What other pets do you have (specify type and number)? Are these pets up to date on vaccines? * Yes No Are these pets spayed/neutered? If not, why? Have you every surrendered a pet? If so, why? Have you ever had a pet euthanized? If so, why? Have you ever lost a pet to an accident? How do you discipline your pets and why? Veterinarian Do you have a regular veterinarian? Yes No Veterinarian’s name Clinic Name Clinic Address Address 1 Address 2 City State/Province Zip/Postal Code Country Clinic Phone (###) ### #### By providing Urban Tails Animal Rescue with this information, you are allowing us to contact your vet. Please call your vet and ask them to authorize the release of information to Urban Tails Animal Rescue. I AGREE About the Dog You Wish to Adopt Please describe the type of dog you would like to adopt (include breed, personality traits, energy level). We always want to make sure we have the best fit between our dogs and adoptive homes. Desired Age Desired Size Desired sex Spayed Female Neutered Male No preference Willing to adopt Outgoing/hyper dog Dog that needs regular medication Dog that needs grooming Shy dog Dog that needs training None of these Where will the dog spend the day? Where will the dog spend the night? Number of hours (average) dog will spend alone? Who will have primary responsibility for this dog's daily care? What kind of activities do you plan to do with your dog? If you were to go on vacation, where would your dog stay? Would you consider a dog walker/ daycare if you’d be away for long stretches of time? Yes No Do you plan on taking your dog to training classes? Yes No Not Sure Yet Do you have experience with or are willing to work through the following with your dog if it were to occur? Separation anxiety Leash reactivity Territorial Behaviour Excessive barking Housetraining Are you prepared for an adjustment period of at least two weeks? Sometimes longer? Adjustments meaning; barking, accidents, chewing, conflicts with other animals, etc. Yes No How often do you plan on taking the dog to the vet? Once a Year As Required How much do you expect to spend a year to feed, train, vaccinate, dog-sitting, license and provide medical care for the dog? I have a set budget Whatever it costs If you move, will you take the dog with you? Yes No Have you had any experience with an emotionally or physically neglected or abused dog? If yes, please explain. Do you agree to keep the dog as an indoor dog? Yes No Do you have a fenced yard? This will not affect whether or not you are accepted to foster: Yes No Do you agree to contact Urban Tails Animal Rescue if you can no longer keep this dog? Yes No Are you willing to let a representative of Urban Tails Animal Rescue visit your home by appointment? Yes No Anything else you think we should know that wasn't covered? Personal References Please list someone who is familiar with both you and your pets. Name * First Name Last Name Phone * (###) ### #### Email Relationship (relative, neighbor, friend, etc.) * Name * First Name Last Name Phone * (###) ### #### Email Relationship (relative, neighbor, friend, etc.) * Adoption Agreement * By sending this electronically, I acknowledge that I have completely read this document 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 URBAN TAILS ANIMAL RESCUE 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 URBAN TAILS ANIMAL RESCUE and its members from any claims, damages, costs, or actions incurred because of the care or actions of the adopted dog. I agree to have URBAN TAILS ANIMAL RESCUE complete reference call checks and conduct a home visit inspection to be able to approve my application. I agree that if I'm unable to care for the dog(s) anymore that I will contact URBAN TAILS ANIMAL RESCUE and allow an appropriate time frame for URBAN TAILS ANIMAL RESCUE to try and find another suitable home for the dog(s). I understand that URBAN TAILS ANIMAL RESCUE is a non-profit organization whose primary goal is animal rescue, finding the best family matches for the dogs in our care and animal welfare advocacy. The adoption fee is; puppies up to 1 year $500, dogs 1 year and older $450, seniors 8+ years $300 (If a dog is adopted under the age of six months and is not altered, the adoption fee is an additional $75 deposit and is refundable upon completion of spay/neuter). * I AGREE I DISAGREE Thank you for your application!Please note, Urban Tails is a 100% volunteer run charity. Our small team works full time jobs in addition to the physical work we complete within the rescue, which includes tending to current dogs in our care, driving to appointments, doing in person training, completing administrative work and much more.Please allow 48-72 hours for a response but bear in mind, it could take us up to 1 week to reply if we are busy with an intake or encounter any unexpected emergencies. Thank you for your support!