TUBU DOG ADOPTION APPLICATION
Name:
Date of birth
Street Address
City
State
Zip
Home Phone
Work Phone
Email Address:
Type of residence
Do you rent or own Rent
Own
If renting, name and phone number of landlord.
How many adults live in your household?
How many children?
Ages of children.
List 3 personal references.
Do you have a regular veterinarian? Yes
No
Doctors name, clinic name, and phone number.
If you don't have a regular vet, who will you take your pet to?
Do you presently have pets? Yes
No
What pets do you presently own?
Are your present pets spayed or neutered? Yes
No
Are they current on their vaccinations Yes
No
Are your dogs tested for heartworm and given preventative? Yes
No
If you answered no to any of the 3 questions above, please explain.
What pets have you owned in the past?
Have you ever given away a pet? Yes
No
If you have given a pet away, explain why.
How many hours a day will your dog be alone?
Do you plan to crate your dog? Yes
No
Where will the dog be kept at night?
Where will the dog be kept when you are away?
Do you have a fenced in yard? Yes
No
What are your reasons for adopting a dog?
How much do you expect to pay for the care of this dog for 1 year?
What dog are you interested in?