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Phone
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Type of Residence?
*
House
Apartment/Condo
Moible Home
Other
Do you Own or Rent?
*
Own
Rent
Other
How long have you lived at your current address?
*
If you rent, does your landlord or association permit you to keep a dog?
*
Yes
No
Please provide your landlord's name and phone number (if own, write SELF)
*
Animal you are interested in adopting? (NAME)
Please list names and ages of all members of your household:
*
Please list all pets that you CURRENTLY own including: NAME, SPECIES & BREED, AGE & LENGTH OF OWNERSHIP
*
If you own pets CURRENTLY, are they all spayed or neutered? If no, why?
*
Are all pets current on vaccines?
*
Yes
No
I do not currently have any pets
Are all current dogs on heart worm preventative?
*
Yes
No
I do not currently have a dog
If your dog is not current on heartworm preventative, why not?
Other than those listed, have you owned any other pets in the last 5 years?
*
Yes
No
If yes, please list PET(s) NAME, SPECIES & BREED, AGE, LENGTH OF OWNERSHIP:
Do you have a fenced yard?
*
Yes
No
Do you have a crate to keep a dog in?
*
Yes
No
How many hours per day will the dog be left alone?
*
Where will you keep the dog while you are at work or on errands?
*
Where will you keep the dog while you are on vacation?
*
Will the dog be allowed on furniture?
*
Yes
No
Where will the dog sleep at night?
*
Does anyone in your home suffer from allergies or asthma?
*
Yes
No
Why are you interested in adopting this particular dog?
*
Do you have a preference for sex, color or age? If so please describe:
*
Please provide us with a veterinary reference including phone number
*
Please provide us with a personal reference including phone number
*
Do you agree to a Tender Heart Representative visiting your home prior to and/or after adoption?
*
Yes
No
Are you willing to enroll the dog in obedience class or other training if you experience behavior problems?
*
Yes
No
Do you understand the dog should never be allowed off leash in open places?
*
Yes
No
Have you ever owned a rescue animal?
*
Yes
No
Do you understand all of the expenses involved with caring for a dog especially as it ages, including but not limited to ordinary & emergency vet expenses, heart worm preventative, dental care, grooming, etc.?
*
Yes
No
All of our dogs are spayed/neutered, vet-checked, up to date with shots and evaluated before they are placed. Adoption fees vary. Do you understand the need for this donation and that fact that all donations are non-refundable?
*
Yes
No
Do you understand that there are no guarantees about the house training, behaviors, temperment or health of a dog that is adopted and that the adjustment period varies for each dog?
*
Yes
No
Have you applied with another rescue organization in your seach for a new family member?
*
Yes
No
Do you currently have an application submitted with another rescue
*
Yes
No
I applied but did not adopt from another organization
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Yes
No
I have never applied with another rescue organization
*
Yes
No
I have adopted through another rescue organization in the past
*
Yes
No
All applications are subject to a home visit. We reserve the right to refuse or reject any application before or after an animal has been placed. If placement does not work out by an adopter, animal MUST BE RETURNED TO TENDER HEART CHARITIES INC. By clicking submit, I agree that I have read the above information carefully and have filled out this application honestly. I understand that any omission of information and/or failure to answer all questions can result in this application being denied. If falsification or an omission of information is discovered after an adoption takes place, I understand that Tender Heart Charities Inc., reserve the right to annul the adoption and reclaim the animal. I give the Tender Heart Charities permission to investigate all information provided, including conducting a background check, as well as contacting my references. I understand that it is the goal of Tender Heart Charities is to place animals in loving forever homes, best suited to the animal’s needs, and as such, my application can be denied at any time for any reason.
Signature
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All
Adoptable Dogs
Desi
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Desi
51
Date
September 13, 2023
Ronan
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Ronan
50
Date
September 13, 2023
Jelly Bean
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Jelly Bean
94
Date
September 11, 2023
Daffodil
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Daffodil
94
Date
September 11, 2023
Star
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Star
50
Date
September 11, 2023
Leona
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Leona
50
Date
September 11, 2023
Nutcracker (Special Needs)
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Nutcracker (Special Needs)
37
Date
September 8, 2023
Tucker
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Tucker
50
Date
May 10, 2017
Tulip
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Tulip
94
Date
May 10, 2017
Trouble
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Trouble
74
Date
May 10, 2017
Gusty
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Gusty
34
Date
May 10, 2017
Milo
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Milo
76
Date
May 10, 2017
Mouse King
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Mouse King
18
Date
May 10, 2017
Pepper
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Pepper
21
Date
May 10, 2017
Zane
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Zane
91
Date
May 10, 2017
