Long Tails to Happy Trails Dog Rescue

Adoption Application

Which Dog(s) are you interested in adopting? *
*If you are interested in more than one dog, please list the additional dogs you are interested in by selecting the green + button.

Your Information

Have you resided at your current address for at least 5 years? *

If you answered No, and you have not resided at your current address for more than 5 years, please enter your previous address below:

Housing Type (check all that apply) *
HOA? *
Breed Restrictions *
Is Your Yard: *
Please list the name and age of everyone who resides in your household:
Does everyone in your household agree to this adoption? *
Does anyone in the home have allergies to animals? *
Tell us about the dogs you have owned before. Please select the statement that applies to you. *
Please list all pets you have had within the last 5 years (or recently deceased)
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Pet's Name
Dog/Cat/Other
Breed
Sex
Age
How Long Owned?
If you no longer own your pet, what happened?

Personal References

Please list 2 personal references below who are non-related to you. Please also include a contact phone number for each reference.
Reference 1
Reference 2

Veterinarian's Information

Veterinarian's Address

Tell Us More...

What made you consider adopting a dog from Long Trails to Happy Tails Dog Rescue? *
 
My dog will primarily be a: *
My dog needs to get along with: *
When I am home, I want my dog to be by my side.... *
How many hours will the dog be alone each day? *
When I am not at home, my dog will spend its time... *
Are you familiar with crate training? *
I want my dog to be very enthusiastic in the way he/she shows that he/she loves people *
I am interested in adopting a dog with "special needs" (Medical or Behavioral) *
I want my dog to be playful: *
Are you interested in training/behavior classes for your dog? *
I am interested in doing some training with my dog to improve manners like jumping, pulling on leash, stealing food, etc. *

Adopting A Dog Can Be A Lot of Responsibility...

Please read and initial that you understand and will abide by the following:
Please electronically sign and date your application. *
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