Adoption Application

Animal you are interested in adopting
Applicant's First Name *
Applicant's Last Name *
Street Address *
City *
State *
Zip Code *
Phone Number * Please use the following format 248-555-1212
Email Address * Please enter correctly as this is the main way we will contact you
Alternate Phone Number
Date of Birth *
Do you own other pets at the current time? *
If yes, please list their names, breeds, and ages as they appear on your current veterinary records. We will verify these with your vet's office. *
Are all of your pets spayed/neutered/fixed? *
How many pets have you owned in the last 5-10 years? *
Where are they now? *
Are your pets current on their vaccinations? *
Veterinarian's Name and Phone Number (If you have never owned a pet please tell us where you would go) * If you have never owned a pet please tell us where you would go.
If you rent, does your landlord and lease allow pets? *
Please provide contact information for your landlord. *
Including yourself, how many people live in your household? *
Please list the ages & relationship of those who live in your home. *
Is everyone in your household aware that you are planning to adopt a pet? *
Please provide a description of this pet's living conditions. (Indoor/outdoor, do you have a fenced yard? etc) *
Where will the pet be when you are not home? *
Is there anything else we should know about your home and lifestyle or the type of pet you are looking for so that we can help you find a great match? *
Please upload an image of your driver's license or other government-issued photo ID.
Do you authorize TCAS to confirm any information provided on this application with any appropriate third-party source, including landlords, veterinarians, personal references, etc? The information obtained will remain confidential and will be used by TCAS only for the purposes of evaluating the adoption application. *
Please list three references and their phone numbers. *
*	I understand that TCAS will consider the best interest of the animal when selecting an adoption placement. This means that TCAS may suggest a different animal if my first choice is not a good fit, and the TCAS reserves the right to deny any application for adoption at the discretion of the organization.
*	I understand that if this form is not fully completed, my application will not be considered.
Please sign and submit this form. You will be contacted as soon as possible regarding your application. *

Please verify that all information included on your application is correct. When you submit your application, you will receive a confirmation email with a copy of your answers. Please verify that you reveive this confirmation email (check your spam folder!) and if you do not receive the email, contact us at director@tcanimalshelter.org or 304-478-6232.