APPLICATION TO ADOPT
Your Name:
Name of Dog:
Email Address:
Your Address:
Work Phone:
Home Phone:
List names and ages of
other adults in home and
their relationship to you:
 Names and
ages of Children:
Your occupation and the
name of your employer:
 Your spouse’s occupation and
the name of his/her employer:
Type of Home:
Do you own or
rent your home?
(select one):
 If rent, Landlord
name and phone:
Do you have a Yard?
Is it Fenced?
 Age, Type,
Height of Fence:
Where will the dog stay when
you are not at home?:
 How many hours a day will
the dog be home alone:
Where will the dog
sleep at night?:
 What do you do with your
animals while on vacation?
List other animals currently in
your home (breed, age, sex.
neutered/spayed, temperament
with animals and people.
 Please list prior animals and
what happened to them.  
Include breed, age, name.
Reference #1
 Reference # 2
Please list 2 personal references.  
Include name, address, phone
and their relationship to you
(relative, friend, etc.)
Please list your veterinarians
name, address and phone
number:
May we contact
your veterinarian
for a reference?
Are you agreeable to returning the
dog to A Tail to Tell, Inc., if you are
no longer able to keep the dog?
Please describe any
situations that would cause
you to give up a pet:
Why do you want to adopt
a rescued/ puppy mill dog?
 Why do you want to adopt
this particular dog?
Are there any other
things we should know?
Are you agreeable to signing
an adoption contract for the
adoption of this dog?
Do you agree to the
adoption donation as
listed below?
I declare that the information I have provided in this application is complete and correct. I further declare that I am
financially and physically able to care for a rescued dog, specifically, a special needs dog. I understand that proper food
and veterinarian care may be costly, and I am able and willing to meet the needs of my adoptive dog. I understand the
requirement and grant permission for Home Checks at random both prior to and following adoption. I submit that if a Home
Check reveals falsification or misrepresentation of any facts on my part, A Tail To Tell, Inc. (the rescuer), reserves the right
to either refuse adoption or to nullify the adoption and reclaim said dog from my premises, without reimbursement of the
adoption donation. I release A Tail To Tell, Inc. (the rescuer), from any liabilities I may incur from the adoption process.
Date Signed:
Signature:
A Tail To Tell, Inc. reserves the right to decline any application for any reason.
© Copyright A Tail to Tell, Inc.  All rights reserved.

DOGS FROM 8 WEEKS TO 6 MONTHS - $600.00
DOGS 7 MONTHS TO 3 YEARS OLD - $400.00
DOGS 4 YEARS OLD TO 7 YEARS OLD - $300.00
DOGS 8 YEARS OLD TO 99 YEARS OLD - $200.00
  • RABIES VACCINE
  • BORDATELLA
  • HEARTWORM TEST
  • FECAL EXAM
  • BLOODWORK
  • SPAY/NEUTER
  • DENTAL
  • PLACED ON PREVENTATIVES FOR HEARTWORM
    DISEASE, FLEAS AND TICKS.
  • MICROCHIP IMPLANT
  • DEWORMED


IF OUR VETS FIND ANY OUT OF THE ORDINARY
PROBLEMS - THEY ARE ADDRESSED AND TREATED
BEFORE THE DOG IS ADOPTED.
Please read all the information on this
page before applying to adopt a dog...
Life's Abundance -Our dog food of
choice.
A Tail to Tell is proud of the fact that we  
provide our foster dogs with the best dog
food that money can buy. We hope that all
of our alumni also eat this incredible food.

ATtT does not adopt to homes with Electric Fences*. Large aggressive dogs or predatory animals can easily get in to the yard to
hurt, fight even injure dogs confined with this type of fence. In addition to injury or even death, dogs are more accessible to thieves.
*To clarify, "Electric Fencing" is the electronic, wireless underground fence that keep dogs in but will not keep other animals out.