A Tail To Tell Puppy Mill Rescue

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.

What you may
experience with
one of these very
special dogs.

ADOPTION DONATIONS...

DOGS FROM 8 WEEKS TO 6 MONTHS - $600.00
7 MONTHS TO 2 YEARS OLD - $400.00
DOGS 3 YEARS OLD TO 7 YEARS OLD - $300..00
DOGS 8 YEARS OLD TO 99 YEARS OLD - $200.00

EVERY DOG RESCUED BY A TAIL TO TELL, INC
RECEIVES THE FOLLOWING STANDARD VETERINARY
CARE.
DHPP VACCINE
RABIES VACCINE
LYME VACCINE
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 the entire page before
applying for one of our dogs.

JUST ONE EXAMPLE OF THE THINGS WE SEE WHEN WE RESCUE THESE
WONDERFUL DOGS. THIS LITTLE GIRL HAD SERIOUS DENTAL DISEASE.
SHE IS NOW FULLY VETTED AND LIVING THE GOOD LIFE.

OVER BRED AND OVERLOOKED. THIS LITTLE GIRL
CAME TO US WITH A PROLAPSED UTERUS. MY
GRANDSON NAMED HER TUNA FISH ANS SHE IS
NOW HEALTHY AND LIVING WITH HER ADOPTIVE
FAMILY. WITH A LITTLE LOVE AND LOTS OF GREAT
VETERINARY CARE - WE CAN AND DO MAKE A
DIFFERENCE.

TUNA