Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

If rent, does your landlord allow pets?

Yes

No

May we contact landlord at time of application submission?

Yes

No, please let me (applicant) speak with landlord first.

Adoption fees vary, based on each pet's adoptability, in order to help all pets in our program. Did you see your pet's adoption fee? *

Yes

No

Do all adults that live in this household agree that it is acceptable to adopt an animal? *

Yes

No

Are there children living in the home or that visit often? *

Yes

No

Have you ever adopted from Troopers Treasures? *

Yes

No

If yes, do you still have the animal?

Yes

No

Are you willing to have one of our reps visit your home prior to adoption?

Yes

No

Have you ever received training with any previous dogs? *

Yes

No

If necessary, are you willing to pay for professional training (starting at $120-$250)? *

Yes

No

Does anyone in your household or who regularly visits have pet allergies? *

Yes

No

Dog specific - Do you have a safe enclosed fenced yard? *

Yes

No

Are you going on vacation or moving within the next three to four weeks? *

Yes

No

Do you currently have other pets? *

Yes

No

Are they indoor or outdoor pets?

Indoor

Outdoor

Have you had an animal die on your premises in the last year? *

Yes

No

Have you ever taken an animal you owned to a shelter or animal control? *

Yes

No

Are all of your current animals spayed/neutered?

Yes

No

Are all of your pets current on vaccines?

Yes

No

Do you provide your pets with flea/tick prevention?

Yes

No

Do you provide your pets with heartworm prevention?

Yes

No

Are you aware that heartworm disease is prevalent in the south and dogs living in or adopted from the south need to be on heartworm prevention year round or they most likely will contract heartworm disease? *

Yes

No

Are you aware that heartworm disease is fatal if left untreated? *

Yes

No

Are you aware that it costs approximately $20 per month for heartworm prevention, but it can cost between $450-$1,000 to treat heartworm disease? *

Yes

No

Dogs will continue to require veterinary care, heartworm prevention, checkups, and sometimes medicine to keep them healthy. Are you prepared to provide the necessary time and financial resources to care appropriately for your pet? *

Yes

No

Are you willing and able to care for this animal its entire life which could be as much as 15 years? *

Yes

No

Are you willing and financially able, to provide urgent and/or emergency veterinary care in case your pet gets sick or injured? *

Yes

No

Do you agree to contact the rescue in the event that you can no longer keep this pet, and agree NOT to re-home, give away, or sell this pet, nor surrender this pet to a shelter? *

Yes

No

I understand that I am required to pay an adoption fee and sign a contract for care. *

Yes

No

I certify that the above information is true and accurate and that all information will be verified. I understand that Trooper's Treasures reserves the right to reject any application. I understand that the information entered hereon will only be used by Trooper's Treasures and will remain confidential. *

Yes

No

I understand that Trooper's Treasures may impound my animal if the animal I adopt from them is not in compliance with the adoption requirements or if it does not have food, shelter, water, or is tied out, or is in a kennel that is not attached to the house. *

Yes

No

Date *

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DD

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