Texas Tailwaggers Adoption Application

Date

Name of Animal(s) in which you are interested:

Adoption Requirements: (1) Adopter must be 21 years of age or older; (2) Have identification showing current address; (3) Be able and willing to spend the time and money necessary to provide training, medical attention, and proper care and attention for a pet.

Texas Tailwaggers Village Rescue

reserves the right to refuse placement of an animal for any reason.

All potential adoptive homes are screened for suitable placement of animals.

Name:

Age:

Street Address:

City and State:

ZIP:

Primary Email Address:

Home Phone and Name Listed In:

Work Phone:

Primary Cell Phone:

Why do you want a pet?

Explanation for any reasons given to previous question:

Do you have any preferences in breed, sex, size, coat length, etc.?

Exercise buddy	Companion for child
Watch dog	Companion for other pets
Guard dog	Family pet and companion
Other, explain in box below