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.?

* Indicates Response Required

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