TLC Rescue PA

Adoption Application

Applicant Information
Applicant Name *
Address *
City State Zip *
,
Email *
Date of Birth *
Home Phone *
Cell Phone
Current Employer *
Work Phone
Pet Information
Select or type the name of the pet(s) you would like to adopt *
If you are undecided type: Undecided
Physical description of the pet
Any details for the type of pet you are looking to adopt
Optional: Select any specific breeds you are interested in.
The purpose of this dog is: *
Other:
Pet Details
What age of dog are you looking to adopt?
*
What is your size preference when the dog is full grown?
*
What is your gender preference?
*
What is your coat preference?
*
What energy level would work with your life style?
*
What kind of dog WOULD NOT fit into your family or lifestyle?
*
How soon are you looking to adopt?
*
Household Members
Add Household Members
Household Information
Do any members of your household have allergies to dogs?
*
What type of home do you live in?
*
How long have you lived in this home? (Numeric response: Ex. 0.5, 1, 3, 10)
* years
Do you own this home?
*
Landlord or Homeowner Name
*
Landlord or Homeowner Phone Number
*
Would you allow us to visit your home prior to finalizing your application?
*
Do you have a fenced in yard?
*
Fence Height in Feet (Numeric response: Ex. 4, 5, 6)
ft
What is the fence constructed of?
In general, how would you describe yourself, family, and household?
*
What is your family's weekly schedule?
*
Are you able to give a dog at least 2 weeks to adjust in their new home?
*
Are you prepared to provide a lifetime commitment of finances, emotion, and time (possibly 15+ years) for a dog?
*
Pet Experience
What is your overall dog experience?
*
Have you ever rehomed, surrendered or returned a pet?
Please explain the circumstances for rehoming, surrendering or returning your pet.
*
Have all your dogs & cats been kept up to date on annual vaccinations?
*
Have all your dogs & cats been spayed or neutered?
*
Pet History (Dogs & cats personally owned in past 10 yrs)
Add Pet History (Dogs & cats personally owned in past 10 yrs)
Vet History
Add Vet History
Personal References (Please include 1 non-family member)
Add Personal References (Please include 1 non-family member)
Reference Name
*
Phone #
*
Relationship
*
Reference Name
*
Phone #
*
Relationship
*
Reference Name
*
Phone #
*
Relationship
*
TLC Referral
How did you hear about TLC?
*
Please name the foster/volunteer:
*
Please name the TLC event:
*
Please explain:
*
The Fine Print
  • There is no fee or obligation to adopt associated with this application.
  • Submission of an application is not a guarantee of approval to adopt.
  • Applications are processed in the order in which they are received.
  • Notification of approval or denial will be sent by email to the address in the first section, unless otherwise requested in writing.
  • TLC's approval or denial of an application is final. Denial does not require an explanation or justification.
  • Approval notifications are sent on an as-approved basis.
  • The first step of our process is an interview with the applicant. Then veterinary and personal references are contacted. Our volunteers work to process all applications in a timely manner. This processing time is largely dependent on the availability of the applicant and the references provided in this application.
  • Pre-approved applicants and previous adopters do not need to complete a new application unless there has been a significant change in the information herein.
  • TLC does not hold dogs for unapproved applicants.
  • The applicant is responsible for providing accurate information in this application. Providing false information may make you ineligible to adopt from TLC.

By accepting these terms you certify that all information contained herein is complete and accurate. You also understand and agree to the points bulleted above.

Date: 12/22/2024