Provide a loving and safe home by adopting

Name *
Name
Address
Address
Daytime Phone
Daytime Phone
Evening Phone
Evening Phone
Best Time to Call
Best Time to Call
How long have you been looking to adopt a dog?  *
Family and Housing
Please describe your household:
Other Pets
Veterinarian
Clinic Address
Clinic Address
Clinic Phone
Clinic Phone
By providing Urban Tails Animal Rescue with this information, you are allowing us to contact your vet. Please call your vet and ask them to authorize the release of information to Urban Tails Animal Rescue.
About the Dog You Wish to Adopt
Desired sex
Willing to adopt
Do you have experience with or are willing to work through the following with your dog if it were to occur?
Adjustments meaning; barking, accidents, chewing, conflicts with other animals, etc.
Personal References
Please list someone who is familiar with both you and your pets.
Name
Name
Address
Address
Phone
Phone
Name
Name
Address
Address
Phone
Phone
Adoption Agreement *
By sending this electronically, I acknowledge that I have completely read this document and comprehend it fully. I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the forfeiture of any URBAN TAILS ANIMAL RESCUE animal adopted by me. I certify that the above information is correct, and I understand that the information will be verified. I understand that by submitting this form electronically, I agree to release and covenant to hold harmless URBAN TAILS ANIMAL RESCUE and its members from any claims, damages, costs, or actions incurred because of the care or actions of the adopted dog. I agree to have URBAN TAILS ANIMAL RESCUE complete reference call checks and conduct a home visit inspection to be able to approve my application. I agree that if I'm unable to care for the dog(s) anymore that I will return the dog(s) to URBAN TAILS ANIMAL RESCUE and try to give URBAN TAILS ANIMAL RESCUE a 2-week period to try and find another suitable home for the dog(s). I understand that URBAN TAILS ANIMAL RESCUE is a non-profit organization whose primary goal is animal rescue, finding the best family matches for the dogs in our care and animal welfare advocacy. The adoption fee is; puppies up to 1 year $475, dogs 1 year and older $350 (If a dog is adopted under the age of six months and is not altered, the adoption fee is an additional $100 deposit and is refundable upon completion of spay/neuter). *