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Adoption Form

Fill out all information on the form and then click the submit button. You will receive a confirmation that your application was submitted. This process completed lets you know that your application will be received and a volunteer will be contacting you in a couple of days.



Individuals filling out this application must be the actual adopters & all applicants must be 21 years of age or older to submit an application.


The adoption fee is as follows:
Ages 0 - 1 year is $350.00
Ages 1 year - 5 years is $300.00
Ages 5 years -10 years is $150.00

Due to recent circumstances all donation fees must be payed in cash or by Pay-pal.

Due to the rising cost of gas, TRC has to charge a surcharge for home checks over 2 hours from the fosters home.

This is for Adoptions only! Only use after notification of amount. Remember to mention which dog!

 
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How did you hear about TRC?:
Full Name:
 * required
Age:
 * required
Spouse's Full Name:
Age:
Ages of children:
Street Address:
 * required
City:
 * required
State:
 * required
Zip Code:
 * required
Home Phone:
 * required
Work Phone:
Cell Phone:
EMail Address:
 * required
Best time to call:
What type of home do you live in?:
 * required
Do you own your home?:
 * required
If not: landlords name & phone:
Do you have a fenced in yard?
If so how high?:
Have you ever turned an animal
in to a shelter?:
 * required
If yes to shelter; explain why:
What dogs have you
owned in the past?:
List animals in house now:
 * required
Have your animals always been
spayed/neutered?:
If no to s/n then explain:
Have your animals always been
on heart worm perventative?:
If no to heat worm explain why:
Veternarian Name:
Veternarian Phone:
Which TRC dog are you interested in?:
Where will the dog stay during the day,
evening, when you are not home &
when you are on vacation?:
What type of activities do you want to
share with the dog?:
List 2 references
(name & phone number):
 * required
 
Comments:
I certify that the information I have
provided on this form is true, correct,
and accurate. I am financially and
physically capable to care for the
animal that I adopt. I understand
and agree that the falsification of
any of the above information is
grounds to disqualify my adoption
application and nullifies adoption
agreements. I understand that
there is no obligation to adopt an
animal to me, now or in the future.
I understand that my electrically
generated signature [below]
is valid as a means of legal signature
for the purpose of this
adoption application.

Signature/Date: