Adoption Form -

Which Dog are you inquiring about?

Your Infos

Name

First

Last

Birthday

Address

Address Line 1

Address Line 2

City

State

Zip Code

Home Phone

Work Phone

Email

Names and ages of all people living in your home and their relationship to you. If you have children please list ages:

Your Home Type Of Dwelling You Live In

Dwelling Type

House
Condo
Apartment

Do you own or rent your home

Own
Rent

Please Include The Name And Phone number Of Your Landlord.

Landlord Phone

Do you have a fenced in yard?

Please explain how you will handle toilet duties and exercise

Do you have a pool?

Your Pets

I agree that this animal is being adopted as a family pet, and will be given extensive house privileges; i.e. to sleep inside the house, to be allowed freedom of the house when the family is home, and NOT to be restricted to the yard

I Agree

Do you currently own another pet?

Gender

Female
Male

Please list Names

Breeds

Ages

Neutered / Spayed?

If your pet became ill, gets injured, needs surgery, needs ongoing medical care, etc., how will you manage

Veterinarian

Facility’s Name

Veterinarian’s Name

Veterinarian's Phone

Do you give us permission to contact your vet?

Your New Dog

Who will be primarily responsible for this pet?

On average, how many hours a day will this pet be left alone?

You have Selected: 0

Please explain in detail your daily work/home/life schedule

If the pet will be left alone for long periods of time, where do you plan to keep this pet while you are gone? (copy)

Where will this pet sleep?

Are you willing to accept the responsibility of housebreaking this pet, if it isn’t completely housebroken?

Are you prepared to ensure that this pet receives regular veterinary care?

Under what circumstances would you not keep this pet?

Your Acknowledgments

I acknowledge and agree that “Tobie’s Small Dog Rescue” is not responsible orliable for any injury, damage, or harm caused by this pet.

I understand

If I can no longer keep this pet, I will contact “Tobie’s Small Dog Rescue”exclusively and ASAP to retrieve it, no questions asked (unless evidence ofillness or injury

I understand

Adoption Fees range from $250.00-$600.00 per pet. I understand that the adoption fee is nonrefundable. You must be 25 years of age or older to adopt from our organization.

I understand

I understand that to the best of my knowledge this pet is in general good health, with the sole exception(s)

Notwithstanding the forgoing, TSDR makes no representations and/orguarantees as to the age, temperament, and/or health of this pet.

I understand

Please let us know how you heard about us:

Puppy Adoption Disclaimer

Thank you for choosing to adopt a puppy from Tobie’s Small Dog Rescue. We rescue abandoned puppies, sometimes along with their mothers, from shelters throughout California. We pride ourselves in providing a safe and loving environment for these pups and moms while they are readied for the adoption process. Our pups are vetted as deemed necessary upon the presentation of Illnesses prior to adoption, given their first round of vaccines, as well as microchipped before they are listed for adoption. Our adoption fees for puppies’ range between $250-$600 which also covers their spay or neuter. It is the law in Los Angeles that all dogs must be spayed/neutered by the age of 6 months. We are obligated to show proof of spay/neuter to the shelters where the pups came from. Failure to do so in a timely manner could result in the revocation of our rights to rescue. We here at Tobie’s Small Dog Rescue take the law and our rights very seriously. We call every adopter when it’s time to return to our clinic for spay/neuter. We provide all the necessary info about the clinic and we give each adopter a 2-week window to comply. This is a mandatory rule of adoptions of puppies from Tobie’s Small Dog Rescue. We also require a $500 outside of the LA area deposit, if you are taking the Puppy out of the state of California, refundable with proof of a spay/neuter certificate. We do not ship or transport any of our puppies out of state. Our approved adopters are required to come to Los Angeles, California to pick up their puppy. By signing this agreement, you are acknowledging that you have read the above paragraph thoroughly and have a full understanding of its content. Thank you for your cooperation.

Clear Signature

Signature

Date

Adoption Application