this should only be used if the “fillable” one on the FORMS page isn’t working.
Dog or Cat Adoption Requirements
- Applicants for animal adoption must be at least 18 years of age.
- All applicants must furnish two personal references. Please, no family members
- Applicant must agree to abide by all the animal ordinances establishing the care, control and registration standards for animal ownership within the city they live.
- All animals over 6 months must have appointment for the animal to be spayed or neutered before the adoption transaction is complete. (Arkansas State Law; A.C.A 20-19-103) If the attending veterinarian chooses to postpone the spay/neuter surgery due to medical concerns the adopting party must agree to return the animal to the attending veterinarian at the specified time for surgery. For animals under the age of six months, the spay/neuter surgery will be scheduled to take place when the animal reaches the age of six months; the adopting party must agree to bring the animal to the attending veterinarian at the specified time for the spay/neuter surgery. Pre-payment of spay or neuter is included in this adoption fee. IF SCHEDULED APPOINTMENT IS MISSED, OUR OBLIGATION TO PAY IS VOIDED, AS WE PAY FOR SURGERY SPOT. LAW REQUIRES SURGERY STILL BE DONE, BUT THIS WILL BE AT YOUR EXPENSE, WITH PROOF SENT TO [email protected] YOU MAY USE YOUR OWN VET AND WITH PROOF SENT TO US, MAY REQUEST A REFUND OF $50.00 FOR DOG AND $30.00 FOR CAT. YOU MAY CHOOSE TO DONATE TO THE RESCUE.
- Very young children and small puppies or kittens do not always mix and children are often bitten or scratched as a result of inadvertently holding or picking up a young animal in the wrong way. In households where there are children under the age of 6 years, applications for adoption of puppies under 5 months of age shall be evaluated by the following guidelines:
- Compatibility between the child and the animal, which will be evaluated by staff prior to adoption.
- The child’s previous experience with other animals.
- Puppies (aged five months and younger) are generally not adopted into a home where there is no one home during the daytime for more than five consecutive hours. A puppy needs to be socialized with people on a consistent basis in order to become a good companion. A puppy cannot learn to be house trained if there is no one home to take him/her outside for training. Puppies are like children – they need the supervision to teach them right from wrong. Applicants who cannot be home to train a puppy are encouraged to consider adopting an older animal.
- Applicants who rent their home/apartment we must receive verbal permission from the landlord or owner of the residence. We must receive verbal permission from the landlord within 24 hours of the application being filed. If not received within that time, we will cancel the application and make the animal available for adoption.
- If for any reason the adoption is not successful, or the owner cannot keep the pet, your more than welcome to contact us and see if a spot is open but it is rare we have open slots. We recognize that not every pet adoption will be successful through no fault of the person or the pet, however if this time is greater than 2 weeks, a Surrender Fee of $50.00 is required if we are able to take back.. This is a non-refundable transaction. We will also need 48 hours notice before the animal is returned.
- Dogs are placed as companion animals, not as guard dogs.
- Adoptions are a commitment, therefore Adoption Fees are non-refundable.
- Please retain a copy this form for your records.
I agree to the above requirements and wish to adopt a pet.
Signature: ______________________________________________ Date: ____________________________________
Cash/check/credit PayPal (circle one) Adoption Fee $________________
Tailwagger Representative: ________________________ date received ________________
Adoption Application & Profile
Welcome to Tailwaggers NWA, a 501c3 rescue organization. We are pleased that you have decided to give a homeless animal a second chance. The purpose of our adoption program is to find responsible homes for animals suitable as family pets. Thank you for filling out this profile. The information you provide will help us help you to find the best pet for you and your family.
Name (please print) _____________________________________________________________
Address______________________________________________________________________
City______________________________________ State___________ Zip_________________
Employment_________________________________________________________________
Driver’s license #_____________________State_____Date of birth______________
Home phone_________________________ Workphone_______________________________Cell phone_______________________ Email: ____________________________________
Housing (Check all that apply): oOwn oRent oLive with Parents oMilitary oStudent oApartment oHouse oMobile home oCondo/Townhome oFenced Yard oUnfenced Yard oDog Run oNo Yard
If you rent, Tailwaggers NWA must receive Verbal permission from your landlord.
If we do not receive verbal permission by ______________ your application will be cancelled.
Landlord’s Name ______________________________________________________________
Address ______________________________________________________________
Phone__________________________
References
Please provide two (2) references, (not a family member) who we may contact between the hours of 8 am and 5 pm:
Name _______________________________ Name _______________________________
Address ______________________________ Address ______________________________
Work/Cell Phone _______________________ Work/Cell Phone _______________________
Animal’s name that you are wanting to adopt: ______________________________________________
You and Your Household
- Are you o A first time pet owner? o Have owned pets in the past.
- My family consists of: Adults #____________ Children #_____________
- Ages ____ _____ _____ _____ _____
- Is anyone in the house allergic to animals? oYes oNo
- Who will be responsible for the pet? ____________________________________________________________
- Where will your pet spend the day? _________________________ The night? __________________________
- Are they currently registered with any city? oYes oNo City__________________Tag#________
- If you move in the future, what will you do with your pet? ___________________________________________
- How much time would you allow your new pet to adjust to your family and/or present pets? _________________
- Have you considered the daily expenses for maintaining an animal (Medical, food, grooming, etc.)? oYes oNo
- Are you familiar with humane procedures for house training? oYes oNo
- If a behavior problem arises, are you prepared to invest the time and expense for training? oYes oNo
Please list all pets currently at home and any that you have owned in the past three years.
| Pet’s Name | Male or Female | Cat or Dog | Breed | Age | Is the Pet Spayed/ Neutered? | Where is the pet kept? | What Happened to the Pet? |
Name and phone number of your veterinarian ________________________________________________________
By signing below, I certify that all above information will be found true, and any misrepresentation of any fact may result in denial of adoption. I acknowledge and understand completely that all pets up for adoption are the sole property of Tailwaggers NWA. I Authorize investigation of all statements I have provided on this application. I also understand that an authorized representative of Tailwaggers NWA may contact me in the future to follow up on the success of this adoption.
Applicant Signature: ____________________________________ Date: _____________________
Dog or Cat Adopting __________________________
Check/Cash/credit PayPal (circle one) Amount __________Copy of Driver’s License___________
Tailwaggers - Siloam Springs, AR 