Adoption Application - Toy Breeds in Need Rescue : Other

ZIP Code *

If you rent, please provide the name and telephone number of your landlord

Your age *

Have you ever had to re-home an animal *

Will you permit a TBIN representative to visit and inspect your home as part of the adoption process? *

Yes

No

Please feel free to add any additional comments or information you would like us to know about you or the type of dog you are seeking. *

Are you planning on any major life changes in the next year *

How do you plan to potty train the dog *

How would you handle behavioral challenges (biting, excessive barking, etc.) *

Where will the dog be when you are not at home *

What food are you planning to feed *

Where will the dog sleep *

How do you plan to exercise the dog *

Please list all current pets in your care. Please include dogs, cats, birds, and pocket pets. List the pet's name, breed, indicate how long you have had the animal and where the animal came from (rescue, breeder, shelter, etc.). *

Are all pets spayed or neutered *

Yes

No

Please list all past pets that you have had as an adult (including their name/species/breed) and why they are no longer with you. If the animal has passed on, please list the cause of death. *

Personal reference *

Your Veterinarian's info *

Your Veterinarian's Phone *

Why are you interested in adopting a rescued dog *

Do you have a fenced yard *

Yes

No

If yes, what type of fencing AND, is the yard securely fenced?

Ideal age *

Puppy (4 months - 1 year)

Young adult (1 - 5 years)

Adult (5 - 10 years)

Senior (10 and up)

Do you prefer *

Male

Female

No preference

Employer information

Your schedule *

Number of adults in the home, Their Ages, and Their Relationship To You (Parent, Roommate, Spouse, etc.) *

Number of children in the home, and their ages *

Are you interested in a particular dog or breed *

Do you rent or own your home *

Rent

Own

Address (including city and state) *

Evening Phone *

Name: *

Email: *

Daytime Phone *

If you are applying for a specific dog, please be sure that you have read his/her complete biography: Available Dogs

A home visit is a mandatory step in the adoption process, as such, we are only able to consider applicants residing in Maryland, DC, Northern VA, extreme Eastern WV, and extreme Southern PA.

For more information, click here.

The Adoption Application is our way of getting to know you so, please provide complete, detailed, honest answers. Applications with thorough, thoughtful responses will be given preference. Incomplete applications will not be processed.

Please note that all fields with a red asterisk* are required fields and must be completed. If the 'Submit' button is grayed out, it is because one of the required questions has not be answered.