If you are interested in adopting one of our pets, please fill out the questionnaire below and one of us will contact you to set up a home visit. If you're approved after the home visit, please fill out the adoption contract below to adopt your pet!
Please copy, paste, and email to firstname.lastname@example.org
or send via mail to:
TREY OF LIFE RESCUE FOUNDATION
4133 Cedar Avenue South
Minneapolis, Minnesota 55407
Adoption Questionaire for Potential Parents
Home Phone: ______________________ Cell #: _____________________
Spouse’s Name (if applicable): ______________________________________
How many children in your home? __________ Ages: ____________________
Are there any others residing in your home? Please List:_____________________
Employer Name: ______________________________ Phone: ______________
Employer Address: _________________________________________________
City: ________________________________ State:__________Zip: __________
How long have you been there? : _____________________________________
Home Address: ______________________________________________________
City: ______________________________ State: __________ Zip: ________
Is this where the pet will live with you? ____________
How long have you resided at this address? __________________________
If less than two years, what was your previous address? _________________
Do you Rent or Own? ______________ Apartment? _______ House? _______
What happens to the pet if you move?_____________________________________________
If Renting, what is your Landlord’s name and phone #? ________________________________
Have you received permission from your landlord? ___________________
Other Adoption Information:
What do you think makes this particular pet a good choice for you? ________________
Have you had experience with this particular breed? _________
Do you have a fence around your yard? Please describe: _______________________
How will you exercise your pet? ___________________________________________
How many hours are you away from home during the average work day? _________
Where will your pet be kept during that time?__________________________________
Where will your pet be sleeping during the night? ______________________________
What kind of other pets do you have in the home? Please list:
Are they all current on their vaccinations? _____________
Your Veterinarian’s Name: _______________________________________________
City: ________________________ Phone Number: ___________________________
Does anyone in the household have allergies/asthma? __________________________
Have you or anyone in your household ever been convicted of animal cruelty, neglect,
or abandonment? ___________
Have you ever had to give up a pet? Please explain: _________________________
Are there any other comments you would like to make? ________________________
I, (name)__________________________________ certify that all information provided on this form is true. I give permission to TOLRF to verify information as needed. I understand that a home check may be mandatory prior to adopting a pet, also. Any false statement will terminate potential adoption.
Signature: ___________________________________ Date: __________________
TREY OF LIFE RESCUE FOUNDATION
4133 CEDAR AVENUE SOUTH
MINNEAPOLIS, MN 55407
Home Phone:___________________ Cell Phone: ________________________
Email Address: ____________________________
Driver’s License: _______________________ License Plate: _______________
This contract is a written agreement to transfer ownership of adoptive pet from the
TREY OF LIFE RECUE FOUNDATION
to the Adopting Parent(s) (name)_______________________________________
on this date: _________________________________.
Adoptive Pet’s Information:
Male/Female: _________ Date of Birth or assumed age: ________________
Altered Date:___________________ MicroChip #: ________________________
Rescuer and Adopting Parents have agreed upon the sum of $ _______________ donation to Rescuer for help with expenses incurred by saving this pet from the shelter and vet bills.
Adoptive Parent(s) Agreement
I, (adoptive parent(s) name):___________________________________________
agree to provide care from this day forward to my new pet. This includes adequate food, water, exercise, shelter, veterinary care, and lots of love. The pet will be kept in the house and will not be tethered outside.
I agree never to sell, trade, or surrender the pet to any agency without giving prior notice to TREY OF LIFE RECUE FOUNDATION.
I agree that Rescuer will have first option of reclaiming the pet.
I agree that the adoption fee is non-refundable and there is no reimbursement if the adoption does not work out unless agreed upon by Rescuer in terms listed below:
I agree that all expenses incurred after I take possession of pet will be my sole responsibility and Rescuer is released of any and all liabilities whether financially or other.
I hereby understand that the Rescuer has obtained this animal from the shelter stated above and may have no prior information of age, breed, health issues, training, registration, or other. Any information shared by Rescuer is of own experience with the pet and Rescuer makes no warranties of any kind concerning pet.________________
I AGREE TO SURRENDER THE PET IMMEDIATELY TO TOLRF, SHOULD THE PET BECOME ILL OR SUFFER UNNECCESSARILY DUE TO NEGLECT OR ABUSE OF ANY KIND.
I AGREE TO SURRENDER THE PET TOLRF SHOULD I NEED TO REHOME THE PET FOR ANY REASON.
Adoptive Parent(s) signature(s):_____________________________________
TREY OF LIFE RECUE FOUNDATION email@example.com
4133 CEDAR AVENUE SOUTH
MINNEAPOLIS, MINNESOTA 55407