First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Email*

Cell Phone*

Alt Email

County of Residence *

YOU MUST BE AT LEAST 24 TO ADOPT FROM PROVERBS. What is your Date of Birth?*

Are you Employed?

Place of employment? (must be answered)*

Please list First Name of Spouse/ Partner

Please List the Last Name of Spouse/ Partner

Spouse/Partner DOB

Spouse/ Partner Email

Spouse/Partner place of employment. (must be answered)

List the names and ages of others residing in your home along with their relation to you (e.g., John Smith, 30, spouse/partner, or Jane Anderson, 25, roommate).*

Are there any special considerations in your home we should be aware of, such as individuals with mobility challenges, sensory sensitivities, allergies, or other needs that may impact the type of dog that would be the best fit for your family?

Please provide your FB url

Please provide Instagram url

Are you applying to Adopt or Foster?*
Choose one: Adopt Foster

Are you available to take the dog that you are applying for on an adoption trial starting Saturday? If not, what Saturday are you available for an adoption trial? **Please know we can not hold a dog beyond the upcoming Saturday adoption event** *

Which dog are you interested? Please only select a specific dog if you are ready to take them on an adoption trial.
Choose an animal: Agnes Annie Belle Aspen Augusta Avril Babs Bailey Barnabus Barney Barton Beans Blanca Bo Boba Brax Champ Charlie Cinder Comet Cosette Curly Joe Danny Darington Deuce Dougan Eclipse Eleanor Felicity Finn (Jamon) Fleetwood Frankie Fred Fredrick Fritz Gabby Genevieve Georgette Georgie Gigi Gina Gordon Granite Hamlin Henry (Forever Foster) Honey Howlite Jack Jake Kahlua Kaleb Karl Kate Laney Leah Leviathan (Livy) Loki Lucille Lucy Jane Luna Lyle Mac Maisey Malcom Manny (bonded with Sandy) Marie Mason Massika Mateo Maximillion Mayla Melanite Micah Mowgli Nora Nyla Oakley Ollie Patrick Patti Paxton Peaches Piper Poe Polly Poppy Porter Pumpkin Quincy Rachel Green Rigby Rosie Rose Rowan Ruby Sampson Sandy (bonded with Manny) Sasha Shandi Smith Sheba Shilo Skittles Smudge Snickers Sophie Sour Patch Southern Sparky Spice Spot Starbucks Sugar Plum Susie Tara Tilly Tilly Toffee Tori Walker Wanda Wasabi Willa Wilma Winnie Wisp Zeg Zeus (Forever Foster)

Which dog is your second choice?
Choose an animal: Agnes Annie Belle Aspen Augusta Avril Babs Bailey Barnabus Barney Barton Beans Blanca Bo Boba Brax Champ Charlie Cinder Comet Cosette Curly Joe Danny Darington Deuce Dougan Eclipse Eleanor Felicity Finn (Jamon) Fleetwood Frankie Fred Fredrick Fritz Gabby Genevieve Georgette Georgie Gigi Gina Gordon Granite Hamlin Henry (Forever Foster) Honey Howlite Jack Jake Kahlua Kaleb Karl Kate Laney Leah Leviathan (Livy) Loki Lucille Lucy Jane Luna Lyle Mac Maisey Malcom Manny (bonded with Sandy) Marie Mason Massika Mateo Maximillion Mayla Melanite Micah Mowgli Nora Nyla Oakley Ollie Patrick Patti Paxton Peaches Piper Poe Polly Poppy Porter Pumpkin Quincy Rachel Green Rigby Rosie Rose Rowan Ruby Sampson Sandy (bonded with Manny) Sasha Shandi Smith Sheba Shilo Skittles Smudge Snickers Sophie Sour Patch Southern Sparky Spice Spot Starbucks Sugar Plum Susie Tara Tilly Tilly Toffee Tori Walker Wanda Wasabi Willa Wilma Winnie Wisp Zeg Zeus (Forever Foster)

Where did you first see/ hear about this pet?*
Choose one: Adopt-A-Pet Friend Met at Petco Other on line Petfinder Proverbs Website

Would you like more information on becoming a Foster for Proverbs?

In what type of home do you live
Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing

Do you own or rent your home?

IF YOU RENT, please enter your landlord's name, phone number, email and when your current lease is up. Your application will not be processed without this information.

If your yard is fenced, describe the fence type and height.*

Do your pets have access to the outside when alone?

Have you adopted an animal from us before? If yes, please provide the pet’s name and approximate adoption date.

List the names, ages, and best-guess breeds of each animal currently residing in your home with a little information about their personalities. Please also list the names, ages, and best-guess breeds of each animal that has resided in your home over the past five years*

Provide the NAME and PHONE NUMBER for your veterinary clinic. *

What owner's name is listed at the vet? *

List at least two references (non-family members)-Must include phone number and email address.*

Are you familiar with heartworm disease and that Tennessee is in the top 10 states with the highest percentages of heartworm positive cases?*

What heartworm preventatives are your pets past and present on and where was it purchased?*

Do any other adults in home have their own pets?

If others residing in your home have animals, list their name, the animals' name, and the name and phone number for their veterinary clinic and veterinarian

If you have ever been denied adoption of an animal from an animal welfare group and/or animal control facility, explain.*

Are you able to financially afford to take your pet to the vet should they become ill, knowing the bill could be $500 or more?

If you have ever given away or surrendered an animal to another person, animal welfare group, and/or animal control, list the animal, where it was given away or surrendered, and the circumstances surrounding the situation.

Is this your first experience with this type of pet?

Please explain what qualities you are looking for in a dog.*

If you'll be a first-time dog owner, explain how you've prepared for animal ownership.*

Please describe what a typical day will look like for the dog you are applying to adopt including where they will sleep, hangout and be when you are not at home.*

Where will the dog you are applying to adopt stay when you are out of town? Do you travel often?*

Are you prepared to allow a minimum of two (2) weeks for a new pet to adjust to your home?

If you have other animals in the home, please explain how you plan to introduce a new dog.*

Are you prepared to pay the $300 non-refundable dog adoption fee?

Are you aware that if applying for an unaltered puppy, a $150 spay/neutered deposit is required?

Do you have any comments or additional information you would like to share? (if you live out of state please advise how you plan to get pet from Nashville to your home)

We know this has been a lengthy application, but we try very hard to ensure our rescues are going to the BEST home possible. By choosing to adopt rather than shop...YOU are making a difference!

Your printed name for on-line application represents a legal signature. Please print your full name and today's date below. *