Puppy Tails Adoption Application
Stephanie Heil     856-472-2850        info@puppytailsrescue.com

This questionnaire is intended to be a guide to help you think about all the ways a pet will impact your life. All of the questions concern various aspects of pet ownership that should be given serious consideration before deciding to share your life with any animal. Remember, you are a pet’s lifelong commitment!

Dog Donations: $375.00 which will include all up-to-date shots, de-worming, transportation to NJ, spay/neuter This is a a non-profit organization so all fees reflect transportation of animal and basic medical expenses associated with each species. We accept cash, check or PayPal (payments@puppytailsrescue.com). Please make check payable to: Stephanie Heil

Adoptable Pet Info:

* All animals are REQUIRED to be spayed / neutered *

Your Personal Information:

( You must be 18 years of age or older )

Employer Information:

Personal References :

Please provide Puppy Tails Rescue with 3 references, one of which should be a vet and one of which should not be a family member.

/!\ NOTE :
entering the information herein you thereby authorize these listed individuals to be contacted by our administration upon
your behalf.


  Please fill out the following questionnaire.

Our intent is to find out a little bit about you
so that we can match you with the appropriate animal.

Often a rescued animal has experienced some sort of trauma and as a result may have behavioral issues.  22>

(please ask for more information if you are interested in having your pet micro-chipped)