First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Email*

Home Phone*

Cell Phone*

Alt Email

What is your preferred method of contact? If you choose multiple options please keep an eye out for messages from fosters! NOTE: All applicants receive an initial informational e-mail from a Happy Tails staff member before the foster contacts the applicant

Make sure that ALL questions are filled out or the form will not be submitted to our database! Even if you have to put N/A if they don't apply to you!

Which of our animals are you interested in? NOTE: If you do not see their name on this list they are currently NOT available for adoption. Petfinder and Adoptapet are not as up-to-date as our list is.
Choose an animal: Aaron the cat Abe Ace Aggie Alex Antonette Arabella Astro Avery Azuri B-LO Benny Billie Jean Blondie Bria Bridget Brody Butters Cash Cayenne Charcole Charlie Checkers Cherry Chief Cinder Cleo Cloud Cole Cookie Cora Daffodil Daisy *Tri-Pod* Darling Declan Delta Derpy Dolphin Dr. Pepper Eloise Emily Etta Evee Finn Finn Fleur Francisco Freda Freya Garfield Gigi Ginger Grace Gracie Grand Gunther Gus Han Happy Feet Harlow Hattie Mae Helen Hermosa Hershey Hissy Honey Hunter Iris Jack Jane JB JC Jelly Bean Jennifer Jennifur Jingle Jordan Juliana Justin Karla Karma Katie Katy Purry Kitty Layla Lima Bean Lita cat Little Bit Lizzie Loco Lola cat Lucian lulu Lyra Mabel Maggie Manda lynn Mango Lango Maple Mardi Marla Mater Medusa Mel Meow Ze Dong Mick Midnight Mika Milton Milton- maltese Mima Momma Momma Cass Mr. Max Naro Nate Newt Nick Nicky Nina Oona Orange Crush Otter Petra Pinky Pongo Porky Pretty Lexi Puppers Raffiel Ramona Reatha Reckless Reggie Remi Rowser Sadie Salem Sargent Sarina Sasha Sassy Sassy three legs Siena Simba Sissy Spot Spud Sunflower Sydney Sylvester Tabatha Tessa Thatcher Tiger Tiny Tabitha Tofu Tramp Twig Twila Valentina Walter Wheeler Wrigley Yeti

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

How long have you lived at this residence*

Do you own or rent your home. ( if checking "own" you must personally be the owner/mortgage holder)

If you rent, have you already received the approval of your landlord to have an animal?

Are there any breed or weight restrictions with you landlord or homeowners insurance? If yes please list:*

How many people reside in your household*

What is your date of birth? (Month/Day/Year)*

What are the occupations of the adults living in the home*

What are the ages of any children living in the home?

I understand that pets are NEVER to be left unattended with kids, for the safety of the animals and children.

Please list all companion animals living in the home (include Name, Type, Breed, Age, Sex, Spayed/Neutered and Friendliness Toward Other Animals)*

What companion animals have you had in the past and why do you no longer have them (include, Name, Type, Breed, Age)

Have you ever given up a pet? If yes, please explain*

Do you have breed, gender, size prefence?

Do you have a certified medical note stating you need an emotional support dog? NOTE: you do not need any certification to have an emotional support animal. You do however have to have a certified letter from a psychiatrist to have a pet in any housing development that does not permit animals or to allow them to fly with you. ESA’s have no legal right to enter any buildings that is only for Service Dogs.

What is the reason you are looking for an Emotional Support Dog?*

What are some of the emotional needs your dog will provide support for?*

If you have anxiety or panic attacks are there any certain traits of dog behavior that can trigger these attacks? If yes please explain:

Are there certain traits that you desire the dog to have to aide in your emotional support?

How much time will the animal spend alone during the day*

How did you hear about us?

List at least one reference, who is not a family member (include name and phone number)*

Please provide any additional information you feel we should know that is not covered above.

I understand this program is only for Minnesota adopters and to qualify for this program I must be willing to drive to Fridley once a week

I certify that the information entered on this applicant is true. Enter your name and date*