DOG / PUPPY APPLICATION
WHICH ANIMAL ARE YOU INTERESTED IN? DATE:
FIRST NAME: LAST NAME:
ADDRESS:
CITY: STATE: ZIP CODE:
HOME PHONE: CELL PHONE: WORK PHONE:
FAX NUMBER:
E-MAIL ADDRESS:
HOW MUCH TIME WILL THE ANIMAL SPEND ALONE DURING THE DAY?
WILL THE ANIMAL BE KEPT INSIDE OR OUTSIDE?
WHERE WILL THE ANIMAL STAY DURING THE DAY?
WHERE WILL THE ANIMAL SLEEP AT NIGHT?
ARE YOU AWARE THAT THERE IS A PERIOD OF ADJUSTMENT FOR EACH RESCUE ANIMAL TO ITS NEW SURROUNDINGS, WHICH MAY INCLUDE POTTY ACCIDENTS, CHEWING, DIGGING, SHYNESS, OR OTHER UNDIREABLE BEHAVIORS?
IF THE RESCUE ANIMAL MAKES A .MISTAKE,. DESCRIBE WHAT KIND OF CORRECTION WOULD YOU MAKE?
DO YOU HAVE A PRIVATE YARD? IS IT FENCED?
IF SO, TYPE AND HEIGHT OF FENCE?
IS YOUR LAWN / YARD CHEMICALLY TREATED?
HOW WILL THE ANIMAL BE EXERCISED DAILY? PLEASE DESCRIBE:
DO YOU INTEND ON CRATE TRAINING YOUR ADOPTED PET?
IF YOU DO NOT INTEND ON CRATE TRAINING YOU ADOPTED PET, HOW DO YOU INTEND ON HOUSEBREAKING HIM / HER AS WELL AS PREVENT YOU HOME FROM BEING HARMED?
DO YOU INTEND TO TAKE YOUR ADOPTED PET THROUGH PROFESSIONAL GROUP OBEDIENCE TRAINING CLASSES:WHY OR WHY NOT?IF SO, DO YOU HAVE ANYWHERE IN MIND?
IF YOU DO NOT INTEND TO GO THROUGH PROFESSIONAL TRAINING, WOULD YOU CONSIDER IT IF A PROBLEM BEHAVIOR AROSE?
WILL YOU ALLOW THIS ANIMAL ON YOUR BED?
WILL YOU ALLOW THIS ANIMAL ON YOUR FURNITURE?
ON AVERAGE, HOW MUCH MONEY DO YOU EXPECT TO SPEND ON YOUR NEW PET PER MONTH?
WHAT SPECIFICALLY, WILL YOU FEED THIS ANIMAL? (PLEASE LIST BRAND NAME AS WELL AS TYPE IE CANNED OR DRY).ALSO DO YOU INTEND TO FEED PEOPLE FOOD?
HOW MANY ANIMALS RESIDE IN YOUR HOUSEHOLD? DOGS CATS BIRDS
OTHER ANIMALS (PLEASE DESCRIBE):
ARE ALL THE ANIMALS YOU CURRENTLY OWN SPAYED OR NEUTERED?
WHAT HAPPENED WITH ANIMALS YOU HAVE PREVIOUSLY OWNED?
HAVE YOU EVER GIVEN UP A PET? IF YES, PLEASE EXPLAIN:
HAVE YOU EVER ADOPTED AN ANIMAL FROM A RESCUE OR SHELTER?IF SO FROM WHERE?
ARE YOU CURRENTLY CONSIDERING ADOPTING FROM ANOTHER SHELTER OR RESCUE?IF SO, WHERE?
WHAT TRAITS ARE YOU LOOKING FOR IN A PET?
VETERINARIAN.S NAME AND PHONE NUMBER:
WHY ARE YOU INTERESTED IN ADOPTING A PET AT THIS TIME?
DO YOU OWN OR RENT YOUR HOME?
IF YOU RENT, HAVE YOU RECEIVED THE APPROVAL OF YOUR LANDLORD TO HAVE AN ANIMAL?
IF YOU RENT, PLEASE ENTER YOUR LANDLORD.S NAME AND PHONE NUMBER:
IN WHAT TYPE OF HOME DO YOU LIVE? HOUSE TOWNHOUSE APARTMENT CONDO DUPLEX WE QUARANTINE ALL OF OUR ANIMALS FOR A MINIMUM OF SEVEN DAYS.DURING THIS TIME THEY ARE WATCHED FOR ILLNESS.OUR ANIMALS COME FROM .HIGH RISK. SITUATIONS, AS DO MOST SHELTER ANIMALS. THIS MEANS THAT THEY ARE EXPOSED TO A HIGH VOLUME OF OTHER ANIMALS AND POSSIBLE VIRUS. OR BACTERIA. WE QAURANTINE THEM SO HOPEFULLY IF THEY HAVE BEEN EXPOSED TO ANYTHING ADVERSE, IT WILL SURFACE IN OUR CARE RATHER THAN WITH THEIR NEW ADOPTERS. WHILE WE TRY OUR BEST WE CANNOT GUARANTEE OUR ANIMALS BECAUSE DO NOT RAISE THEM NOR DO WE HAVE DIRECT CONTROL OVER EVERYTHING THEY ARE EXPOSED TO PRIOR TO US RECEIVING THEM.ALL OF OUR ANIMALS RECEIVE AGE APPROPRIATE VACCINATIONS BEFORE BEING ALLOWED TO GO HOME.BY DOING THIS WE HOPE TO BUILD UP THEIR IMMUNITY.WE APPRECIATE YOUR UNDERSTANDING AND TRUST THAT YOU WILL RESEARCH PROPER VACCINATION AND VET CARE PRIOR TO APPLYING.DO YOU UNDERSTAND THE MEDICAL ASPECTS / RISKS OF ADOPTING A RESCUED ANIMAL?YES OR NO? HAVE YOU EVER APPLIED TO ADOPT AN ANIMAL THROUGH ANOTHER ORGANIZATION?WAS YOUR APPLICATION DENIED OR ACCEPTED?EXPLAIN: PLEASE DESCRIBE THE PEOPLE (AGE AND SEX) THAT WOULD BE LIVING WITH THIS ADOPTED ANIMAL: HOW WOULD YOU DESCRIBE THE ACITIVTY LEVEL IN YOUR FAMILY: HIGH, MEDIUM OR LOW IF THERE ARE CHILDREN IN THE FAMILY, WILL THEY HELP WITH THE CARE OF THE DOG?IF SO, WHAT CAPACITY? WHO IN THE HOUSEHOLD WILL CARE FOR THE ANIMAL? DO YOU PLAN ON DOCKING, CROPPING OR OTHERWISE ALTERING THE PHYSCIAL APPEARANCE OF YOUR ADOPTED ANIMAL FOR COSMETIC PURPOSES? ARE THERE ANY ALLERGIES IN YOUR FAMILY THAT WOULD BE AFFECTED BY ADOPTING AN ANIMAL? HOW DID YOU HEAR ABOUT US? I CERTIFY THAT THE INFORMATION ENTERED ON THIS APPLICATION IS TRUE.ENTER YOUR NAME AND DATE:
WE QUARANTINE ALL OF OUR ANIMALS FOR A MINIMUM OF SEVEN DAYS.DURING THIS TIME THEY ARE WATCHED FOR ILLNESS.OUR ANIMALS COME FROM .HIGH RISK. SITUATIONS, AS DO MOST SHELTER ANIMALS. THIS MEANS THAT THEY ARE EXPOSED TO A HIGH VOLUME OF OTHER ANIMALS AND POSSIBLE VIRUS. OR BACTERIA. WE QAURANTINE THEM SO HOPEFULLY IF THEY HAVE BEEN EXPOSED TO ANYTHING ADVERSE, IT WILL SURFACE IN OUR CARE RATHER THAN WITH THEIR NEW ADOPTERS. WHILE WE TRY OUR BEST WE CANNOT GUARANTEE OUR ANIMALS BECAUSE DO NOT RAISE THEM NOR DO WE HAVE DIRECT CONTROL OVER EVERYTHING THEY ARE EXPOSED TO PRIOR TO US RECEIVING THEM.ALL OF OUR ANIMALS RECEIVE AGE APPROPRIATE VACCINATIONS BEFORE BEING ALLOWED TO GO HOME.BY DOING THIS WE HOPE TO BUILD UP THEIR IMMUNITY.WE APPRECIATE YOUR UNDERSTANDING AND TRUST THAT YOU WILL RESEARCH PROPER VACCINATION AND VET CARE PRIOR TO APPLYING.DO YOU UNDERSTAND THE MEDICAL ASPECTS / RISKS OF ADOPTING A RESCUED ANIMAL?YES OR NO?
HAVE YOU EVER APPLIED TO ADOPT AN ANIMAL THROUGH ANOTHER ORGANIZATION?WAS YOUR APPLICATION DENIED OR ACCEPTED?EXPLAIN:
PLEASE DESCRIBE THE PEOPLE (AGE AND SEX) THAT WOULD BE LIVING WITH THIS ADOPTED ANIMAL:
HOW WOULD YOU DESCRIBE THE ACITIVTY LEVEL IN YOUR FAMILY: HIGH, MEDIUM OR LOW
IF THERE ARE CHILDREN IN THE FAMILY, WILL THEY HELP WITH THE CARE OF THE DOG?IF SO, WHAT CAPACITY?
WHO IN THE HOUSEHOLD WILL CARE FOR THE ANIMAL?
DO YOU PLAN ON DOCKING, CROPPING OR OTHERWISE ALTERING THE PHYSCIAL APPEARANCE OF YOUR ADOPTED ANIMAL FOR COSMETIC PURPOSES?
ARE THERE ANY ALLERGIES IN YOUR FAMILY THAT WOULD BE AFFECTED BY ADOPTING AN ANIMAL?
HOW DID YOU HEAR ABOUT US?
I CERTIFY THAT THE INFORMATION ENTERED ON THIS APPLICATION IS TRUE.ENTER YOUR NAME AND DATE: