SDR Dog Adoption Application
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- Dayna Flynn
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1 SDR Dog Adoption Application We are committed to matching you with the right dog so that all will have many happy years together. All of our rescue dogs are in private volunteer foster homes. We do not have a central shelter or kennel location. Our volunteer fosters are most qualified to answer any questions regarding the dog. To protect our foster families' privacy, we must have an application on file before we release their contact information. We may receive several applications for one dog and we do our best to keep our site up to date with available dogs. Please note that an approved application DOES NOT guarantee that the dog will be placed with you. The final decision rests with our fosters as they know the dogs the best, and please be aware that there may be other applicants interested in the same dog. Small Dog Rescue requires you to fill out an adoption application (you must be 21 years of age) and submit a (refundable) deposit of $200 in order to start the adoption process. Once we have received these, the dog you chose will be put on hold. The Adoption Manager will call you to go over the adoption process and answer questions you may have. We will then check references and conduct a home visit. Depending on your location, we may ask you to submit photos of the interior and exterior of your home in lieu of a home visit. Your deposit goes towards the adoption fee, the reminder will be due as well as the adoption contract. All dogs are altered, up to date on vaccinations, on heartworm preventative and dewormed. If we cannot alter a dog due to age a spay/neuter agreement will be required. We reserve the right to refuse an applicant based on the information provided, as well as the results of the application process, with or without disclosure of cause. In the event that we discover that any information entered on this application has been knowingly falsified we will reclaim possession of the adopted dog. We do not like to adopt out small dogs to homes with children under 5 or dogs under 10 lbs to homes with children under 8yrs. Fenced in yards are preferable. Each adoption is based on the best home for the dog. Our Adoption donations cover: vetting, transporting, feeding, and caring for all the dogs in our program. Thank you for your interest in rescue. Adopt don t shop! APPLICATION: How did you find out about Small Dog Rescue of New England? Have you adopted from Small Dog Rescue before?
2 Name of the dog(s) you are interested in meeting (may list more than one dog or list type of dog you are looking to adopt) Your First Name: Your Last Name: Your Address: Home Phone: Cell: I am 21 years of age or older: Yes: No: Place of employment: Number of adults in the home: Ages of adults: Number of children: Ages of children: Do you or anyone you live with have an allergy to dogs? Y: N: Are all family members aware & approve of adopting a pet? Y: N: HOUSEHOLD INFORMATION: What type of home do you live in? (single family/condo/townhouse/apartment/mobile home etc) Do you: Own: Rent: If you rent, Landlord s 1st and last name: Phone number: Do you have a fenced-in yard? Yes: No:
3 If "yes", how high is the fence? If "no", what will you do for exercise & bathroom duties? Do you have a pool? Yes: No: Is the pool fenced? Home Atmosphere: (please check one) Busy & Noisy: Some Activity: Quiet & Serene: Other: Describe your level of experience with dogs? What is the primary reason you want a dog? What kind of dog is right for you? Dogs need daily exercise. How many times a day will you be able to walk your dog? For how long each time? Will there be someone with your pet during the day? Yes No Greatest number of hours spent alone during the day: Will there be someone home with your pet during the night? Yes No Greatest number of hours spent alone during the night: Who will be responsible for the care of the dog?
4 How do you feel is the best way to discipline a dog? Where will the dog spend most of his time during the day? Where will the dog sleep? Where will the pet stay while you travel? Will you be taking this dog to obedience class? Yes No Are you familiar with the use of a dog crate to train/confine the dog during your absence or at night? Yes No Do you agree to let a Small Dog Rescue representative do a home visit before and/or after adoption? Yes No How much do you think this pet will cost you each year (include food, heartworm preventative, flea control, medical, dental care, supplies, training, grooming, boarding costs)? Please list all animals past & present, you ve owned in the last 5 years. (name, sex, age, breed, Which are current pets: Have you ever given away a pet, please explain circumstances: References Current Vet name phone number
5 Past vet name phone number Are all of your dog s current on vaccines and spayed/neutered? Yes No If not, please list reasons why: First available date you will be ready to take ownership of your new family member: I have read the above information carefully and have filled out this application honestly. I / we agree that if we adopt a dog, we will provide professional vet care, and a loving home. *We also agree that we will return the dog if we can no longer keep him/her. *No member of our household has ever been convicted of cruelty to animals. If an omission or untruth is discovered during or after an adoption takes place, I understand that the Small Dog Rescue reserves the right to annul the adoption and reclaim the animal. By submitting this application,i agree to give permission for a representative of SDR to call the references and veterinary practices I have listed. (please call your vet to okay providing us with this info ) I also understand that every effort will be made for a home visit to be conducted by a SDR representative and furthermore that SDR reserves the right to deny any adoption application with or without disclosure of cause. Agree: Yes No Today s date: Signature:
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More informationPLEASE FILL OUT ALL INFORMATION IN THE VETERINARY RELEASE BOX BELOW. APPLICATION CANNOT BE PROCESSED WITHOUT THE INFORMATION:
Date App Rcd: / / Processing Fee Rcd: / / check# PayPal # Vet Ck: / / by Notes: _ LL: / / contact person: Notes: Home Visit: / / by: Notes: APP DN Action required: Disposition Date: / / ADOPTED: ID# Name:
More informationPO Box 46 Pt. Pleasant, PA Foster Application
PO Box 46 Pt. Pleasant, PA 18950 E-Mail: info@lulusrescue.org Foster Application Personal Information Name: Email Address: Day Phone: Evening Phone: Cell Phone: Address: City: State: Zip Code *Address
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