American Eskimo Rescue St. Louis APPLICATION FOR ADOPTION

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1 American Eskimo Rescue St. Louis Important Note: Before submitting your application, please make sure your pet(s) are current on the following medical items: 1. Spayed and/or neutered. 2. Up to date on vaccinations, recent heartworm test (for heartworm disease). 3. On monthly heartworm prevention medication (such as Heartgard). Your pet(s) must be current on the above medical items to be eligible for adoption. These items will be verified with your current and/or past vet. Thank you. APPLICATION FOR ADOPTION Name required fields in BOLD Address City State Zip 1/7

2 Home Phone Work Phone Best time to call Occupation address Spouse's occupation Ages of children under 18 Current Pets Name Type Breed Age Sex Are your pets spayed/neutered? Are they on heartworm preventative? Current Veterinarian Address City State Zip Phone number May we contact your vet? 2/7

3 Why are you considering an American Eskimo dog, as opposed to other breeds Have you, or anyone living with you, ever owned an American Eskimo dog? What is your experience with rescue animals? Are you willing to give this dog adequate time and training to ensure proper adjustment? What would be unacceptable behavior in your home that might make you consider giving up this dog? Be specific What, in your opinion, would constitute valid reasons for an owner to give up his/her dog? 3/7

4 What characteristics do you require in a dog? What characteristics do you desire in a dog? Are you willing to attend at least one session of obedience training with the dog? Do you understand that if, at any time, you are unable or unwilling to keep the dog, he/she must be returned only to American Eskimo Rescue of St Louis? Do you own or rent your home? If you rent, does the landlord have any restrictions in reference to dog ownership? Is you yard fully fenced? 4/7

5 If not, how do you intend to exercise the dog? If you are required to move, what will you do with this dog? How many hours per day will the dog be left alone? Where will the dog stay when no one is home? Where will the dog sleep? Are you aware that American Eskimos are highly social dogs and require lots of interaction with their family? What preparations will be made for the dog when you are out of town? If you plan to have children at some point, are you prepared to keep the dog? What has happened to previous dogs you have owned in your adult life? 5/7

6 I/we acknowledge that all information contained in this application is true and correct. I/we understand that any misrepresentation of fact may result in removal of the adopted dog from my home by American Eskimo Rescue St. Louis. I also understand and accept that a scheduled home visit by a representative of American Eskimo Rescue St. Louis is required to complete the application process. Signature Date Please return completed adoption application to: American Eskimo Dog Rescue St. Louis P.O. Box St. Louis, MO or "Press button once" ===> Submit <=== For further information, contact American Eskimo Rescue St. Louis at or us at American Eskimo Rescue St. Louis is a not for profit organization. We are funded solely by 6/7

7 adoption fees and donations and staffed entirely by volunteers. Any money collected from adoptions or donations is used, in its entirety, to rescue and care for the dogs. Our standard adoption fee is $250 for puppies (12 months and under), $175 for adult dogs. All dogs adopted through American Eskimo Rescue St. Louis receive, at minimum, the following veterinarian care: Spay/Neuter Rabies Vaccination Bordetella Vaccination DHLP Vaccination Heartworm Testing (and treatment if required) Fecal Test Microchip Identification Grooming 7/7

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