KleeCan Alaskan Klee Kai In-Home Breeding Program Prospective Owner Questionnaire Roger Laycock September 2014 KleeCan.Com

Size: px
Start display at page:

Download "KleeCan Alaskan Klee Kai In-Home Breeding Program Prospective Owner Questionnaire Roger Laycock September 2014 KleeCan.Com"

Transcription

1 ALASKAN KLEE KAI IN-HOME BREEDING PROGRAM KLEECAN.COM PROSPECTIVE OWNER QUESTIONNAIRE Thank you for your interest in the Alaskan Klee Kai and KleeCan In-Home Breeder. Please complete the following questions and return this form to me by , (cut and paste into either a Word doc / PDF attachment or into the body of your ) to Roger@KleeCan.com. As we all know, there is no one breed of dog that is the right breed for everybody, and the Alaskan Klee Kai is no exception. When you bring an AKK into your family, you are making a commitment to raise, train and care for your dog throughout its lifetime. Alaskan Klee Kai are intelligent and active dogs that require lifelong socialization, training and exercise to become welcome additions to your life. The purpose of this questionnaire is twofold: it is designed to help you think through the factors involved in becoming an Alaskan Klee Kai puppy owner and to help me in our commitment to find the best possible family-puppy match as I sort through the queries and requests - which are inevitably many more than the number of puppies available. This questionnaire will become a legal part of the Sale Contract in the event you decide to obtain a puppy from KleeCan Home Breeder / Roger Laycock. PLEASE PRINT OR TYPE Your contact information: FULL NAME FULL MAILING ADDRESS TELEPHONE HOME: MOBILE: 1

2 Your household: ADULTS 1. NAME: OCCUPATION: 2. NAME: OCCUPATION: CHILDREN/YOUNG ADULTS: PLEASE NOTE THE FAMILY S FAMILIARITY WITH / OR INCIDENTS WITH DOGS: TRAINING: HAVE FAMILY MEMBERS PARTICIPATED IN DOG TRAINING AND/OR DOG HANDLING PROGRAMS? PLEASE SPECIFY PAST OR PLANNED PROGRAM PARTICIPATION: OTHER DOGS IN YOUR HOUSEHOLD: PLEASE SPECIFY BREED(S), AGES, BEHAVIOURS: 2

3 The best and worst dogs in your life: YOUR LIFETIME FAVOURITE DOG WAS WHAT BREED(S) HAVE YOU OWNED? WHAT BREED(S) WERE YOU HAPPIEST WITH? WHY? WHAT BREED(S) TURNED OUT NOT TO BE WHAT YOU EXPECTED? WHY? WHAT HAPPENED TO DOGS THAT YOU HAVE OWNED IN THE PAST THAT ARE NO LONGER WITH YOU? WHAT ATTRACTS YOU TO THE ALASKAN KLEE KAI? WHY DO YOU BELIEVE THAT YOUR HOME WOULD BE A DESIRABLE HOME FOR AN ALASKAN KLEE KAI? 3

4 If you are a dog breeder: ARE YOU PRESENTLY BREEDING DOGS? YES NO IF YES, PLEASE LIST ALL BREEDS THAT YOU PRESENTLY OWN OR CO-OWN: HAVE YOU BEEN A DOG BREEDER IN THE PAST? YES NO IF YES, WHAT BREEDS WERE YOU INVOLVED WITH? 4

5 When a puppy comes to your home: WHAT WILL BE THE PRIMARY LIVING QUARTERS FOR YOUR PUPPY AND AS S/HE GROWS TO MATURITY? DO YOU HAVE A SECURELY FENCED YARD OR EXERERCISE AREA FOR YOUR DOG(S) WHERE WILL THE PUPPY SPEND HIS/HER TIME? DURING THE DAY: IN THE EVENING: AT NIGHT: IS SOMEONE HOME DURING THE DAY TO HOUSE TRAIN YOUR PUPPY? IF NOT, WHAT ARRANGEMENTS WILL YOU MAKE FOR YOUR PUPPY? HOW DID YOU HEAR ABOUT ALASKAN KLEE KAI AND KLEECAN IN-HOME BREEDING PROGRAM? DO YOU HAVE ANY INTEREST IN SHOWING YOUR AKK IN COMPETITION Conformation, Agility, Obedience OR HAVING IT EVALUATED AS A CERTIFIED THERAPY DOG? 5

6 Choosing your Alaskan Klee Kai: ARE YOU INTERESTED ONLY IN A PUPPY OR WOULD AN OLDER DOG FIT INTO YOUR FAMILY? PLEASE LIST YOUR PREFERNCE (note #1 is of highest importance) FEMALE: MALE: NO PREFERENCE: COAT COLOUR: TRADITIONAL BLACK/WHITE AliAK DArKK GREY/WHITE SIBERIAN WHITE NO PREFERENCE: EYE COLOUR: BROWN BLUE NO PREFERENCE AGE: PUPPY YOUNG DOG OLDER DOG CONSIDER RESCUE NO PREFERENCE PLEASE LIST ANY QUESTIONS THAT YOU MIGHT HAVE: 6

7 The Agreement: I agree to provide a safe, clean environment with a securely fenced yard or outdoor playing field. I agree to provide a daily routine of feeding, training, exercise, play, and nurturing. I agree to care for this dog humanely at all times, providing necessary medical care and regular check-ups. I agree to keep this dog in my possession and will not give it away, sell it to any person, pet store or puppy broker, or abandon it. If I must, for any reason, relinquish custody/ownership of the dog, I will give (not sell) it to an appropriate adoptee chosen in consultation with Roger Laycock or return it to Roger Laycock of KleeCan In-Home Breeding Program. I understand these conditions may not be waived without the written consent of Roger Laycock of KleeCan In-Home Breeding Program. The information I have given on this form is, in all good faith, true and accurate. I understand that completing this application does not automatically entitle me to the purchase of an Alaskan Klee Kai puppy or dog. I understand that this application is the beginning step in the interview process. Signature Date Thank you for taking the time and effort to answer the above questions. I will respond promptly to your completed questionnaire by . Sincerely, Roger Laycock KleeCan In-Home Breeder 7

S.A.R.G. DOG ADOPTION APPLICATION / CONTRACT

S.A.R.G. DOG ADOPTION APPLICATION / CONTRACT S.A.R.G. DOG ADOPTION APPLICATION / CONTRACT Dog Adoption Policies All current home animals must be vaccinated per your veterinarian s protocols. Dogs must be leashed at all times when outside unless in

More information

Dog Adoption Application Form

Dog Adoption Application Form Dog Adoption Application Form Contact Information Full name: Occupation: Address: How long at this address: _ Daytime Phone: Evening Phone: Best time to call: Email address: Family & Housing How many adults

More information

Backstromhus Puppy Questionnaire

Backstromhus Puppy Questionnaire Backstromhus Puppy Questionnaire In order to screen potential puppy owners, we ask that you fill out and return this questionnaire. It will serve 2 purposes: the first is to determine if German Shepherd

More information

Applicant #1: First Middle Last

Applicant #1: First Middle Last Today s Date / / The Stafford SPCA s goal is to find permanent, loving, responsible homes for the animals in our care. We try to find a match that considers not only the best interests of the animal, but

More information

So, you're taking the next step towards bringing a Chinook puppy into your home. Exciting!! We're excited too.

So, you're taking the next step towards bringing a Chinook puppy into your home. Exciting!! We're excited too. So, you're taking the next step towards bringing a Chinook puppy into your home. Exciting!! We're excited too. Before we get too far, here are some things you should be aware of. 1) Submitting an application

More information

Adoption Application PART I: PERSONAL INFORMATION (PLEASE READ AND COMPLETE ALL QUESTIONS) YOUR ADDRESS: CITY: STATE: ZIP:

Adoption Application PART I: PERSONAL INFORMATION (PLEASE READ AND COMPLETE ALL QUESTIONS) YOUR ADDRESS: CITY: STATE: ZIP: In order to be considered for an adoption today, you must: 1. Be 21 years of age 2. Have the knowledge and consent of all adults living in your household 3. Have a valid ID with current address 4. If renting:

More information

HART Hoopeston Animal Rescue Team

HART Hoopeston Animal Rescue Team 901 West Main Street Hoopeston, Illinois 60942 - HART Hoopeston Animal Rescue Team 901 West Main Street Hoopeston, IL. 60942 217 283 0779 Fax 217 283 7963 DOG ADOPTION QUESTIONNAIRE It is our policy to

More information

HART Hoopeston Animal Rescue Team CAT ADOPTION QUESTIONNAIRE

HART Hoopeston Animal Rescue Team CAT ADOPTION QUESTIONNAIRE HART Hoopeston Animal Rescue Team CAT ADOPTION QUESTIONNAIRE It is our policy to make certain that each person who adopts a cat is aware of the responsibilities of pet guardianship, and is capable of and

More information

FINDING THEM HOMES - JAMES BAY PAWSITIVE RESCUE

FINDING THEM HOMES - JAMES BAY PAWSITIVE RESCUE 1 FINDING THEM HOMES - JAMES BAY PAWSITIVE RESCUE www.findingthemhomes.com Adopting a dog requires a serious commitment of time and resources. Finding Them Homes-James Bay Pawsitive Rescue wants to ensure

More information

Project POOCH, Inc. Community Outreach Office

Project POOCH, Inc. Community Outreach Office Project POOCH, Inc. Community Outreach Office PO Box 305 Lake Oswego, OR 97034-0035 Office: (503) 697-0623 Fax: (503) 636-5908 Email: adopt@pooch.org Date: Dog of Interest: Applicant Last Name: Office

More information

Complete and return via to above address or fax to above number.

Complete and return via  to above address or fax to above number. Rusty s Angels Sanctuary New River, Az Ph: 480-250-0251 Fax: 623-742-7118 www.rustysangelssanctuary.org www.facebook.com/rustysangelssanctuary Email: rustysangelssanctuary@gmail.com Adoption Application

More information

CATAHOULA RESCUE OF NEW ENGLAND Adoption Application

CATAHOULA RESCUE OF NEW ENGLAND Adoption Application Thank you for your interest in adopting a Catahoula from Catahoula Rescue of New England. Before you begin the process we want to make sure that you are aware of the steps in the adoption process before

More information

ADOPTION APPLICATION

ADOPTION APPLICATION Cockers Across PA Cocker Spaniel Rescue, Inc. ADOPTION APPLICATION Cockers Across PA Cocker Spaniel Rescue, Inc. (CAP) evaluates all applicants on a case by case basis and does not guarantee that all prospective

More information

Puppy Application. Referred by: Please check or circle answers not requiring written answers.

Puppy Application. Referred by: Please check or circle answers not requiring written answers. Puppy Application The following questions are being asked of you so that the right puppy and the right placement of each puppy can be made by bringing the various requirements of both the puppy and his

More information

Mile High Weimaraner Rescue Surrender Packet

Mile High Weimaraner Rescue Surrender Packet Mile High Weimaraner Rescue (MHWR) c/o Darci Kunard #720-214-3144 PO Box 1220 Fax #720-223-1381 Brighton, CO 80601 www.mhwr.org coloweimsrescue@yahoo.com Mile High Weimaraner Rescue Thank you for your

More information

Questionnaire for prospective Puppy/Dog Owners

Questionnaire for prospective Puppy/Dog Owners Questionnaire for prospective Puppy/Dog Owners Thank you for inquiring about my Labrador Retrievers. I am a dedicated "fancier" who participate in various dog related events. I breed occasionally to produce

More information

DOG ADOPTION APPLICATION APPLICANT INFORMATION. Name: Age

DOG ADOPTION APPLICATION APPLICANT INFORMATION. Name: Age APPLICANT INFORMATION Name: Age GSRNY places dogs in homes in the state of New York. Special cases may, in the sole discretion of GSRNY, be placed outside of the state. Address: City, State, Zip: E-Mail

More information

Puppy Application. Relationship to Applicant Home Address City State Zip . Do you plan on showing this puppy?

Puppy Application. Relationship to Applicant Home Address City State Zip  . Do you plan on showing this puppy? Puppy Application Name of Applicant Age Name of Co-Applicant Age Relationship to Applicant Home Address City State Zip E-Mail Home Phone Work Phone Best time to contact Why do you want an Irish Terrier?

More information

HAMMOND ANIMAL CONTROL ADOPTION APPLICATION

HAMMOND ANIMAL CONTROL ADOPTION APPLICATION Imp# HAMMOND ANIMAL CONTROL ADOPTION APPLICATION The following information is requested so that we can assist you in the selection of a new pet. Since the animal s welfare is our foremost consideration,

More information

Adoption Application. Your Name. Are you 21 years of age or older? Yes No. Address. City State Zip. Home Phone # Work # Cell #

Adoption Application. Your Name. Are you 21 years of age or older? Yes No. Address. City State Zip. Home Phone # Work # Cell # Wilson Animal Rescue Adoption Application Your Name Today s Date Are you 21 years of age or older? Yes No Address City State Zip Home Phone # Work # Cell # Email What is the best time to contact you? Type

More information

2016 Puppy Application Dominion s Creekside Newfoundlands. Date: Your Family

2016 Puppy Application Dominion s Creekside Newfoundlands. Date: Your Family 2016 Puppy Application Dominion s Creekside Newfoundlands Dominion's Creekside Newfoundlands 647 Old Dominion Road Colville, WA 99114 509-680-0378 Email Completed Application To: Dcnewfs@Gmail.Com We Reserve

More information

Auld Sod English Cocker Spaniels P.O. Box 760 Tracyton, WA (360)

Auld Sod English Cocker Spaniels P.O. Box 760 Tracyton, WA (360) (360)792 9120auldsodecs@gmail.com Personal Information Name: Email: Address: City: State/Prov: Zip/Postal Code: Phone #: ( ) Wk Phone #: ( ) Occupation: Hours worked per week: Are you retired? Age? [ ]

More information

Application For Adoption

Application For Adoption Application For Adoption Thank you for your interest in rescuing a dog! Every CRCS dog comes with animal help, training tips, full access to our behavior specialist, and placement for the life of the dog.

More information

Adoption Application for an Icelandic Sheepdog Dog

Adoption Application for an Icelandic Sheepdog Dog Adoption Application for an Icelandic Sheepdog Dog NISRA 1881 Barrington Drive Sun Prairie, Wisconsin 53590 Email: nisrabod@gmail.com www.nationalicelandicsheepdogrescuealliance.org Sometimes it is necessary

More information

Bull Mountains/Desert Mountain Belgian Malinois. Puppy Questionnaire

Bull Mountains/Desert Mountain Belgian Malinois. Puppy Questionnaire Bull Mountains/Desert Mountain Belgian Malinois Name: Contact Information: Address: Puppy Questionnaire Email Addres: Phone Number: A new dog means added responsibilities. If you have decided to purchase

More information

Please read before completing our Questionnaire. ADOPTION PROCESS PLACEMENT POLICIES

Please read before completing our Questionnaire. ADOPTION PROCESS PLACEMENT POLICIES WEE RESCUE PLACEMENT POLICIES Please read before completing our Questionnaire. ADOPTION PROCESS 1. Complete the questionnaire (Application). Your Application will be reviewed and you will be interviewed

More information

SDR Dog Adoption Application

SDR Dog Adoption Application 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

More information

Chattahoochee Valley Bernese Mountain Dog Club Questionnaire for Prospective Rescue Adoption Family

Chattahoochee Valley Bernese Mountain Dog Club Questionnaire for Prospective Rescue Adoption Family Chattahoochee Valley Bernese Mountain Dog Club Questionnaire for Prospective Rescue Adoption Family Thanks for your interest in becoming an adoptive family as part of the CVBMDC rescue program. In order

More information

Prospective Puppy Buyer Questionnaire

Prospective Puppy Buyer Questionnaire Prospective Puppy Buyer Questionnaire As a breeder, my goal is to place each of my puppies in his or her forever home. Since no two puppies are exactly alike, I would like it for you to fill out this questionnaire

More information

Doberman Rescue of Rockdale, INC Adoption Application Carole Rushing Owner

Doberman Rescue of Rockdale, INC Adoption Application Carole Rushing Owner Doberman Rescue of Rockdale, INC Adoption Application Carole Rushing Owner cruzmine@comcast.net This questionnaire is for your benefit as well as ours. The information you provide will enable us to better

More information

BULL MOUNTAINS/DESERT MOUNTAIN BELGIAN MALINOIS

BULL MOUNTAINS/DESERT MOUNTAIN BELGIAN MALINOIS BULL MOUNTAINS/DESERT MOUNTAIN BELGIAN MALINOIS PUPPY QUESTIONNAIRE A new dog means added responsibilities. If you have decided to purchase a dog, remember that owning a dog can be either the beginning

More information

ADOPTION APPLICATION

ADOPTION APPLICATION ADOPTION POLICY The Pet Adoption Center of Orange County (PAC-OC) seeks permanent, loving homes where our rescued dogs can live a long, happy and healthy life as part of a family. Adoptive families must

More information

CAT ADOPTION APPLICATION

CAT ADOPTION APPLICATION It is our policy to make certain that each person who adopts a cat is aware of the responsibilities of pet guardianship, and is capable of and willing to accept those responsibilities morally, physically

More information

Adoption Application Form

Adoption Application Form Adoption Application Form Please send completed form to : Leo Rescue Canada Attention: Ms. Karen Heard 129 Brant School Road Brantford, ON N3T 5L4 ** Email : Info@LeoRescueCanada.com Please provide as

More information

PUPPY APPLICATION 2019

PUPPY APPLICATION 2019 PUPPY APPLICATION 2019 The Application Process will consist of this application, a phone or Skype interview, Home check and/or video walkthrough. In-person visits can be scheduled if you live close enough

More information

Puppy Application. Referred by: If not referred to us, how did you hear about Genteel Standard Poodles?

Puppy Application. Referred by: If not referred to us, how did you hear about Genteel Standard Poodles? Puppy Application The following questions are being asked of you so that the right puppy and the right placement of each puppy can be made by bringing the various requirements of both the puppy and his

More information

Name: Date: Address: City: State: Zip: Phone number: Alt. Phone number: address: Alt. address:

Name: Date: Address: City: State: Zip: Phone number: Alt. Phone number:  address: Alt.  address: Approved AHAR Use Only: Name of adopted Animal Not Approved (state reason why): Name of applicant: Name of volunteer who processed this questionnaire: Name of animal(s) party is interested in: Arrow s

More information

Collie Rescue of Tampa Bay, Inc.

Collie Rescue of Tampa Bay, Inc. Collie Rescue of Tampa Bay, Inc. P.O.Box 14305, Clearwater, FL 33766-4305 Adoption Application Thank you so much for your interest in adopting a dog from the Collie Rescue of Tampa Bay, Inc. We request

More information

ADOPTION APPLICATION INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED

ADOPTION APPLICATION INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED Purrs Abound Siamese Rescue Group of Michigan, Inc. P.O. Box 80822, Rochester, MI 48308-0822 E-MAIL: ADOPTION@PURRSABOUND.COM FAX (248) 920-0463 View Adoptable Cats at: http://purrssiameserescue.rescuegroups.org

More information

Purchasing Questions:

Purchasing Questions: Loup Valley New Owner Questionnaire Name: Address: City: State/Zip: Home: Work/Cell: Email: Purchasing Questions: 1. Are you looking for a male or female and from which litter/timeframe? 2. Are you interested

More information

Prospective Puppy Owner Questionnaire

Prospective Puppy Owner Questionnaire Prospective Puppy Owner Questionnaire Thank you for your interest in owning a Cedar Hills puppy. We don't breed often, but we do breed carefully, choosing our stud dogs and bitches to provide great temperaments,

More information

Dog Adoption Application Form

Dog Adoption Application Form Dog Adoption Application Form If you are interested in adopting a dog or puppy, please fill out the form below. The questions in this application are in place to provide IWARS with the best information

More information

Perfect Peace New Owner Questionnaire

Perfect Peace New Owner Questionnaire Perfect Peace New Owner Questionnaire Name: Address: City: State/Zip: Home: Cell: Email: Purchasing Questions: Are you looking for a male or female - and from which litter/timeframe? Do you plan on picking

More information

DOG ADOPTION APPLICATION

DOG ADOPTION APPLICATION DOG ADOPTION APPLICATION Name of Dog(s) you are applying for: Today s Date: Adoption Application Agreement PLEASE READ The speed at which your application is processed for adoption is dependent largely

More information

In Home Service/ Hearing/ Companion Dog. In Home Service/ Hearing/ Companion Dog Questionnaire

In Home Service/ Hearing/ Companion Dog. In Home Service/ Hearing/ Companion Dog Questionnaire In Home Service/ Hearing/ Companion Dog General Information An In Home service or hearing dog is a dog that is trained in specific service or hearing dog skills such that they can perform the skills in

More information

Foster Application. Foster Contact Information. About You. Yes No Do you rent or own your current residence: Rent Own

Foster Application. Foster Contact Information. About You. Yes No Do you rent or own your current residence: Rent Own Foster Contact Information Co-Applicant (if applicable) Address City State ZIP Home Phone Your Work Phone Your Cell Phone Your Email Address Spouse s Email Address (if applicable) Your Occupation Spouse's

More information

Puppy Buyer Questionnaire

Puppy Buyer Questionnaire Kosmos Sighthounds Puppy Buyer Questionnaire Kosmos Sighthounds PO Box 2923 Alice Springs NT 0871 0401926960 www.webcetera.net.au/kosmos The following questions will help me to determine if a Kosmos puppy

More information

ADOPTION APPLICATION

ADOPTION APPLICATION ADOPTION APPLICATION Thank you for your interest in adopting a dog from Lisa Parker s Puppies. Our Mission: To rescue, foster and find permanent loving homes for abandoned dogs and puppies in La Plata

More information

Application for Adoption or Fostering

Application for Adoption or Fostering Application for Adoption or Fostering Dear Applicant: Thank you for your interest in either fostering or adopting a rescued Siberian Husky or Alaskan Malamute with Texas Sled Dog Rescue (TSDR). The application

More information

Sandalot Border Terriers. Puppy Questionare

Sandalot Border Terriers. Puppy Questionare Sandalot Border Terriers Puppy Questionare This questionnaire is designed to help make sure that a Border Terrier is the right choice for you and your family. Buying a puppy or a dog is a lifetime, serious

More information

Personal Information (please print): Full Name: Complete Address: Home phone: Best time to call:

Personal Information (please print): Full Name: Complete Address:   Home phone: Best time to call: ]xtçxëá UÉáàÉÇ gxüü xüá Boston Terriers for Conformation, Performance or just Companions P.O. Box 1637 Cottonwood, CA 96022 jeanesbostons@thewholedog.org Personal Information (please print): Full Name:

More information

ADOPTION APPLICATION

ADOPTION APPLICATION Pennsylvania Great Dane Rescue and Rehab Terri Preisel fantasticfinesse@gmail.com (724)-732-7085 Kasarah Emery downluckdanes@gmail.com (724)-810-2070 ADOPTION APPLICATION Instructions: Please read this

More information

BOSTON TERRIER RESCUE CANADA

BOSTON TERRIER RESCUE CANADA BOSTON TERRIER RESCUE CANADA Adoption Application How did you hear of Boston Terrier Rescue Canada (BTRC)? Date: Every BTRC rescue dog is vet examined, vaccinated, parasite tested and treated as required,

More information

Paroled Pet Application

Paroled Pet Application 9601 Bujacich Road NW Gig Harbor, WA 98332 (253) 858-4240 (253) 858-4202 (FAX) www.prisonpetpartnership.org Paroled Pet Application Thank you for your interest in adopting a Paroled Pet. In the case of

More information

ADLER STEIN KENNELS PRE-PURCHASE QUESTIONNAIRE

ADLER STEIN KENNELS PRE-PURCHASE QUESTIONNAIRE ADLER STEIN KENNELS PRE-PURCHASE QUESTIONNAIRE PLEASE ANSWER ALL QUESTIONS FULLY AND COMPLETELY TO HELP US UNDERSTAND YOUR NEEDS AND TO DETERMINE IF WE HAVE A PUPPY TO SUIT YOU AND YOUR LIFESTYLE. SHOULD

More information

1740 W. Gordon St., Valdosta, GA ADOPTION CONTRACT PET INFORMATION

1740 W. Gordon St., Valdosta, GA ADOPTION CONTRACT PET INFORMATION 1740 W. Gordon St., Valdosta, GA 31601-5323 pets@humanesocietyofvaldosta.org 229-247-3266 ADOPTION CONTRACT Date: Amount Paid ( ) Cash ( ) Credit/Debit ( ) Check # PET INFORMATION Pet Name: ( ) Cat ( )

More information

180 Degree Rescue Canine Adoption Contract

180 Degree Rescue Canine Adoption Contract 180 Degree Rescue Canine Adoption Contract *********Please read so you know what you re signing and understand fully. If you have a question or don t completely understand, Please ask. Not following through

More information

MAL-FFunctions Disqualified Military Working Dog Rescue Volunteer Application

MAL-FFunctions Disqualified Military Working Dog Rescue Volunteer Application Please tell us how you heard about our site: MAL-FFunctions Disqualified Military Working Dog Rescue Volunteer Application 1) What type of Rescue related volunteer activities can you help with? May we

More information

Foster Application, Agreement & Release

Foster Application, Agreement & Release Foster Application, Agreement & Release Our foster care program gives you a chance to help us save lives! Animals that need foster homes include: puppies and kittens under 8 weeks, pregnant or nursing

More information

FOSTER GUIDELINES/APPLICATION

FOSTER GUIDELINES/APPLICATION Big Cypress German Shepherd Rescue Naples, Florida 239-777-0853 www.saveagermanshepherd.org bigcypressgsr@gmail.com FOSTER APPLICATION Name: Address: City/State/Zip: Home: Work: Cell: Can we contact you

More information

Music City Greyhound Adoption Foster Application

Music City Greyhound Adoption Foster Application Music City Greyhound Adoption 1128 Neptune Road, Ashland City TN 37015 Music City Greyhound Adoption Foster Application Greyhound fostering is a serious responsibility and in most cases, at least a two

More information

Dogs Unlimited Rescue Toronto

Dogs Unlimited Rescue Toronto Dogs Unlimited Rescue Toronto Tel: 416 538 8559 Email: dogsunlimitedrescue@yahoo.ca Dogs Unlimited Rescue Toronto Pre-Adoption Application APPLICANT INFORMATION Name Address City Province Postal Code Age

More information

SAVING GRACE ANIMAL SANCTUARY CANADA & PASSIONATE PAWS LTD. DOG ADOPTION QUESTIONNAIRE

SAVING GRACE ANIMAL SANCTUARY CANADA & PASSIONATE PAWS LTD. DOG ADOPTION QUESTIONNAIRE SAVING GRACE ANIMAL SANCTUARY CANADA & PASSIONATE PAWS LTD. DOG ADOPTION QUESTIONNAIRE *Before you begin our application to adopt, please read and initial the following that you understand and agree: I

More information

Please fill this form out completely and it to:

Please fill this form out completely and  it to: General Application rev 10/1/2015 Please fill this form out completely and email it to: info@northwestgermanshepherd.org Be sure to answer all questions as accurately as possible. Once your application

More information

Eyota Mastiffs Puppy Questionnaire.

Eyota Mastiffs Puppy Questionnaire. Eyota Mastiffs Puppy Questionnaire. Please return questionnaire via mail to: Tammy Kinkade, 7266 State Route 15, Defiance, OH 43512 Or via email to: eyotamastiffs@roadrunner.com (please put Puppy Questionnaire

More information

Westminster Adoption Group and Services Bulldog Adoption Application

Westminster Adoption Group and Services Bulldog Adoption Application Westminster Adoption Group and Services Bulldog Adoption Application Thank you for your interest in adopting a dog rescued by WAGS. WAGS wants to make certain that every animal adopted goes to a loving

More information

Adoption Application

Adoption Application CONTACT INFORMATION Name: Address: Phone: Email: Are you a current or former WagsInn customer? Yes No HOUSING Do you live in a house, condo, apartment, or townhouse? Do you rent or own? If you rent, please

More information

Home Phone Business or Cell Phone Fax Number

Home Phone Business or Cell Phone Fax Number Foster Care Form Please send completed form to : Leo Rescue Canada Attention: Ms. Karen Heard 129 Brant School Road Brantford, Ontario N3T 5L4 ** Email : Info@LeoRescueCanada.com Please provide as much

More information

PO Box 46 Pt. Pleasant, PA Foster Application

PO 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

More information

Please complete all fields that apply to you and mail the application to the address at the bottom of the last page.

Please complete all fields that apply to you and mail the application to the address at the bottom of the last page. Thank you for applying for a Samoyed from MidAtlantic Samoyed Rescue! INSTRUCTIONS Revised November 2012 due to the overwhelming number of apps and dogs now in rescue. Please complete all fields that apply

More information

Please print clearly. (Must be at least 21 years of age to adopt.) Date of Birth: YOUR NAME: Name of animal in which you are interested:

Please print clearly. (Must be at least 21 years of age to adopt.) Date of Birth: YOUR NAME:   Name of animal in which you are interested: Date: Adoption Application Our goal is to place previously adopted Disqualified Military Working Dogs in permanent, loving homes. Please complete this application so we can assist you in finding a special,

More information

Canadian West Highland White Terrier Club Application For Membership ** Please Read Carefully and Print Clearly **

Canadian West Highland White Terrier Club Application For Membership ** Please Read Carefully and Print Clearly ** Application Fees All fees are in Canadian dollars. Canadian West Highland White Terrier Club ** Please Read Carefully and Print Clearly ** Individual: $25.00 Family: $25.00 for the first person, $5.00

More information

PRE-ADOPTION FORM 10/1/16. Name of applicant: Date of birth: Home phone #: Work phone#: Cell# (s): Employer, Address, Position

PRE-ADOPTION FORM 10/1/16. Name of applicant: Date of birth: Home phone #: Work phone#: Cell#  (s): Employer, Address, Position PRE-ADOPTION FORM 10/1/16 Today s date: Name of cat(s) you would like to adopt (if known) Name of applicant: Date of birth: Address: City Zip Home phone #: Work phone#: Cell# E-mail(s): Employer, Address,

More information

Demi s Animal Rescue, Inc. Terms of Adoption (Dog) Animal s Name: Breed: Sex: Weight: Age: Microchip ID: Notes:

Demi s Animal Rescue, Inc. Terms of Adoption (Dog) Animal s Name: Breed: Sex: Weight: Age: Microchip ID: Notes: Date Demi s Animal Rescue, Inc. Terms of Adoption (Dog) Animal s Name: Breed: Sex: Weight: Age: Microchip ID: Notes: In consideration for Demi s Animal Rescue, Inc. ( the Rescue ) agreeing to transfer

More information

Foster Application. Facebook.com/furrytailendingscaninerescue us at Susan Daniele, President

Foster Application. Facebook.com/furrytailendingscaninerescue us at   Susan Daniele, President Foster Application Visit us at Facebook.com/furrytailendingscaninerescue Visit us at www.furrytailendingcaninerescue.org Susan Daniele, President Cell: (908) 507-0566 FAX: : (908) 847-0213 EMAIL: furrytailendings@embarqmail.com

More information

Daycare Application Form

Daycare Application Form Daycare Application Form TGDS Staff Use Only Evaluation Date: Application Complete: Liability Waiver Signed: Vaccinations Verified: Please submit the completed Application, signed Liability Waiver and

More information

University of Washington Live Mascot Family Application

University of Washington Live Mascot Family Application University of Washington Live Mascot Family Application Thank you for showing interest to become our next family for the Live Mascot, The Alaskan Malamute Dubs II. Dubs plays an integral part in the University

More information

Florida Cocker Spaniel Rescue - Foster Application

Florida Cocker Spaniel Rescue - Foster Application Florida Cocker Spaniel Rescue - Foster Application Thank you for wanting to help us in our mission of rescuing and re-homing cocker spaniels in Florida. Please understand that all cocker spaniels are different

More information

Lazy Paw Kennels Puppy Questionnaire

Lazy Paw Kennels Puppy Questionnaire Lazy Paw Kennels Puppy Questionnaire Our goal is to place each of our puppies in a home where the puppy s temperament, activity level and potential meets the goals of its new family. To help with this

More information

ANIMAL RESCUE FOUNDATION of Louisiana

ANIMAL RESCUE FOUNDATION of Louisiana ADOPTION APPLICATION/CONTRACT PET S NAME Description NAME DATE ADDRESS CITY STATE ZIP PHONE (hm) (c) Your age EMAIL ADDRESS Would you like to receive ARF newsletters and updates? Yes No Welcome to ARFLA!

More information

Dear Applicant: Sincerely, ICAN Client Services. Personal application form for a service dog Medical reference form Personal reference form

Dear Applicant: Sincerely, ICAN Client Services. Personal application form for a service dog Medical reference form Personal reference form Dear Applicant: Thank you for your interest in applying for a service dog, through Indiana Canine Assistant Network, Inc. (ICAN). Entering into the process of applying for a service dog can be an emotional

More information

TINY PAWS DOG RESCUE CANADA Foster Home Application

TINY PAWS DOG RESCUE CANADA Foster Home Application TINY PAWS DOG RESCUE CANADA Foster Home Application We appreciate the time and love freely given to our rescue dogs by our foster families. We try to match the foster dog to the foster parent s lifestyle

More information

Name(s) (both names if a joint application):

Name(s) (both names if a joint application): ADOPTION APPLICATION After carefully answering the questions below (please do not leave questions blank) mail application with fee to the address below. Please allow five business days for us to get back

More information

Who would be responsible for the care and training of your new greyhound?

Who would be responsible for the care and training of your new greyhound? The ownership of a greyhound, like any pet, is a serious responsibility that requires a lifetime commitment. Greyhounds are very sensitive and it would be a traumatic experience to be taken in, loved,

More information

1. Please complete the application and MAIL to the address listed on the bottom of your application; to

1. Please complete the application and MAIL to the address listed on the bottom of your application;  to K9 Connection Pet Re Homing and Adoption Dear Applicant: Thank you for inquiring about adopting a dog through K9 Connection Pet Adoption & Rehoming. If you can provide the special home a San Diego dog

More information

VOLUNTEER FOSTER HOME APPLICATION. Name (primary foster parent of the dog) address: Home Address City, State Zip Home Phone Cell Phone:

VOLUNTEER FOSTER HOME APPLICATION. Name (primary foster parent of the dog)  address: Home Address City, State Zip Home Phone Cell Phone: TELL US ABOUT YOURSELF: Name (primary foster parent of the dog) Email address: Home Address City, State Zip Home Phone Cell Phone: Age How long in current home? Employer How long at current job? Name (co

More information

LITTLE TRAVERSE BAY HUMANE SOCIETY CAT ADOPTION POLICIES AND APPLICATION

LITTLE TRAVERSE BAY HUMANE SOCIETY CAT ADOPTION POLICIES AND APPLICATION CAT ADOPTION POLICIES AND APPLICATION For LTBHS Staff Use Only Date of Adoption: Animal Name: Adoption Price: Pd by Cash or Ck: Paid by Cr. Card: Staff Initials: $ Cash Ck # MC V AX D 1. No animal will

More information

Personal Information. Name: Date of Birth:

Personal Information. Name: Date of Birth: ADOPTION APPLICATION At Adore-A-Bull Rescue, we get to know the traits and personalities of our dogs very well and try to make the best match between dog and pet parent. At times, we may determine that

More information

Dog Rescue Application Form

Dog Rescue Application Form Bolton, ON Thank you for your interest in fostering/adopting a dog from Our Angels Dog Rescue! We are a foster-based organization. Without your help, we could not save as many dogs. Our Angels Dog Rescue

More information

Dog Adoption Application for

Dog Adoption Application for Dog Adoption Application for Reviewed by: Name: Home Phone: Spouse/Partner Name: Work Phone: Mailing Address: City/State/Zip: Street Address: City/State/Zip: How long there? Cell Phone: Drivers License/

More information

Adoption Application

Adoption Application PO Box 431 Helotes, Texas, 78023 210 807 4370 givadogahome@live.com Adoption Application Please complete in full and in as much detail as possible. Completion of this application does not guarantee approval

More information

ADOPTION APPLICATION

ADOPTION APPLICATION 3507 S. Siesta Lane Tempe, Arizona 85282 480-584-2730 surrenderedsoulsrescue@gmail.com ADOPTION APPLICATION Date: PERSONAL INFORMATION Name of dog you are interested in adopting: Applicant Name: Address:

More information

Adoption Application

Adoption Application Adoption Application Today's Date: Adopter Name: Adopter Address: Day Phone Number: Evening Phone Number: (Please include area codes ) E-Mail Address: Driver's License Number: State of Issue A. QUESTIONS

More information

Application Form. Applicant Details: Full Name & Address: Applicant 1 Applicant 2. Home: Mobile: Mobile: Address

Application Form. Applicant Details: Full Name & Address: Applicant 1 Applicant 2. Home: Mobile: Mobile:  Address Application Form Applicant Details: Full Name & Address: Applicant 1 Applicant 2 Telephone: Email Address Home: Mobile: Home: Mobile: DOB: Who else lives at the property? Are their children, if so what

More information

C o m p l e t e C a n i n e C a r e E n r o l m e n t F o r m P a g e 1 5. OWNER INFORMATION Forename & Surname. Home Phone Work Phone Mobile Phone

C o m p l e t e C a n i n e C a r e E n r o l m e n t F o r m P a g e 1 5. OWNER INFORMATION Forename & Surname. Home Phone Work Phone Mobile Phone OWNER INFORMATION Title Forename & Surname Home address Work address Home Phone Work Phone Mobile Phone Email PARTNER/SPOUSE Name Work Phone Mobile Phone How did you hear about us? Word of mouth Email

More information

2. Are you interested in a Puppy, Adolescent Dog, or Adult Dog? (check all that apply)

2. Are you interested in a Puppy, Adolescent Dog, or Adult Dog? (check all that apply) Each and every prospective puppy buyer is asked to fill out this questionnaire with honesty and openness, and then sign and return it. This will help me to determine whether a Boston Terrier is well suited

More information

Adoption Application

Adoption Application 90 Mount Tom Road Marietta, Ohio (740) 373-5959 Adoption Application Thank You for considering the adoption of an animal from the. We require that the following questions be answered as fully and honestly

More information

Puppy Buyer Application Circle Heart Corgis P.O. Box Anza, CA

Puppy Buyer Application Circle Heart Corgis P.O. Box Anza, CA Puppy Buyer Application Circle Heart Corgis P.O. Box 390820 Anza, CA 92539 951-491-5380 Email: circleheartcorgis@gmail.com Website: www.circleheartcorgis.com Facebook & Instagram: Circle Heart Corgis Thank

More information

DOG FOR LIFE ADOPTION APPLICATION

DOG FOR LIFE ADOPTION APPLICATION PERSONAL DETAILS Last Name First Name Email Address Phone Number Street Address & Unit Number City Province Postal Code DOG FOR LIFE ADOPTION APPLICATION DOG DETAILS Dogs come to the shelter in many ways:

More information

Physical Address: Place of work: Work Phone: Driver s License Number with State Issued: Have you ever had pets run away or disappear? Please explain.

Physical Address: Place of work: Work Phone: Driver s License Number with State Issued: Have you ever had pets run away or disappear? Please explain. Volunteer Foster Application Date: Name: Physical Address: Cell Phone: Home Phone: Place of work: Work Phone: Driver s License Number with State Issued: What is your motivation for fostering an animal?

More information