ADOPTION APPLICATION
|
|
- Corey Elliott
- 6 years ago
- Views:
Transcription
1 ADOPTION APPLICATION Thank you for taking the time to fill out this application. Please answer the questions in this application with your ultimate goal in mind: adopting a rescued Golden. Required answers are marked with an asterisk (*). If a question does not apply to you, please write N/A in the response area. Fill out this form completely and clearly in black ink only. Include area codes with all phone numbers, and include your E mail address, if at all possible. One of our representatives will be contacting you shortly after we receive your application. THE FOLLOWING CHECK LIST IS FOR YOUR USE TO ENSURE THAT YOUR APPLICATION IS COMPLETE AND WILL QUALIFY FOR CONSIDERATION: ADOPTION APPLICATION FEE Please include a check for the $50.00 non refundable application fee as your application will not be processed until we receive it. Return Adopters (i.e., persons who have adopted from Golden Bond Rescue previously) do not pay this fee. Please write at the top of this application: RETURN ADOPTER. FAMILIES WITH CHILDREN Golden Bond does not adopt dogs to households with children under 10 years old. Please review Kids and Dogs on our web site for specifics. FENCED YARD Please read "Fence Requirements" on our website for our policy regarding fencing. EXTREMELY IMPORTANT! Exceptions are rarely made. RENTED HOUSING Golden Bond Rescue will consider renters on a case by case basis. On occasion, Golden Bond Rescue will waive one or more of the requirements listed above. If you feel there are extenuating circumstances that qualify you for exemption, please contact Golden Bond Rescue before submitting your application to see if we concur. If you have general questions about rescue and adoption, please send to goldenbondrescue@yahoo.com. Mail your completed Adoption Application to: Adoption Application Golden Bond Rescue of Oregon, Inc S. Union Mills Rd. Mulino, OR TE: Make sure you have the correct postage when mailing this application. The Post Office will return envelopes requiring additional postage, holding up your application. We do not accept applications sent by or FAX.
2 ABOUT YOU AND YOUR FAMILY Have you adopted a dog from Golden Bond Rescue before? * Your Name: * Age: * First Name Last Name Second Applicant's Name: Age: First Name Last Name Relationship: Spouse Partner Roomate Other If other, describe: If you think we may have trouble pronouncing your names, provide a phonetic guide here: Address: * Home Phone: * Street Address Street Address Line 2 Work Phone: City State / Province Postal / Zip Code Cell Phone: E mail address: Fax Number: Preferred phone number: Home Phone Work Phone Cell Phone Your occupation: * Second applicant's occupation:
3 Do you have children under the age of 18 who live with you? * Children Living With You Child 1 Child 2 Child 3 Child 4 Gender Age Name Relationship Are there any other residents in the house? * Relationship: Ages: Are ALL household members in complete agreement to adopting, caring for, and training a Golden Retriever? * Do any family members have an allergy to dogs? * If Yes, explain briefly how this situation is dealt with: Are there other people who visit your home at least once a week (neighborhood children, relatives, etc.)? * If, please describe who they are, their ages, and how often they visit: Are there other pets who visit your home at least once a week? If, please describe. TE: WE WILL ASK YOU ABOUT YOUR OWN PETS IN A LATER SECTION.
4 Visiting Pets Pet 1 Pet 2 Pet 3 Pet 4 Animal Type (dog, cat, etc.) Breed (dogs only) Gender (M or F) Age Spayed or Neutered? (S or N) Note: Part of agreeing to adopt a Golden will include an in home visit when all people and animals in the home are present. Are you agreeable to a home visit? * ABOUT YOUR HOME What type of home do you live in? * House Condo/Townhouse Apartment Mobile Home Other If Other, describe: Do you own or rent? * Own Rent Note: If you rent, please send a permission letter from your landlord. jdelaini@gmail.com fax: How long have you lived at your present address? (Years or Months) * What are the maximum number of steps in the home which the dog will be expected to negotiate on a regular basis?: *
5 What type of flooring do you have in areas where the dog will regularly be: carpet, tile, linoleum, wood, combo (please describe): * About Your Yard Does your property include an area which is completely enclosed by secure fencing (i.e., a dog can be released into without fear it will escape)? * Describe this area/yard in which your dog would have off leash access: Size of area/yard: * Approx. dimensions (feet by feet) Small Average Large Very Large Fencing material: If Other, describe: Wood Chain link Welded wire Other Height of fence (feet): * Enter 0 if no fence Do you lock your gates? Does this area/yard contain any of the following?: Gravel Grass Trees Bark dust Separate kennel run? Size of kennel run (feet by feet): If you live in a condo, townhouse, home, etc. where fencing is prohibited please let us know where the dog will be exercised in a secure area. Other Features Do you have a dog door? * Is the dog door large enough for a Golden?
6 If you checked to both, what two portions of your house and yard are connected by the dog door? Do you have a spa? * If, is it kept covered when not in use? Do you have a swimming pool or pond? * if, is it fenced? Describe type of fencing around pool/pond: Height of fencing (feet): Pool/pond's approx. dimensions (feet by feet): Approx. maximum depth (feet): Are there steps or a ramp that a dog could exit on? Are you aware that most Golden Retrievers enjoy swimming and if you have an unfenced pool or pond, the Golden will most likely swim in it? If you have a pond or pool, how do you plan to train the Golden to get out of the pool or pond? YOUR EXPERIENCE WITH PETS I consider myself: * an experienced Golden Retriever person (current or previous Golden Retriever owner as an adult) an experienced dog owner somewhat experienced with dogs (have been around dogs but not owned one) novice dog owner (have never owned a dog nor had significant experience with one) Note: Golden Bond Rescue does not consider having had a family dog as a child as providing significant experience. We are interested in knowing your experience with dogs when you have had primary responsibility for major decisions regarding them, i. e., you decided what kind and how much food to feed, when and whether to take it to a vet and then what kind of treatment to undertake, etc.
7 Please list your current or previous dog experience as an adult. Begin with your current or most recent dog(s) and work backwards. It is acceptable to estimate dates and ages. Dog Experience Dog's Name Gender (M or F) Breed Year Acquired Age When Acquired Spayed/Neutered? (S or N) Source: breeder, rescue group, etc. Year of Death Cause of Death Dog 1 Dog 2 Dog 3 Dog 4 Dog 5 If you have had more than five dogs as an adult, approximately how many more have you had? Were any of these a dog from a rescue organization? If, from what rescue organization(s)? Have any of your current dogs shown aggression towards another dog or people? * N/A If "", explain: Have you ever had to relinquish a dog? * If, what were the circumstances? Have you ever bred a dog? Are you familiar with the Golden Retriever breed? If you have never owned a Golden, how did you acquire your familiarity with the breed and why do you want one?
8 If you have a Golden presently, why do you want to adopt another? About Your Other Pets Non canine Animals you have currently: Pet 1 Pet 2 Pet 3 Pet 4 Types (cat, bird, livestock, etc.) Names Spayed/Neutered (S or N) Are all the pets, including dogs, present in your household up to date on their vaccinations? * N/A Do you have any immune compromised pets? Are there any special needs pets in your household? If Yes, please explain briefly their special needs and how you deal with them: Your Veterinarian May we contact your preferred veterinarian s office? * Note: Your preferred vet is the one who has seen your pets [including cats and/or other non canines] most recently and/or has the most complete records on them, including but not limited to vaccinations, annual exams, etc. He/she may not necessarily be your current vet. Golden Bond Rescue will call your veterinarian s office to ensure that you have provided at least adequate vet care to your pets. We care only about the quality of care provided we do not inquire about billing records or other personal information.
9 Veterinarian's office name: Veterinarian's phone number: Note: If the records for your pet(s) are under a different name (e.g., maiden name or name from a previous marriage) from that on this application, please give that name here. Similarly, if there are two different surnames given for the applicants on this application, please indicate the one under whose name the records will be found: Owner's name on vet records: If you have used another vet (e.g., cancer or orthopedic specialist) and wish to include their contact information, please give the office name and phone number here: THE PERFECT GOLDEN FOR YOU Please state briefly why you would like to add a Golden to your family: * What gender dog do you prefer to adopt? * Either Male Female What is your age preference? * Puppy Young (1 3) Adult (4 7) Senior (8+) Why? Note: Golden Bond generally finds that Goldens behave like puppies until about the age of three. Some dogs are lively and curious in the house they like to play with you and follow you around. Some dogs lie down most of the time. Do you think that an active dog will annoy you? What type of activity level are you comfortable with in a dog? * Sedate Active Very active
10 Do you plan to train your dog for a particular skill (Agility, Therapy, hunting, etc.)? What do you expect in a Golden Retriever companion? (e.g., protection, friendship, child's friend, appearance, hunting, obedience, agility, other): * Please rate the following canine traits according to how much they would displease you: Canine Traits Does Not Bother Slightly Displeasing Displeasing Very Displeasing Unacceptable Barking Chewing Digging Drooling Jumping Odor Shedding Are you aware that Golden Retrievers are 'people' dogs and will want to live inside with their human family? Will it displease you if the Golden gets up on your sofa or your bed? If, how would you train the dog not to get on the furniture? Do you plan to take your Golden to a dog park? Why, or why not? What type of personality are you comfortable with in a dog? Would you be willing to adopt a dog with health problems? * MAYBE
11 Note: By health problems, we mean diseases or conditions which are curable or controllable relatively inexpensively, such as allergies, arthritis and other joint issues, and low thyroid. Would you be willing to adopt more than one dog at a time (littermates or dogs that are inseparable)? * MAYBE Would you be willing to adopt a senior dog (10+ years old)? * MAYBE Would you be willing to adopt a special needs dog? * MAYBE Note: By special needs, we mean conditions such as special diets, assistance with getting into/out of a car, etc. Would you be willing to adopt a puppy or very young Golden (i.e., not fully grown)? * MAYBE Would you accept a mix that is part Golden? * MAYBE Have you seen a dog on the Golden Bond Rescue website which interests you? If you answered Yes, list the dog(s) by name and number and tell us what about the dog(s) interests you: Are there specific characteristics that would help us identify the best dog for you? CARING FOR YOUR GOLDEN Who will be the primary caretaker of the dog? * What is the longest your dog is likely to be left alone on a given day? *
12 How many times per week is this likely to occur, on average? * Where will the Golden sleep at night? * Where will the Golden be during the day when you are home? * Where will the Golden stay while you are gone during the day or evening (at work, on errands, at the movies, the gym, etc.)? * How often do you travel? * Note: We know that many people take their dogs with them when vacationing. The next question asks where your pet will be housed when and if a situation, e.g., an out of town wedding or funeral, arises in which you can t take your dog with you. When you travel, who will care for the Golden? * Kennel Friend's house Trainer Groomer Vet Home with visitor check House sitter Other If Other, describe: What type of vehicle(s) do you own? How will you secure the dog when transporting it in a vehicle (i.e., loose in the car, seatbelt, crate, etc)?: * How will you exercise the Golden Retriever? * Daily walks Fetching Jogging Hiking Swimming Run free in back yard Dog park Other If Other, describe: Will you keep a collar on your dog? * If, why not?
13 If, describe (buckle type, quick release type, chain type, etc.): ID tag? License tag? How much grooming are you planning to do? None Daily Weekly Monthly Are you aware that a Golden Retriever is a large breed and has higher maintenance costs (food, vet and grooming bills, equipment) than smaller breeds? Your Golden and Children If you plan to involve children under 16 years old in the care of your dog, how much adult supervision of dog and child will be provided? * Total Some Minimal None N/A With neighborhood children? * Total Some Minimal None N/A How much responsibility will your child or children be given in the care and management of the dog? (Skip the next section if you checked N/A above.) Children's Responsibilities Total Some Minimal None Housebreaking Socialization Feeding Household & Social Behavior Grooming Obedience Training
14 TRAINING YOUR GOLDEN Will you agree to take the dog to obedience classes if recommended by your Adoption Manager or the dog s foster family? * Have you ever completed an obedience class with a previously owned dog or current dog? If yes, what were the training techniques you learned? Do you understand that most of our rescue Goldens will come with minimal training and will need a large amount of patience? Are you agreeable to crate training? If, why not? Note: Some of the rescued Goldens have been backyard dogs or strays and are therefore not housetrained. Have you ever housetrained a dog before? Are you comfortable with having to housetrain a Golden?, but I would rather not Note: Some housetrained Goldens will have accidents in the house for a while after they come into an unfamiliar home. What steps will you take to help your Golden avoid house training accidents? Are you aware that the Adoption Fee for this dog(s) will be the least of your expenses during his/her lifetime?
15 Note: Expenses include good nutrition, annual vet exams and shots, and grooming. As with most pedigree breeds, Goldens may be prone to skin allergies, some degree of hip dysplasia and cancers that can be expensive to treat. Is there anything else that you would like to tell us about which we should take into consideration as part of your application?
16 GENERAL AGREEMENT I am at least 21 years of age. All of the information I have given is true and complete. I understand that Golden Bond Rescue of Oregon, Inc., has the right to refuse my application. I am applying to adopt and have enclosed the $50.00 non refundable application fee with this application. (Return adopters do not pay this fee.) Date * Applicant * Month Day Year First Name Last Name Applicant's Signature * Date Second Applicant Month Day Year First Name Last Name Second Applicant's Signature Thank you for your interest in Golden Bond Rescue of Oregon, Inc. We appreciate the time it took to fill out this application. When your application is received, you will be notified by either E mail or a phone call.
Lily s Legacy Senior Dog Sanctuary Adoption/Foster Application
About You and Your Family Your Name: Spouse/ Partner's Name: Address: City/State/Zip: Contact Phone Numbers: Home: Work: Cell: E-mail Address: Your Occupation: Spouse/Partner's Occupation: Are you a current
More informationLily s Legacy Senior Dog Sanctuary Adoption/Foster Application
About You and Your Family Your name: Spouse's name: Address: City/State/Zip: HomePhone: Work Phone: Cell Phone: E-mail Address: Your occupation: Spouse's occupation Please describe any animals you currently
More informationFOSTER APPLICATION/AGREEMENT
FOSTER APPLICATION/AGREEMENT Please note, the Foster Program is not intended for fostering to adopt. Thank you for taking the time to fill out this application. Please answer the questions in this application
More informationAdoption Application
Adoption Application Thank you for your interest in adopting a golden retriever. Please review our Adoption Guide then complete this application to help us match you with a golden. Upon receipt of your
More informationAdoption Application
Adoption Application Thank you for your interest in adopting a golden retriever. Please review our Adoption Guide then complete this application to help us match you with a golden. Upon receipt of your
More informationSignature: Date: Name Printed: Signature: Date: Name Printed:
I have completed the above to the best of my knowledge, and I have read and understood the information above; I understand and agree to the conditions herein. te: For electronic submissions, please print
More informationADOPTION APPLICATION. Please fill out this form completely. Completion of this application does not guarantee adoption.
ADOPTION APPLICATION Please fill out this form completely. Completion of this application does not guarantee adoption. Date: Name of Desired Dog: Your Name: Age: Occupation: Spouse s Name: Age: Occupation:
More informationHART 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 informationADOPTION 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 informationADOPTION APPLICATION
ADOPTION APPLICATION Basic Information Name: Driver's license number: Street address: City/State/Zip: Home Phone: Cell: Work: Email: Employer: How long at current job: Provide two references that are not
More informationAll dogs are spayed/neutered before placing, current on vaccinations, and are micro-chipped.
This application is our introduction to you and your environment. Please understand that we form our initial impressions based on the information you give us. If your answers are vague, this will reduce
More informationDurant Animal Rescue Alliance
Durant Animal Rescue Alliance Adoption Application Adoption fees are $60-$65 dollars per completely vetted animal. Durant Animal Rescue Alliance reserves the right to change adoption fees and these fees
More informationEyota 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 informationDog 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 informationAdoption Questionnaire
Adoption Questionnaire This questionnaire has been designed to help us in determining if potential adoption homes are prepared to assume the type of responsible fostering or ownership we strive to assure
More informationAdoption 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 informationCome Bye Border Collie Rescue P.O. Box 332 Highland, IL 62249
P.O. Box 332 Highland, IL 62249 At the time you submit your application, you will be reminded to pay the non-refundable application fee ($20 for dogs over 12 months and $30 for puppies under 12 months
More informationPHONE INTERVIEW FOR ADOPTERS FORM
PHONE INTERVIEW FOR ADOPTERS FORM Date of Interview: Your name: Your email: Applicant name: Which one did you speak with? Were they both on the line? Applicant City, State: WHICH STATE should receive this
More informationDogs 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 informationDOG 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 informationGreyhound Pets of America/Lexington, KY. Adoption/Foster Application
Greyhound Pets of America/Lexington, KY Adoption/Foster Application Thank you for your interest in adopting or fostering a retired racing Greyhound. Greyhounds make wonderful companion pets and will give
More informationBOSTON 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 informationAdoption Application
Adoption Application If you are interested in adopting a pet from Tunica Humane Society, please read this information and complete the application below. Be sure to print legibly and if an item is not
More informationHART 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 informationPersonal Information Name Age Physical Address
Adoption Application Date: I am interested in adopting: Watson s Paws for the Cause Adoption Program watsonspawsforthecause@gmail.com Sponsored by Pet Medical Center www.animalhealing.net Phone: 509-545-4931
More informationAdoption 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 informationPlease 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 information1. 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 informationCHESAPEAKE RETRIEVER RESCUE OF WI ADOPTION APPLICATION
Pet ownership is a serious commitment that the entire household needs to consider and agree to before the animal is adopted. We want to ensure that each adoptive household is aware of, and willing and
More informationIGCA RESCUE ADOPTION APPLICATION
APPLICANT Name: Physical Address (including City/State/Zip): Primary Phone: Work: Mobile: Email: Occupation: Spouse/Partner Occupation: Best Time to Call: RESIDENCE Single-family dwelling Condominium Apartment
More informationGerman Shepherd Rescue of New England, Inc. Adoption Application
German Shepherd Rescue of New England, Inc. Adoption Application Name Application date Address City State Zip Home phone Work phone Best time to call each/either number Email Address May we contact you
More informationSylvan Lake & Area Serenity Pet Shelter Adoption Application Form
We are a registered non-profit society and a registered Canadian Charity. Our goal is to build a permanent no-kill shelter. Sylvan Lake and Area Serenity Pet Shelter Society consists of a small group of
More informationDog 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 informationADOPTION APPLICATION
Thank you for your interest in adopting a Beagle through Arizona Beagle Rescue (AZBR). AZBR is a 501(c)(3), non-profit, no-kill, and all volunteer organization dedicated to Beagle rescue. We provide rescue,
More informationPuppy 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 informationName(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 informationOther people in your household Name Relationship to you Age
Foster Application The safety of our rescued dogs and your satisfaction in our foster program is our utmost concern. While this may be a long application, we know you understand why it is important for
More informationDate Name Address City State Zip Daytime Phone Evening Phone Cell Phone address
Thank you for your interest in being a Puppy Parent for one of our dogs. You, as a Puppy Parent need to teach the dog to live as a part of the family. Taking the dog with you when you go out will ensure
More informationPITS TO PETS RESCUE - ADOPTION APPLICATION
Dog Information Name of dog interested in adopting (if applicable): Application Information First Name: Last Name: Spouse/Significant Other Name: Address: City: State: Zip/Postal Code: Cell Phone: Email
More informationAdoption Application
Adopter Contact Information Co-Applicant (if applicable) Address City State ZIP Home Phone Your Work Phone Your Cell Phone Your Address Spouse s Address (if applicable) Your Occupation Spouse's Occupation
More informationDOG 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 informationDog 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 informationIn 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 informationFill out the application below if you are interested in adopting or fostering a pet. Please complete all sections of this form. Gender.
Fill out the application below if you are interested in adopting or fostering a pet. Please complete all sections of this form. First Name Last Name Email Home Phone Number Cell Phone Number Address 2
More informationPlease 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 informationADOPTION QUESTIONNAIRE
German Shepherd Rescue of Northern California, Inc. P. O. Box 1930, Cupertino, CA 95015-1930 toll free: 1-800-SAVEGSD or 866-728-3473 www.gsrnc.org ADOPTION QUESTIONNAIRE Version 09-06-2016 Thank you for
More informationAdoption 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 informationThe minimum age to adopt a pet is 21.
Dog Contract Thank you for your interest in one of the lovable companions at Sunny Sky s Animal Rescue. We understand this is a big decision for you. Pet ownership is a serious, longterm commitment! Our
More informationDoberman 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 informationQuestionaire Please complete prior to calling about adult. adoptionnaire. For Adult Adoption Only Adoption
For Adult Adoption Only Adoption Questionaire Please complete prior to calling about adult To adopt an adult bulldog from Sweet~N~Lo Bulldogs... adoptionnaire 1.) MUST LIVE IN THE Middle TN/Southern KY
More informationDOG(S) I AM INTERESTED IN
SECOND CHANCE ANIMAL RESCUE WINDSOR-ESSEX ANIMAL ADOPTION APPLICATION DOG Second Chance Animal Rescue Windsor-Essex (SCAR) reserves the right to discard applications that have not been completed in full.
More informationInfinite Woofs Animal Rescue Foster Home Application
Infinite Woofs Animal Rescue Foster Home Application Infinite Woofs Animal Rescue's mission is to change the lives of animals in need by rescuing them from undesirable situations and providing them with
More informationHome 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 informationwould like to introduce Fostering Explained
would like to introduce Fostering Explained Brisket! Hello, everybully! My name is Brisket, and let me be the first to say THANK YOU for considering foster care for one of my brudders or sisters! There
More informationAdoption Application
Bonnyville & District SPCA 5601-54 th Avenue Box 5444 Bonnyville,AB. T9N 2G5 Phone 780-826-3230 Fax 780-826-2266 bonnyvillespca2000@gmail.com www.bonnyvillespca.ca Adoption Application Date Of Application:
More informationGod s Grace Canine Rescue, Inc. Adoption Questionnaire. Your Name: Address: Home Phone: Cell Phone: Employer: Work Phone:
Your Name: Address: City: State: Zip: Home Phone: Cell Phone: Email: Employer: Work Phone: Address: City: State: Personal References Please list 2 references other than a family/household member who are
More informationCAT 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 informationDog Adoption Application
Dog Adoption Application All field names the same in the contact info section Name: Date (mm/dd/yyyy) Residence Address:* (You may be asked to show proof of address) City: State: Zip Code: Home Phone:
More informationPuppy 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 informationBefore you adopt a bulldog!
Before you adopt a bulldog! The following is a letter from (Brisket), ABBR s mascot! Hello, everybully! My name is Brisket, and let me be the first to say THANK YOU for considering adoption for one of
More informationThe Humane Society of the Southeast, Inc.
The Humane Society of the Southeast, Inc. Preliminary Adoption Application for DOGS Thank you for your interest in adopting one of our wonderful rescue animals. Please complete the following information,
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
More informationName: 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 informationDOG 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 informationADOPTION APPLICATION (PLEASE READ and KEEP the following page for your reference)
GOLDEN RETRIEVER RESCUE, EDUCATION AND TRAINING, INC. ADOPTION APPLICATION (PLEASE READ and KEEP the following page for your reference) Thank you for inquiring about our Goldens available for adoption.
More informationDaycare 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 informationPower Paws Assistance Dogs
Power Paws Assistance Dogs 1201 N. 85 th Pl. Ste. B101~ Scottsdale, AZ 85257 Phone 480-970-1322 ~ Fax 480-947-3090 www.azpowerpaws.org PUPPY RAISER APPLICATION Name Puppy Name Address Puppy s Date of Birth
More informationBackstromhus 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 informationPymt or Deposit Rcvd Date: Supplies:
Pymt or Deposit Rcvd : Chk # Cash Your : of Dog: Supplies: PUPPY DOG RANCH RESCUE AND SANCTUARY 27 Twin Sisters Creek Road Arenas Valley, NM 88022 * (575) 313-7232 Open By Appointment: Tuesday-Saturday,
More informationPlease 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 informationK9 HERO HAVEN ADOPTION APPLICATION
K9 HERO HAVEN ADOPTION APPLICATION Thank you for considering adopting a working dog. Take a few moments to carefully read and complete this application. The decision to adopt a prior working dog is one
More informationPlease fill in all questions. If something does not apply, please enter N/A.
FOS TER PARENT Q UESTIONN AIRE 1. First Name required: Please fill in all questions. If something does not apply, please enter N/A. 2. Last Name required: 3. Occupation required: 4. Street Address required:
More informationPersonal 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 informationFoster 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 informationADOPTION 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 informationAdoption Application. The Adoption Process
Adoption Application The Adoption Process Thank you for your interest in a rescued Border Collie! Please review the application process below before submitting your application. Please remember that every
More informationLEAD ME HOME ADOPTION APPLICATION
LEAD ME HOME ADOPTION APPLICATION Upon receipt of your completed application, we will review it as quickly as possible. Please remember that rescue is done on a volunteer basis, be patient. Feel free to
More informationCollie 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 informationRottweiler Rescue & Rehoming NZ
Rottweiler Rescue & Rehoming NZ Dog Adoption Application Form Please e-mail this application form to rottierescuenz@gmail.com This questionnaire is to ensure you understand the extra responsibilities that
More informationParoled 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 information1740 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 informationFOSTER APPLICATION: THANK YOU FOR YOUR INTEREST IN FOSTERING A BEAGLE THROUGH ARIZONA BEAGLE RESCUE AND HELPING TO SAVE A LIFE!
FOSTER APPLICATION: THANK YOU FOR YOUR INTEREST IN FOSTERING A BEAGLE THROUGH ARIZONA BEAGLE RESCUE AND HELPING TO SAVE A LIFE! FOSTER FAMILY INFORMATION: This form is for families interested in fostering.
More informationOwner Surrender & Relinquishment Dog
Owner Surrender & Relinquishment Dog Please help us provide great care for this animal by thoroughly completing the following information. Thank you! Owner Name: First Last Date: Address: Street City State
More informationToday's Date: Show Location: Applying to: Foster Adopt. Name of Dog(s) Applying for: Breed/Type: Applicant(s) Name: Address: City: State: Zip:
Dog Adoption Application Partnership for Animal Welfare, Inc. * www.paw-rescue.org P.O. Box 1074, Greenbelt, MD 20768 * Tel: 301-572-4PAW * Fax: 888-762-7654 Procedure: * Completely fill out & sign application.
More informationPuppy & Foster Sitter Application It All Starts With a Puppy And You.
The Canine Companions for Independence Puppy & Foster Sitter Application It All Starts With a Puppy And You. Introduction Thank you for your interest in supporting Canine Companions for Independence through
More informationName: Spouse/Partner s Name: Address: Home Phone: City/State/Zip: Work Phone: Address: Cell Phone: TX DL # : Employer:
Please complete the attached contract. Then, give it to a CHS volunteer, or fax all 5 pages to us at 469-645-1337. Welcome to the Coppell Humane Society (CHS). Thank you for your interest in adopting a
More informationRhea County Puppy Mill Adoption Application
Rhea County Puppy Mill Adoption Application Before applying, please note: Most of the dogs seized from this puppy mill have special medical needs and significant behavioral challenges due to the conditions
More informationGRREAT (Golden Retriever Rescue, Education and Training) Inc. Home Visit Check List 2013
GRREAT (Golden Retriever Rescue, Education and Training) Inc. Home Visit Check List 2013 PLEASE, answer all questions as thoroughly and completely as possible. The foster homes are relying on you to give
More informationGLEN HIGHLAND FARM, SWEET BORDER COLLIE RESCUE
GLEN HIGHLAND FARM, SWEET BORDER COLLIE RESCUE ADOPTION APPLICATION GLEN HIGHLAND FARM, SWEET BORDER COLLIE RESCUE 217 Pegg Road, Morris, NY 13808 Lillie Goodrich 607-263-5415 fax: 607-263-5325 email:
More informationMountain High Service Dogs, Inc. PO Box 0721 Palmer Lake, CO (719)
Mountain High Service Dogs, Inc. PO Box 0721 Palmer Lake, CO 80133 (719)440-8282 APPLICATION TO FOSTER Please print clearly APPLICANT INFORMATION Application Date: Name: Street Address: City: State: Zip:
More informationWalton Salley Corgis and Friends of Walmarsh. Adoption Coordinator, Edith Stull
Walton Salley Corgis and Friends of Walmarsh Adoption Coordinator, Edith Stull (alove4dogs@outlook.com) http://www.petfinder.com/shelters/sc107.html Edisto Island SC Thanks for your interest in a Rescue
More informationAdoption Questionnaire
Adoption Questionnaire The questions below are meant to help you determine if a Kerry is the right breed for you, and to guide you in thinking about all the ways a dog will impact your life. The questions
More informationADOPTION APPLICATION
.4725 S4725 S. Broadway Englewood CO 80113 Phone: 720-939-2221 Email: Shelby@souldog.org Website: www.souldog.org ADOPTION APPLICATION Welcome to Soul Dog Rescue. We are excited that you are interested
More information310 Carver Lane, East Peoria, IL Phone: (309) Fax: (309)
Owner Information Owner #1 Owner #2 Name Employer Home Phone Work Phone Cell Phone Email Address Physical Residence Address (Same for both Owners) Street/City/State/Zip Mailing Address (if different) Who
More informationAdoption 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 informationHAMMOND 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 informationADOPTION POLICIES AND FEES PLEASE READ CAREFULLY BEFORE COMPLETING ADOPTION APPLICATION
Revised -- March 7, 2017 Page 1 ADOPTION POLICIES AND FEES PLEASE READ CAREFULLY BEFORE COMPLETING ADOPTION APPLICATION POLICIES : 1. Puppies and Kittens under 4 months of age will not be adopted into
More informationPurchasing 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 informationInfinite Woofs Animal Rescue Small Animal Foster Home Application
Infinite Woofs Animal Rescue Small Animal Foster Home Application Infinite Woofs Animal Rescue's mission is to change the lives of animals in need by rescuing them from undesirable situations and providing
More informationWhat characteristics about these dogs are most interesting to you?
Application for Adoption Thank you for your interest in adopting a dog from Farfel s Friends Rescue. Please answer the following questions to the best of your ability. It may take us up to a week to process
More information