Eyota Mastiffs Puppy Questionnaire.

Size: px
Start display at page:

Download "Eyota Mastiffs Puppy Questionnaire."

Transcription

1 Eyota Mastiffs Puppy Questionnaire. Please return questionnaire via mail to: Tammy Kinkade, 7266 State Route 15, Defiance, OH Or via to: (please put Puppy Questionnaire in the subject) Please complete all questions. References, including vet reference will be contacted. Please be sure to inform your references that we will be contacting them, especially your veterinarian. If you need more space, please feel free to add an extra page or include more information. Name Address City State Zip Home Phone with area code Work Date of Birth Marital Status Occupation Spouse s occupation Employer s name Employer s Telephone Number May we contact your employer? Names and relations of other adults in household Names and ages of children living and/or visiting in household on a regular basis If no children, are you planning on having children? Residence: Single Family Townhouse Farm Trailer Apt/condo Other Do you: Own Rent Rural Suburban Urban Fenced yard: Yes No Describe fence Height If no fence, how do you plan to let your dog out and exercise it? Where will the dog live? Inside Outside Kennel Other If dog will live outside, please describe the shelter it will have Will the dog be: Fenced Tied or chained Free to roam Are all family members in agreement about getting a Mastiff? Yes No Explain Do all family members work outside the home? Approximate hours Would the dog be left alone for 40 or more hours a week?

2 Where will the dog be kept when it is alone? Where will the dog sleep at night? Previous Pet History: Please list current dogs: If not neutered or spayed, why not? Please tell us about all of your other pets: Have you ever owned a giant breed of dog before? No Yes What breed and what happened to it? If you do not own dogs now, have you owned dogs in the past? What kinds of dogs did you own and when What happened to your previous dogs: Ran Away Stolen Sold Given away Given to rescue or shelter Why? Euthanized? If so, why Died Cause of death What do/did you like best about your dog? What do/did you like least about your dog? Why do you want a Mastiff? Do you prefer: Male Female Do you have a color preference? Fawn Apricot Brindle No Preference Are you familiar with the characteristics and temperament of a Mastiff? Are you willing to travel to pick up your dog? What books have you read about the Mastiff?

3 Here are a series of important questions. Answering all carefully will help us select the right dog for you. 1 Why do you want a Mastiff? 1 is most important and 7 is least important. Protection Show dog Child s friend Other Companion To breed Prestige List What aspect of a Mastiff is most important to you? 1 is most important, 9 is least important Appearance Agility Temperament Size Easy care coat Quiet companion Quick obedience Friendly Other please list If you have other dog(s), how would you describe his/her temperament? Check all that apply: Dominant Mild tempered Submissive Shy Aggressive Hyper Natural leader Aloof Follower Friendly Easy going Laid back Other. Please list What type of temperament would best suit your family? What is your family s activity level? Athletic Moderate Medium Low Retired other, please list What traits do you not like? Please check all that apply. Shedding Drooling Odor Chewing Barking Digging Other. What family activities do you intend to do with your Mastiff? Are you prepared for the financial responsibility of owning a Giant breed dog? What type of food do you intend to feed your Mastiff? Would you have a problem feeding a suggested diet?

4 Will all family members be involved with the care of the Mastiff? yes No Please explain How much adult supervision of dog and child will be provided Is everyone willing to be involved in care and raising of the dog? Who will be the primary caregiver? Do any family members have allergies to hair, dander, or dust? Proper socialization is the key to raising the perfect Mastiff with a stable temperament. A properly socialized dog is a respectable member of society and its temperament is a reflection of its owner s care and responsibility. Are you willing to provide the mastiff with socialization with people? Yes No Are you willing to provide the mastiff with socialization with other dogs? Yes No What kind of training are you planning to do with the dog? Do you plan to use a public dog park to provide exercise for your dog? Yes No Are you willing to keep in contact with Eyota Mastiffs, and provide photo updates, updated health information, etc.? Yes No Please list 3 personal references (1 must be a family member living at a different address) and include phone numbers: Please list a veterinary reference with phone number

5 Feel free to add any additional information. Signature Date. Thank you

Adoption Application

Adoption 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 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

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

The Humane Society of the Southeast, Inc.

The 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 information

CHESAPEAKE RETRIEVER RESCUE OF WI ADOPTION APPLICATION

CHESAPEAKE 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 information

Total number of children in your home: Ages of children:

Total number of children in your home: Ages of children: Adoption Profile: Adoption Type: Dog Cat Other: Name of animal: Applicant Information: Legal Full Name (First, Middle Initial, Last): Maiden Name: Date of Birth: Driver s License Number: Please list the

More information

Lily s Legacy Senior Dog Sanctuary Adoption/Foster Application

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 information

Lily s Legacy Senior Dog Sanctuary Adoption/Foster Application

Lily 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 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

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

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

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

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

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

Foster Application - DOG

Foster Application - DOG Wisconsin Adopt A Golden Retriever (WAAGR) Foster Application - DOG So that we may be assured that the relationship between the fostered pet and you, the fostering family will be a good one, we would like

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

FRANKLIN ANIMAL SHELTER C/O THE GRANITE STATE ANIMAL LEAGUE 71 PUNCH BROOK ROAD, PO BOX 265, FRANKLIN, NH (603) Adoption Application

FRANKLIN ANIMAL SHELTER C/O THE GRANITE STATE ANIMAL LEAGUE 71 PUNCH BROOK ROAD, PO BOX 265, FRANKLIN, NH (603) Adoption Application FRANKLIN ANIMAL SHELTER C/O THE GRANITE STATE ANIMAL LEAGUE 71 PUNCH BROOK ROAD, PO BOX 265, FRANKLIN, NH 03235 (603) 934-4132 Adoption Application Please complete this application. If you are interested

More information

Durant Animal Rescue Alliance

Durant 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 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

ADOPTION APPLICATION

ADOPTION APPLICATION 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

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

Total number of children in your home: Ages of children:

Total number of children in your home: Ages of children: Adoption Profile: Adoption Type: Dog Cat Other: Name of animal: Applicant Information: Legal Full Name (First, Middle Initial, Last): Maiden Name: Date of Birth: Driver s License Number: Please list the

More information

Adoption Application. The Adoption Process

Adoption 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 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

Adoption Application

Adoption 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 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

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

ADOPTION QUESTIONNAIRE FOR A GSD RESCUE

ADOPTION QUESTIONNAIRE FOR A GSD RESCUE ADOPTION QUESTIONNAIRE FOR A GSD RESCUE Your answers to this questionnaire will help us to match your needs with the German Shepherd Dogs in our program. Please Print! NAME: ADDRESS: PHONE: DAY ( ) EVENING:

More information

Dog Adoption Application

Dog Adoption Application Dog Adoption Application Cuz i Matter Animal Rescue P.O. Box 3751, Pflugerville, TX 78691 www.cuzimatter.org Email: cuzimatteranimalrescue@gmail.com Procedure: Completely fill out & sign application. You

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

Eddy s K9 Rescue Adoption Agreement

Eddy s K9 Rescue Adoption Agreement Eddy s K9 Rescue Adoption Agreement CURRENT GUARDIAN INFORMATION: Name: Eddy s K-9 Rescue Phone Number: 305-510-1928 BASIC ADOPTED ANIMAL INFORMATION: Select One: Cat Dog Other If Other, Specify: Pet s

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

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

K9 HERO HAVEN ADOPTION APPLICATION

K9 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 information

ADOPTION APPLICATION

ADOPTION APPLICATION Lisa Parker s Puppies ADOPTION APPLICATION Thank you for your interest in adopting a Rescue Dog through Lisa Parker's Puppies! Our Mission: To rescue, foster and find permanent loving homes for abandoned

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

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

We no longer adopt to NH, CT or RI residents due to those states strict regulations regarding imported dogs.

We no longer adopt to NH, CT or RI residents due to those states strict regulations regarding imported dogs. 125 Ash Point Rd Harpswell, ME 04079 info@puppyloveme.org We no longer adopt to NH, CT or RI residents due to those states strict regulations regarding imported dogs. 1. Applicants must be at least 23

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

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

Dog Pre-Adoption Application

Dog Pre-Adoption Application Dog Pre-Adoption Application Please complete this application if you would like to adopt a dog from BENCHS. You must be 18 years of age or older. A copy of your ID is needed to complete this form. Please

More information

NAME: SPOUSE: PHONE: HOME ( ) WORK ( )

NAME: SPOUSE: PHONE: HOME ( ) WORK ( ) CELHAUS PUPPY BUYER QUESTIONNAIRE Your answers on this questionnaire will help me determine if a CELHAUS German Shepherd is what you're looking for, and if one of my pups will do well in your home. NAME:

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

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

Adoption Questionnaire

Adoption 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 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

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

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

ADOPTION and FOSTER HOME APPLICATION Missing fields will not allow DHDR to process your application.

ADOPTION and FOSTER HOME APPLICATION Missing fields will not allow DHDR to process your application. Date: ABOUT YOU Full Name: Date of Birth: Employer: Length of Employment: Phone number: E-mail Address: Drivers License # and expiration date: ADOPTION and FOSTER HOME APPLICATION Missing fields will not

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

Sylvan Lake & Area Serenity Pet Shelter Adoption Application Form

Sylvan 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 information

Walton Salley Corgis and Friends of Walmarsh. Adoption Coordinator, Edith Stull

Walton 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 information

Application for Puppy ***ONLY TO BE COMPLETED BY PERSONS 25 YEARS OF AGE OR OLDER***

Application for Puppy ***ONLY TO BE COMPLETED BY PERSONS 25 YEARS OF AGE OR OLDER*** Page 1 of 6 SAM Southern Alpha Manor 305 W. LD Lockett Road Colleyville, Texas 76034 mccraryannestacy@gmail.com Application for Puppy ***ONLY TO BE COMPLETED BY PERSONS 25 YEARS OF AGE OR OLDER*** New

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

Pal s Place Rescue. Dog Adoption Application. [Please complete and to: Dog s Name : Date:

Pal s Place Rescue. Dog Adoption Application. [Please complete and  to: Dog s Name : Date: Pal s Place Rescue Dog Adoption Application [Please complete and email to: palsplace1@hotmail.com] Dog s Name : Date: Thank you for your interest in adopting a dog from Pal s Place Rescue. Please read

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

The minimum age to adopt a pet is 21.

The 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 information

Rottweiler Rescue & Rehoming NZ

Rottweiler 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 information

ADOPTION 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. 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 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

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

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

Adoption/Foster Application - Feline

Adoption/Foster Application - Feline Adoption/Foster Application - Feline 708.738.1438 office 630.214.3603 fax info@triplerpets.org www.triplerpets.org Post Office Box 86 Western Springs, IL 60558 Last Updated 10/25/2009 Today s Date Applying

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

New Client Questionnaire For multiple dog owners please complete one questionnaire for each dog.

New Client Questionnaire For multiple dog owners please complete one questionnaire for each dog. The Crate Escape, Too 1364 Marshall Ave Williston, VT 05495 802-865-DOGS (3647) The Crate Escape, Inc. 1108 West Main Street Richmond, VT 05477 802-434-6411 www.crateescapevt.com New Client Questionnaire

More information

Mary Ann Morris Animal Shelter and Safe Haven Puppy Rescue

Mary Ann Morris Animal Shelter and Safe Haven Puppy Rescue Mary Ann Morris Animal Shelter and Safe Haven Puppy Rescue P.O. Box 1151 254 Slow Pitch Road Bamberg, SC 29003 ADOPTION APPLICATION The purpose of the application process is to find the best possible match

More information

DOG ADOPTION APPLICATION

DOG ADOPTION APPLICATION WAUPUN AREA ANIMAL SHELTER, INC. 901 N. Madison St Waupun, WI 53963 Tel / Fax: (920) 324-3200 www.waupunareaanimalshelter.org e-mail: admin@waupunareaanimalshelter.org DOG ADOPTION APPLICATION I AM INTERESTED

More information

ADOPTION APPLICATION

ADOPTION 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 information

GREYHOUND ADOPTION APPLICATION

GREYHOUND ADOPTION APPLICATION www.gpahouston.org GREYHOUND ADOPTION APPLICATION Pet ownership is a serious responsibility requiring a long-term commitment. Before signing this Adoption Application of Greyhound Pets of America Houston

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

Come Bye Border Collie Rescue P.O. Box 332 Highland, IL 62249

Come 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 information

DOG(S) I AM INTERESTED IN

DOG(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 information

Tell us about your family or household

Tell us about your family or household MORGEN HAUS SHEPHERDS 803 Kitt-Narcisse Rd. www.morgenhausshepherds.com Colville, WA 99114 email: info@morgenhausshepherds.com Phone: 509/738-3338 Fax: 509/685-0332 Puppy Interview and Reservation Form

More information

GENTLE BEN S GIANT BREED RESCUE ADOPTION APPLICATION/CONTRACT. P.O. Box 533, Zelienople, PA Cell#

GENTLE BEN S GIANT BREED RESCUE ADOPTION APPLICATION/CONTRACT. P.O. Box 533, Zelienople, PA Cell# GENTLE BEN S GIANT BREED RESCUE ADOPTION APPLICATION/CONTRACT P.O. Box 533, Zelienople, PA 16063 Cell# 412-841-2590 Dog s Name: Adoption Fee: Name: Street Address: City: State: Zip Code: Home Phone: Cell

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

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

Adoption Questionnaire

Adoption 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 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

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

Today's Date: Show Location: Applying to: Foster Adopt. Name of Dog(s) Applying for: Breed/Type: Applicant(s) Name: Address: City: State: Zip:

Today'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 information

God s Grace Canine Rescue, Inc. Adoption Questionnaire. Your Name: Address: Home Phone: Cell Phone: Employer: Work Phone:

God 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 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

1) First Name: Last Name: 2) First Name: Last Name: Street Address: City: Postal Code: address: Home Phone: Mobile phone:

1) First Name: Last Name: 2) First Name: Last Name: Street Address: City: Postal Code:  address: Home Phone: Mobile phone: DATE RECEIVED: DOG ADOPTION APPLICATION We carefully screen each applicant to ensure that our animals are matched with the right guardian and best possible home. An incomplete application will not be processed.

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

Other people in your household Name Relationship to you Age

Other 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 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

GLEN HIGHLAND FARM, SWEET BORDER COLLIE RESCUE

GLEN 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 information

GALT does not adopt to families with children the age of six and under unless they are previous greyhound owners or currently have a greyhound.

GALT does not adopt to families with children the age of six and under unless they are previous greyhound owners or currently have a greyhound. Thank you for your interest in adopting a retired racing Greyhound. Greyhounds make wonderful companion pets and will give you many years of love and devotion. Adopting a Greyhound is a serious responsibility

More information

Signature: Date: Name Printed: Signature: Date: Name Printed:

Signature: 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 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

PEANUT S PLACE BULLY RESCUE

PEANUT S PLACE BULLY RESCUE PEANUT S PLACE BULLY RESCUE Adoption Application Please be informed, all information listed must be true and factual, if any information is proven to be false in your application. Your application will

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

Berger Picard Club of America Rescue Adoption Application

Berger Picard Club of America Rescue Adoption Application Berger Picard Club of America Rescue Adoption Application Giving a Berger Picard a second chance It is not common to see a Berger Picard. Even less so to find one in need of a forever home. Occasionally

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

Puppies less than 6 months Kittens less than 6 months. Surgery Recovery Dogs Surgery Recovery Cats. First Name. Middle. Last Name.

Puppies less than 6 months Kittens less than 6 months. Surgery Recovery Dogs Surgery Recovery Cats. First Name. Middle. Last Name. Foster Information Foster Type Puppies less than 6 months Kittens less than 6 months Surgery Recovery Dogs Surgery Recovery Cats Bottle Baby Cats Ringworm Cats Applicant Information YOUR INFORMATION First

More information

Adoption Application

Adoption 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 information

APPLICATION FOR EMOTIONAL SUPPORT DOG

APPLICATION FOR EMOTIONAL SUPPORT DOG APPLICATION FOR EMOTIONAL SUPPORT DOG PLEASE Save ont computer and TYPE or PRINT CLEARLY APPLICANT Information Name DOB: Email: Address: City: State: Zip: Phone: Work: Cell: Medical Diagnosis: Daily schedule:

More information

Virtual Shelter Project You Can Save Your Pet s Life Without A Shelter.

Virtual Shelter Project You Can Save Your Pet s Life Without A Shelter. Virtual Shelter Project You Can Save Your Pet s Life Without A Shelter. Thank you! You re reading this because you may not be able to keep your animal and are committed to finding your animal a loving

More information

American Eskimo Rescue St. Louis APPLICATION FOR ADOPTION

American Eskimo Rescue St. Louis APPLICATION FOR ADOPTION 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

More information

Adoption Application Dogs and Puppies

Adoption Application Dogs and Puppies Adoption Application Dogs and Puppies Adams County SPCA 11 Goldenville Road, Gettysburg, PA 17325 Phone: 717-334-8876 / Fax: 717-334-1338 website:www.adamscountyspca.org Date: Dog you are interested in:

More information