ADOPTION APPLICATION PART ONE: Contact and Personal Information Full Name Street Address Apartment # City State Zip Code Home Phone Work Phone Driver's License # Email Address Date of Birth Occupation Employer How long have you been employed with this company? Salary per year per month Are you equipped to pay for a dog's basic medical fees and other expenses (keeping in mind such things as vaccinations, heart worm medication, annual bloodwork, flea and tick medications, wellness and dental examinations, teeth cleanings, license and registration fees, microchip registration fees, pet sitter/doggie day care fees, dog park memberships, food, treats, toys, leash, collar, tags, bedding, grooming, etc.)? Page 1 of 7
ISDF would never want adoption costs to drive away potential adopters - however, having said that, it is important to note that the cost of adopting an overseas dog can be expensive. Flight costs, travel cages, pre-flight veterinary exams and export paperwork can run anywhere from $300 to $1000 depending on a number of variables (which airline, the absence or presence of a flight volunteer, the size of the dog, the size of the travel cage, whether any boarding is required during transit). We feel it is important to outline these costs here, since although the low end is comparable to many animal shelter and rescue adoption fees, the high end can potentially be prohibitive for some adopters. We also feel it is imperative to point out that the remainder of the transit cost, left over after what is paid for by you, must be funded by ISDF. Although some of our adoptable dogs have flights that have been paid for partially or even fully by ISDF fundraising efforts, there are always other costs involved with transport: extra paperwork, pet taxis, boarding at layover sites, cargo fees and taxes when we pick up the dogs at the airport - as well as fostering, feeding, and veterinary care costs spent prior to flying and after flying, but before adoption. Additionally, most of our dogs are not funded in full, despite our best efforts, so we must constantly borrow against helping future dogs for fees outside what we fundraised. With this in mind, please understand that we suggest a minimum donation of $300, if at all possible (again, to reiterate, we would never want adoption costs to drive away potential adopters, so please know this is a guideline for giving only) so that we may continue to help the maximum number of seriously needy dogs. With no paid staff and no overhead costs, 100% of all donations from adoption fees and our fundraising efforts goes towards helping not only the dog you adopt, but all others going forward in future. The more ISDF must pay out per dog, the less we are able to help the many others awaiting homes of their own. We are happy to go over your particular dog's estimated costs in greater detail during the home visit, should you have more questions - but at this time, we would like an idea of what you think you would be able to cover. This also helps us guide you when advising you about the many dogs available for adoption. How much are you willing to pay as an adoption fee? Are you able to pay this amount prior to, or at the time of, adoption? With whom do you live? How many adults (21 and older) in your household? How many individuals under 21 in your household? What are the ages of the individuals under 21? How far can you drive to pick up a dog? miles Page 2 of 7
PART TWO: Liability and Responsibility The following three questions must be answered or your application cannot be considered. By initialing beside YES, you agree to absolve International Street Dog Foundation and all of its representatives from any liability in reference to a dog featured through its rescue. YES By initialing beside YES, you agree that the dog will not be used in any illegal activities, nor be found at any time in a municipality where pit bull presence is illegal. YES By initialing beside YES, you agree that the dog is to be kept as a house pet. It shall not be sold for medical or experimental purposes, and it will not be used for breeding. YES Page 3 of 7
PART THREE: Living Situation and Lifestyle Please check which of these best apply to your home atmosphere: Grand Central Station Some activity Zen-garden serene Describe the dog's living situation. How many hours a day will the dog be left home alone? When home alone, where will the dog be left (crate/yard/bedroom, etc.)? How will you exercise the dog, and for how much time? How often do you travel? Who will care for your dog, and where will it stay, when you are gone? Would you allow your dog to ride in the back of a pick-up truck? Is the home located in an urban, suburban, or rural setting? Size of your yard fenced? If yes, please describe height and type of fence. Do you live in an apartment or a house? Do you own your property? If you are renting, please provide landlord information for verification. Name Phone number Page 4 of 7
How long have you lived at current address? Do you have plans to move within the next two years? If yes, please explain. PART FOUR: Other Pets and Experience Please specify breeds and ages of other dogs you own, or that live in your residence. BREED AGE SEX ALTERED? DOG FRIENDLY? If you have owned past dogs, what is their current disposition (deceased, sold, reclaimed, seized, euthanized, etc)? Please specify in detail. What other types of pets do you own? If cats, are they declawed? Are you, or any members of your household, allergic to dogs? Do you, or any members of your household, suffer from asthma? Page 5 of 7
PART FIVE: References and Attestation You are required to supply the name and phone number of your current veterinarian, or the one who saw your previous pet(s). Please also provide the name of an employer, clergyman, or friend, not related to you, who can attest to your character. Veterinarian Phone Number Reference Relationship Phone Number Please use the remainder of this space to provide additional information about yourself and/or the dog you would like to adopt. Please write on the back or attach a separate piece of paper if more room is needed. Page 6 of 7
May we ask how you heard about the International Street Dog Foundation? Thank you! PLEASE REVIEW ALL THE INFORMATION THAT YOU HAVE PROVIDED AND VERIFY THAT IT IS CURRENT AND ACCURATE BEFORE YOU SUBMIT THIS APPLICATION. By my signature below, I hereby affirm that the information provided on this application, by me, is truthful and complete to the best of my knowledge. I further understand and agree that any misrepresentation or omission may preclude me from an offer of adoption or may result in a withdrawal of an adoption offer, and may result in the animal being reclaimed by International Street Dog Foundation if the adoption contract has already been completed at the time the misrepresentation or omission is discovered. Signature Date ISDF International Street Dog Foundation "Dogs are our link to paradise. They don't know evil or jealousy or discontent." Please visit us at http://www.istreetdog.com Page 7 of 7