|
[ Application ] [ Adoption Policies ] [ Breed Info ] [ Training ] [ Veterinary Page ] [ Updates ] [ Success Stories ] [ How You Can Help ] [ Merchandise ] [ Home ] [ Contact ]
Adoption Application
ADOPTION APPLICATION Date: Name: Birthdate: Email Address: Street: City: State: Zip Code: Occupation: Day/work Phone: ( ) Evening/home Phone: ( ) What dog(s) are you interested in? Please provide the contact information of a veterinarian you have used before and plan to use with your new dog. Vet references are checked prior to adoptions & post adoptions, we routinely check with the vet to ensure the dog is being cared for. Is this acceptable to you? Vet Name: Vet Phone:( ) Vet records are under the name of: Please provide the names, their relationship to you and phone numbers of two people you know and who know you (no family members): #1 - Name: Number: ( ) #2 - Name: Number: ( ) Please list place of employment for yourself and your spouse, if applicable. If unemployed, please describe how you will afford the care and maintenance of this dog: SELF: Name/Address of Employer: Employer Phone: ( ) SPOUSE's name: Name/Address of Employer: Employer Phone: ( ) What sort of home do you live in? Please choose one: House: Condo: Apartment: Do you own or rent? Are you moving? If yes, please explain: If you rent, you must provide your landlord's contact information so that we may verify that you are allowed a pet. Landlord Name: Landlord Phone: ( ) List below all people besides yourself who currently live at this residence: Name: Relation to you: Age: Name: Relation to you: Age: Name: Relation to you: Age: Name: Relation to you: Age: Does anyone in your house have any known allergies to dogs? List below any cats, dogs, etc. who currently live in your household: Dog(s) Name(s): Breed: Age: Sex: Altered?: Have you owned a dog before? (If Yes, please provide us with a brief history of what happened to it. If your last dog died, please state dog's name and date deceased.) Have you ever taken one of your pets to a shelter? If yes please describe circumstances. Are you familiar with the breed of dog you are applying for: Why do you want this particular breed of dog: Do you have a fenced area on your property? Is the area completely fenced in? If yes, how high is the fence and approx how large is the fenced in area? What kind of fencing is it? If you have no fence, how do you plan to have your new dog relieve/exercise itself? How active is your lifestyle aside from work? Please explain: Do all adults work full time? How many hours each day will your new dog be alone? How many hours each day will you spend time with your dog? Where will your new dog be kept when it is alone? Where will your new dog sleep? What sort of training do you plan on providing the dog? Are you agreeable to having a homecheck done prior to adoption? We request a donation and depending on the expenses incurred in the dog's rescue and veterinary care this could range from $150 to $400. All animals are spayed/neutered prior to placement. Is this acceptable? Please realize that dogs need vet care throughout their lives, including yearly boosters, heartworm and flea/tick preventative meds, etc. If you cannot afford a donation, can you afford the appropriate vet care? Please consider this before adopting. Are these terms acceptable to you? If so, please indicate by signing below: Print name: Contact: Rescue Center Phone: Address: P.O. Box 235307 Encinitas, CA 92023 Email Us! Please report any trouble or link breaks to Webmaster Thank you. |