Name and age of all members in the home and any frequent visitors:*
Does anyone in the home have allergies to dogs?*
Vet Practice Name:
Vet Name:*
Vet Address and contact information:
Do we have your permission to contact this vet for general information?*
PERSONAL REFERENCE #1
Name, phone, email and relationship to you:*
PERSONAL REFERENCE #2
Name, phone, email and relationship to you:*
PERSONAL REFERENCE #3
Name, phone, email and relationship to you:*
Why do you want to rescue this pet?*
Please describe your daily family routine, including times no-one will be home:*
Do you own your own or rent your home?*
How long have you lived there?*
Do you plan on moving in the next year?*
If you are renting, do you have permission to have this pet and please provide the name and contact information for your landlord:
Is your yard fully fenced?*
Type and height of fence:*
Note: An electric Fence is not a physical fence.
What are your plans to exercise and allow your pet to eliminate:*
Have you ever housetrained a dog?*
Describe the method(s) you would use for housetraining?*
If there are any other pets in the home currently, please list the names, type and ages and if you believe they will be accepting of a new pet:
Have you had other pets in the past? If you did, list type, how many years you owned them and the reason why you no longer own them:*
Are your current pets up to date on shots?
Explain your thoughts on monthly heartworm and flea & tick treatments, annual vaccines and spay/neuter of your pets:*
Estimate how much you would be able to spend on this pet in a month for food and other essentials:*
Describe what you are feeding your current dog or would plan to feed this dog:*
Are you able to assume all financial responsibilities for this pet including annual vet exams, vaccinations, food, licencing and supplies?*
How much time would the animal be alone during the day?*
What are your plans for the dog while no-one was home? Where would he/she stay?*
What plans would you make for this animal if you were going on vacation or could no longer keep him/her due to disabitily/illness/death?*
Are you willing and able to take this pet for training classes?*
If we recommended training classes, will you be willing to do so?*
Is there anything else you would like to share to help us in our decision?
Please understand that we are volunteers and cannot reply to all inquiries and applications. Our number one priority is the dogs in our program. If we feel that you would be a good match for this dog, you will be contacted. If you do not hear from us within a few days to a week, you are not a good match for this particular dog but may be for another. Please do not take this personally, as it is not a reflection of you but our commitment to the dogs in our program.
We DO NOT keep applications on file. Please reapply for each dog separately. Every dog has individual needs and requirements and we DO NOT work on a one size fits all basis.
Thank you for applying for one of our dogs and for your commitment to rescue.
