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This is not a form you can fill out online. You need to copy and paste this in an email, edit/type in your answers,
and email to me. Email link at bottom of page.
This helps me to properly 'match' dogs and families.
~~~~~~~~~~~~~~~~~~~~~~~~Thank
you!~~~~~~~~~~~~~~~~~~~~~~~~
Your form must be COMPLETELY filled out. Blank answers are not acceptable. Thanks for your cooperation.
ADOPTION APPLICATION ----- S NV Samoyed Dog Rescue
To help ensure the best possible placement of our rescued
dogs, and in order to determine that the proposed adoption is in the best interest of both the dog and you and your family,
please complete the following. Be thorough as incomplete applications will not be considered. If you have any questions, please
feel free to contact S. NV Rescue. email nvsammysue@earthlink.net Susan L Las Vegas NV 89118
Date
Information
about you:
Full Name
Address
How long at current address?
All telephone numbers to reach you:
What is the best time to call you?
Email:
With whom are you employed?
Spouse's employer?
Occupations
Number and ages of children in household:
How many days (or hours) are the children at
home per week?
Are you getting this dog for your kids?
Must the dog be kid-compatible?
Do your kids
know how to behave around dogs?
Have they ever had a dog before?
Are you over 21?
Information about
your home:
What type of area do you live in:
What type of housing?
Do you rent or own your home?
or
live with a parent/friend/relative?
Do you live with someone who has final permission or influence on approving your
pet adoption?
May we contact that person? Phone:
Do you live in a covenant controlled community/subdivision?
If so, are you aware of any restriction and/or regulation concerning pet ownership?
If you rent or lease,
do you have permission from your landlord to own a dog? Yes/No N/A
May we contact your landlord? Yes/No Phone
Address
Pet history/preferences: What pets do you have now?
What dogs/pets have you previously owned?
Why
are they no longer living with you?
How have you educated yourself about owning dogs /particular breeds?
How
did you hear about this rescue/who referred you?
Is there a particular dog I have that you are applying for? (which
one?)
Sex preference of dog ?
If the sex matters, why?
Any age preference? Why?
Is a mixed
breed Samoyed acceptable?
Must the dog be house broken?
Must the dog be completely obedience trained?
Please
note that I usually do not have fully trained dogs. Are you ready to accept the responsibility of training this dog, if necessary?
Would you consider a dog that is not exactly your preference?
Owning the dog:
Do you have a fenced yard?
Height
Type
If you do not have a fenced yard, where and how will the dog be exercised and be allowed
to eliminate?
What member of the family will be taking the MAJOR responsibility of caring for this dog?
What
are your plans and goals for this dog? What activities will you and your family participate in with this dog?
Have
you ever trained a dog in obedience classes?
Will you take your dog to obedience classes?
Will the dog live
IN the home?
Where EXACTLY will the dog sleep at night ? (outside/inside/what room etc.) and be kept when there is
no one at home?
Do you believe in using dog crates? Why?
If you change homes/move, what will you do with your
dog? (keep it, give it away, return to rescue? etc)
When you go on vacation or have long absences, where will your
dog go and who will care for it?
Who is/would be your vet?
Name
Phone
Address
How will your dog
travel to the vet or other places? (in a car, van, back of pickup, etc.)
Do you mind if we call your vet to ask how
you take care of your animals?
If yes, why?
Have you ever surrendered a pet of yours to an animal shelter
or sold or given one away?
If yes, why?
May we visit your home to verify the information you have provided?
These questions bear repeating - just think about these: Will you train your dog? How are your kids with pets? Did
you clear it with your spouse, your landlord, your HOA, your parents? When you move or divorce or have a baby or the kids
move out or you graduate from school or whatever big change occurs in your life, will the dog be a part of it? Can you make
the over 10 year commitment? Dogs live as long as 15 years!
Do you understand that the commitment to a dog can be
OVER 10 YEARS?
In the space below, please tell us a little about yourself and why you feel you could provide a good
home for a rescue dog. Also write any concerns/questions:
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