Dog Adoption Application - Baja Dog Rescue

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Sex: Breed/Color: Number of dog(s) you are interested in: We Want To Know More About You! Name: Age: Date: ... Your home has how many stories: Does your ...
Dog Adoption Application

Phone: (619) 501-8901 Web: http://www.bajadogrescue.org/ E-mail: [email protected]

Please fill out the questions below Adopted Dog’s Name:

Age:

Breed/Color:

Number of dog(s) you are interested in:

ererer

Sex:

We Want To Know More About You! Name:

Age:

Date:

Spouse/Partner Name: Or Roommate(s) Name(s): Street Address: City:

State:

Home Phone:

Work Phone:

Cell Phone:

Email:

Occupation:

Spouse’s Occupation:

Work Schedule: Spouse’s Hours:

About Your Household: Names of all persons living in your household: Their relationship to you:

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Zip:

Their ages: Does EVERYONE in your family want to adopt this dog? Name of personal reference: Relationship: Phone:

About Your Home: Type of Dwelling: If you live in a Condo or Apartment, what are the association’s rules about pets? Your home has how many stories: Does your home have a pool?

Is the pool fenced?

How do you introduce the dog to the pool? Would you object to an inspection of your home by a rescue volunteer? If not a home owner, do you have the landlord’s permission to have a dog? Landlord’s Name:

Phone:

Do you have the financial means to spend hundreds or even a few thousands of dollars on veterinary care for your pet should the need arise?

Do you have any other Pets currently? Do you presently have a dog/cat? Have you previous had a dog/cat?

If you currently have a dog as a pet, please tell us about them: Name:

Breed:

Age:

Sex:

Altered?

Name:

Breed:

Age:

Sex:

Altered?

How & Why Obtained: How long have you had the dog(s)?

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Your Pet History: Please list any previous dog(s) you may have had. Name:

Breed:

Kept In/Out:

What Happened?*

Name:

Breed:

Kept In/Out:

What Happened?*

Name:

Breed:

Kept In/Out:

What Happened?*

Name:

Breed:

Kept In/Out:

What Happened?*

Age:

Sex:

Altered?

Age:

Sex:

Altered?

Age:

Sex:

Altered?

Age:

Sex:

Altered?

In the column, “what happened,” write: gave away, sold him/her, took to the pound, died, etc. (If the dog died, please state cause of death.)

Have any of your dogs ever had puppies? If yes, you breed for:

Fun

Profit

Show

Accident

Has any member of your family ever experienced animal-related allergies? Have you ever trained a dog in obedience classes?

If you have other pets, please complete the following chart: Species:

How many?

Kept where?

How long did you have your dog/cat? If cat, de-clawed?

Your Family Veterinarian Name:

Phone:

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Ages:

Please Answer the following questions on the care and maintenance of a new dog: Who would be responsible for the care of the dog? What is your primary reason for adopting a dog? Where would the dog sleep?

Inside (where?)

Outside (Where?)

How many hours per day would the dog be left alone? Where would the dog be left when he/she is alone or when you are away from your home? Is yard fenced?

Height:

Fence Type:

Do you have a doggie door? Do you intend to hire a dog-sitter or take the dog to a daycare center? When you are at home, where would the dog be? If the dog will be outside at all, what outside space is available for the dog: How do you plan to handle dog’s exercise needs? Do you feel obedience training makes a dog a better companion? If necessary, would you be willing to attend obedience classes at your own expense? Do you travel a great deal?

How often?

How long at a time?

When you do travel, how do you intend to provide for the dog while you are gone? What provisions would be made for the dog if you had to move? Locally?

Out of state?

To a place where no pets are allowed? Under what circumstances would you not keep the dog? Divorce

Illness in family

Moving

New baby

New job

Housetraining

Chewing

Digging

Biting

Allergy

Shedding

Dog grew too big

Medical bills

Kids ignore dog

Pets didn’t get along

Not obedient

Other (please explain): If the dog became destructive at your home, what would you do? Do you have any “musts” for this dog to perform? If yes, please explain: What would you do if the dog grew to be bigger than you expected? Return dog to rescue

take dog to the shelter

keep dog, but keep him outside

The dog may live 15+ years. What would you do with your dog if you could no longer care for the dog? Is there anything else you would like to tell us about yourself or your home environment?

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Please review and sign below: By typing my name below I confirm that all of the information I have provided in this application is true and correct. If any of the information changes, I will advise you promptly. I am aware that this is not an acknowledgement of adoption, but merely an application for review for possible adoption. I am aware that the application must be reviewed and considered by Baja Dog Rescue Staff who will contact me to arrange for a meeting with the desired adoptable dog. I am aware that there will be a re-homing/ adoption fee involved in the adoption process. I am aware that the Baja Dog Rescue dogs may not be house broken or formally trained and may need several weeks to train and get use to their new surroundings.

Signature:

Date:

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