ASTR Adoption Application Form

ASTR Adoption Application

Name of Pet You Wish to Adopt *

Perspective Pet Parent *

First Name Last Name

Email Address *

Confirmation Email

Phone Number *

Area Code Phone Number

Address *

Street Address
Street Address Line 2
City	State
Zip Code	Country

Occupation *

Number of children living in home?

Children details *

Number of adults living in the home?

Adult details *

Is anyone in the home allergic to animals? *

Current Pets

Do you own any pets? *

Please provide your veterinarian's name and phone number:

Pet Details

1. Pet details

Pet Name

Pet Age

Pet Type

Pet Breed

Where was the pet obtained?

Sex

Male Female

Spayed/Neutered

Yes No

Pet's disposition and behavior towards other dogs?

2. Pet details

Pet Name

Pet Age

Pet Type

Pet Breed

Where was the pet obtained?

Sex

Male Female

Spayed/Neutered

Yes No

Pet's disposition and behavior towards other dogs?

3. Pet details

Pet Name

Pet Age

Pet Type

Pet Breed

Where was the pet obtained?

Sex

Male Female

Spayed/Neutered

Yes No

Pet's disposition and behavior towards other dogs?

Previous Pets

Have you previously owned pets not listed above?

Yes No

Please provide details of previous pets

1. Pet details

Pet Name

Pet Age

Pet Type

Pet Breed

Where was the pet obtained?

Sex

Male Female

Spayed/Neutered

Yes No

Pet's disposition and behavior?

How many years did you own pet?

What happened to pet?

2. Pet details

Pet Name

Pet Age

Pet Type

Pet Breed

Where was the pet obtained?

Sex

Male Female

Spayed/Neutered

Yes No

Pet's disposition and behavior?

How many years did you own pet?

What happened to pet?

Home Details

Do you own or rent your home? *

Own Rent

What is your landlord's pet policy? *

If you rent, please provide your landlord's information here: *

Do you have a yard? *

Yes No

If "Yes" to the above, is it fenced? please provide height and type

Pet Care

Who is the primary pet care giver in your household? *

Primary reason for adopting a pet *

Companion Guard Animal Fighting Hunting

Where would the pet sleep? *

Inside Outside

How many hours a day would the pet be unattended (no one is home)? *

Where would the pet be left when unattended? *

Inside Outside

List any off limit areas for the pet *

Outside space for the pet? *

Yard Dog run Patio Balcony Fence-less yard

Have you ever surrendered a pet you own to any animal shelter including a "low" or "no kill" shelter? *

Yes No

Will you crate your pet? *

Yes No

If you have to leave town, urgently or planned, where would your pet stay? *

How would you deal with behavioral issues such as barking, chewing, destructive behavior, bathroom accidents indoors, unruly leash behaviors in your pet? *

Are you willing to enlist the help of a dog trainer if required? *

Yes No

Under what circumstances would you or have you surrendered a pet? *

If a pet becomes ill or injured are you able to meet the medical cost of caring for a pet? *

Yes No

Please describe what you would do if you could no longer care for the pet? *

References

Reference 1 *

First Name Last Name

Reference 1 Phone Number *

Area Code Phone Number

Reference 2 *

First Name Last Name

Reference 2 Phone Number *

Area Code Phone Number

Have you ever been convicted of an animal related crime, such as cruelty to animals, animal theft, or animal abandonment? *

Yes No

If you answered "Yes" please provide a detailed description:

Is there anything else you would like to tell us about yourself?

By clicking the submit button, I agree to the Aberdeen Scottish Terrier Rescue (ASTR) adoption process, will undergo a homecheck, and interview at the discretion of ASTR.
By clicking the submit button, I understand ASTR will check my references including veterinary and personal.
By clicking the submit button, I understand there is an adoption fee associated with adoption of a pet from ASTR.
By clicking the submit button, I understand there is no "cooling off" period, and that if I no longer want or can no longer care for my adopted pet, I agree to notify ASTR BY EMAIL and provide a 14 day period to allow ASTR to make arrangents for my pet to be taken back into rescue.
By clicking the submit button, I agree to indemnify and hold harmless ASTR against any losses, lawsuits, claims, injury, damages incurred by me or to any persons or property by my adopted pet, once adoption has been completed.
By clicking the submit button, I understand that ASTR will disclose any of the pet's health or behavior issues known by the above named rescue group before adoption is completed.
By clicking the submit button, I understand that if I no longer want my pet, or am no longer able to care for my adopted pet, I will be directed to surrender my pet to ASTR and provide transport to where ASTR deems appropriate.
By clicking the submit button, I verify all of the above information is true and accurate.

Signature of Potential Pet Parent *