Save Our Setters Foster/Adoption Application

Save Our Setters, Inc.

Dedicated to helping displaced Irish, Gordon, and Irish Red & White Setters
Important:

If you have not already done so, please review all FAQ pages on the website. This is our first introduction to you, please provide detailed and complete answers to all the question on this application.
Name*

First NameLast Name
Address*
Secondary Street Address
City*
State*
Restrictions Apply for Foster/Adoptions in MA, ME, NH, and RI
If other:
Zip Code
Home Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Work Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Preferred Communication

Home Phone NumberCell Phone NumberWork Phone NumberEmail
With whom are you and your spouse employed, and how long have you worked there?
Are you interested in:*

Adopt OnlyFoster OnlyBoth Adopt and FosterFoster to Adopt a Setter coming into the program
In which breed of Setter are you interested? (Irish, Gordon, Irish Red & White, English) NOTE: These are large dogs.
Is there a particular dog on our website in which you are specifically interested? If so, which dog(s)?
Minimum Age*

Puppy (3 to 11 months)Young (1 to 3 years)Adult (4-6 years)Adult II (7 to 9 years)Senior (10+ years)
Maximum Age*

Puppy (3 to 11 months)Young (1 to 3 years)Adult (4-6 years)Adult II (7 to 9 years)Senior (10+ years)
Gender Desired*

Male OnlyFemale OnlyEither Male or Female
Would you consider a Setter who requires medication for a controlled condition?*

YesNo
Would you consider a Setter who requires special food/diet?*

YesNo
Would you consider a Setter who needs obedience training?*

YesNo
Are you familiar with or have you researched the breed?*

YesNo
Energy level desired (Please keep in mind the age categories you chose previously. There is no such thing as a puppy with low energy when it comes to Setters.)

High (pawprints on the ceiling)Medium (ready to go anytime)Low (I don't want to get off the couch)Any of the above
Would you consider a mix?

YesNo
Members of your household and their age(s):
Do the other members of your household share your interest in adopting/fostering a Setter?

YesNo
If adopting, who would be the primarily owner (adult, child, elderly)?
Who will care for and exercise the dog?
Does anyone in your household have allergies to pets?

YesNo
If yes, to what types of pets?
Current Pets in the Household
Do you currently have any dogs?*

YesNo
Do you currently have any cats?

YesNo
Do you currently have any other pets?

YesNo
Current Pet # 1
Please list the name of type of one of the pets that you currently own.
Name
Age
Gender

MaleFemale
Spayed/Neutered?

YesNo
Breed and approximate size
Current Pet # 2
Name
Age
Gender

MaleFemale
Spayed/Neutered?

YesNo
Breed and approximate size
Current Pet # 3
Name
Age
Gender

MaleFemale
Spayed/Neutered?

YesNo
Breed and approximate size
Current Pet # 4
Name
Age
Gender

MaleFemale
Spayed/Neutered?

YesNo
Breed and approximate size
Current Pet # 5
Name
Age
Gender

MaleFemale
Spayed/Neutered?

YesNo
Breed and approximate size
Previous Pets in the Household

In the past 5 years only, please.
Have your had any previous pets (not including current one's listed above) in the last 5 years?

YesNo
Previous Pet # 1
Name
Age
Gender

MaleFemale
Spayed/Neutered?

YesNo
Previous Pet # 2
Name
Age
Gender

MaleFemale
Spayed/Neutered?

YesNo
Previous Pet # 3
Name
Age
Gender

MaleFemale
Spayed/Neutered?

YesNo
Previous Pet # 4
Name
Age
Gender

MaleFemale
Spayed/Neutered?

YesNo
Previous Pet # 5
Name
Age
Gender

MaleFemale
Spayed/Neutered?

YesNo
What happened to your previous pet(s)?
What veterinary clinic do you use or have you recently used?*
What is the veterinary clinic phone number?*
Please enter a valid phone number.Format: (000) 000-0000.
If the pets records are not under your name, please provide the name that they are under.
What other veterinary clinics/hospital have you used?
What are their phone numbers?
If the pets records are not under your name, please provide the name that they are under.
Have you given these clinics permission to speak with us?*

Yes, I've already called them.No. but I'll call them today.No, I do not want you to contact them.
Are their other pets sharing your residence that belong to another, or that visit? (Select all that apply)

Dogs that live here or visitCats that live here or visitOther species that live here or visitNone that visit here, but we visit othersNone
How long have you lived at your current address?
Do you rent or own?*

OwnRent
If you rent, what is the name and phone number of your landlord?*
What type of home?*
How would you describe your neighborhood?

UrbanSuburbanSemi-RuralVery Rural
If you own, are their Homeowner Association restrictions that prohibit larger dogs? If you rent, does your landlord permit you to have large dogs?*

YesNoNot Sure
Will the dog be allowed in the house?*

YesNo
Is an adult family member home during the day?*

YesNo
How long daily will the dog be left alone (without humans) during regular absences for work, appointments, errands, church, etc.?*

0-4 Hours5-8 Hours8+ Hours
How long daily will the dog be left alone (without humans) during regular absences for work, appointments, errands, church, etc.?
Where will the dog stay when you are away for short periods?*
Where will the dog sleep?*
Are you familiar with the use of a dog crate to train the pet during your absence or at night?

YesNo
Is your yard fenced?*

YesNoPartially fenced
What type of fence do you have?

Privacy fenceChain link fenceSplit rail or cattle wire fenceInvisible fenceBlock/Brick fenceCombination of the above
How tall is your fence?
What is the approximate size of the fenced-in portion of your yard?
If you do not currently have a fence, are you planning on installing one?

YesNo
If you do not have a fence, how and where will the dog be exercised?
Do you have a pool?

YesNo
If you have a pool, is it:

In-ground, no fenceIn-ground, with fenceAbove ground, no fenceAbove ground, with fence
Will the dog be walked daily?

YesNo
Will the dog be exercised in a fenced-in yard?

YesNo
Will the dog be allowed to run free outside of fence without supervision?

YesNo
Have you ever taken an obedience course with a dog?

YesNo
Have you ever owned/fostered a Setter?

YesNo
Are you aware that Setters are a very active breed?

YesNo
Who will groom the dog?
Are you aware that routine costs of owning a dog on average is $800 a year?

YesNo
Have you sold, given away, or surrendered a pet?

YesNo
If yes, please specify the circumstances:
Please tell us why you want a Setter:
Who referred you to us?
Please tell us a little about your lifestyle, your family, and any special activities in which the dog would be included (if you have any special requirements or requests for a dog, please let us know so that we can more carefully match a dog to your lifestyles). Please include the age(s) of any frequent human visitors, specifically young children or elderly.
Has any member of your household ever been cited for leash law violations, animal cruelty, and/or abandonment of animals?

YesNo
If yes, please specify:
If you are currently working with or have contacted another rescue group, or have ever adopted from a rescue group please tell us which group(s).
By checking this box, I attest that I am of legal age (minimum of 18 years old) to be bound by a contract and that the information provided in this application is true and accurate to the best of my knowledge.*

Yes
By checking this box, I understand that prior to the placement of a Setter in my home, the above information may be verified. I also agree to a personal interview with a member of the Rescue program, if required, to determine the suitability of my home to care for a Setter. I also understand that completion and submission of this application does not guarantee the adoption of a Setter.*

Yes
If I elect to adopt I understand that an adoption fee is required.*

Yes
By checking this box, I grant permission for a representative of Save Our Setters to contact my vet clinic for historical data on my pets, and my landlord regarding pet-related provisions related to my lease agreement.*

Yes
PLEASE NOTE: We thank you very much for taking the time to fill out the adoption/foster form. We know that you are excited and can't wait to hear back. Sometimes things get hectic caring for the Setters in our care especially when we have a new pup come in and we are working to have them transported and vet checked and/or treated. We will be back in touch with you within a week or two. If you haven't received an email from us by that time, please check your emails spam filter.

Thank you!

Save Our Setters, Inc.
Applicant's Electronic Signature
Date

MonthDayYear
Date
Should be Empty:

Save Our Setters, Inc.

Important:

Current Pets in the Household

Previous Pets in the Household