Summit Dog Rescue Adoption Application

Adoption Application

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Applicant's General Information
Full Name of Applicant*
Occupation:*
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
Co-Applicant (Spouse, significant other, roommate):
Personal Email:
Occupation/Employer

Please list all pets in your household. Include both current AND past. *

	Species & Breed	Age	Gender	Spay/ Neuter?	Residing with you?
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For any pet no longer residing with you, please tell us why the pet is no longer in your home:*

Please list all the people in your household. *

	Name	Age
Self
Person #2
Person #3
Person #4
Person #5

Do you have your heart set on one specific DDR dog? If so, who is that? It helps us to know whether you are only applying for a particular dog or are flexible in your options.

Your Environment
Urban, suburban, or rural?*
Do you own or rent? Is this house, condo or apartment?*
If rent, include property owner's name, phone number, address, and email.
How long have you resided at this location?*
Do you have a fenced yard? (answer YES or NO).*
If you do have a fence, please describe: height, material, approximate size of enclosure:
Do you have any health concerns or condition that affects the kind of dog that would be a good fit, or may do so in the future? If yes, please describe (i.e. asthma, allergies, lyme disease, arthritis)*
Please describe your typical weekly schedule, including *how many hours your dog will typically be alone, and *for how long, and *where will your dog be when left alone? :*
Doggie Wishlist

The following questions are to help us get an idea of what dog would be a good fit for you. There are no right or wrong answers, so please be as honest and accurate as possible.
Why do you want a dog?
Will your dog be allowed on the furniture?
Are you planning on a dog walker or daycare? If you are planning on using daycare or dog walking service please let us know who:
Describe how your dog will be exercised daily i.e. a few blocks during the week, playing fetch in your yard, daily hiking on trails on leash, hiking off leash, long walks in neighborhood park, weekend hikes:
If you need to relocate, how will your dog fit into that plan?
If you are in a relationship and you and your significant separate, what would happen to your pets?
What physical and personality characteristics are you looking for in a dog (e.g., low-shedding, male/female, energy level, a training project or more of a stable dog with lots of history)? (the more info we have here, the better)

Questions Regarding Vet Care
Please give a veterinary reference if you have one. A past reference is fine. Name, address, phone number please! Thank you. *
With the skyrocketing costs of veterinary care, have you or would you consider pet insurance? Please answer YES or NO.*
What brand of dog food will you feed your dog? Why this brand?*

Training & Behavior
Have you ever had a dog with behavior problems? If so what behavior(s) and how did you work with your dog on this issue?
Adopted dogs experience an adjustment period of at least several months. What do you expect that to involve and you are fully committed to adjusting your life to help your new dog learn to feel safe?*
Behavior

The first few months upon adopting tend to be the most difficult. Your new dog has been through many transitions, and your home is just one more transition in his mind. New behaviors can crop up, or previously seen behaviors can be amplified during the transition period. Working through these issues can be challenging and time consuming, and so please be as clear and honest as possible so we can help you get as close to the right fit as possible. Please note that dogs have the emotional capacity of a 3-4 year old child.
Please identify behaviors you would NOT be willing to work with:*
(e.g., growling at strangers, Lunging on leash at other dogs, nipping children, separation anxiety, leash pulling, housetraining accidents, counter surfing, other)
Please consider the following scenarios. Please indicate if you would consider returning the dog. What action would you take if a week after adopting your new, mild-mannered dog, he began barking and attempting to nip at unfamiliar person who entered your home?*
What steps would you take if upon adopting a dog that was represented as housebroken, your new dog began marking your furniture? Would you return the dog?*
What would you do if your new dog shows signs of separation anxiety? Such signs can include destructiveness, barking, whining, chewing, and scratching at doors. Would you consider returning? What would you do?*
Please list the TOP THREE most important behaviors that you would like to see reasonably quickly in your newly adopted dog (i.e. friendly with kids, good with cats, easy to walk on leash, housetrained, okay alone in the house, crate trained, quiet, food-motivated, okay with loud noises etc): *
If this dog will be an addition to an existing dog(s): Would you expect them to get along right away? Would separating them with babygates in your home be something you would do to try and help them develop a positive relationship? How long would you consider to be reasonable to ease in a new dog (i.e. days, weeks, months?) Please answer in detail below:*
Each DDR dog is adopted out with a FREE training session. If you would like to continue training with our trainer it would be 15% off all sessions.

Almost Done!
Have you ever lived with a dog from a rescue organization or shelter?*
Are you pre-approved or currently applying with other rescues? (This does not hinder your approval with DDR, but could help us process your application more efficiently, as many rescues work in collaboration with each other.) If yes, please say who you are applying with. *
Do you agree to contact Darling Dog Rescue if after adoption you are unable to continue to be a guardian for your adopted dog, and either return your dog to us or work with us to find another suitable home for your dog? Please answer YES or NO.*
Do you agree to pay the Adoption fee? (Unless a dog is stated as “sponsored” , – a few “sponsored” dogs are a lower fee adoption fee, because an angel donor sponsored a portion of their fee). Please answer YES or NO.*
Please list three personal references (not a relative or household member), whom you have known for at least three years, who can vouch for your character as a pet guardian. Give name, address, phone, and email:
Reference #1; Name and Relationship, Address, Phone, Email*
Reference #2; Name and Relationship, Address, Phone, Email*
Reference #3; Name and Relationship, Address, Phone, Email*
The full dog adoption process includes a personal reference check! Submission of this application confirms that you understand and agree to the need for screening of adopters, and certify that the information supplied on this application is true and correct. The terms “guardian” and “owner” shall be considered interchangeable. Please initial here that all your responses are truthful and complete.*
Should be Empty:

Adoption Application

Doggie Wishlist

Behavior