Outrun Rescue Dog Application
Your Name
*
First Name
Last Name
Spouse/Roommate Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Dog for this inquiry? Dog's name or a specific breed?
*
Home Phone Number
*
Please enter a valid phone number.
Cell Phone Number
*
Please enter a valid phone number.
How long have you lived at this address?
*
Are you planning to move in the next year?
*
Yes
No
Do you rent or own?
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Rent
Own
Please Specify the type of property the dog will live on.
*
Please Select
Subdivision Lot
Townhouse
Apartment/Condo
Basement Apartment
Trailer Park
Rural Property
Farm
Vacant Property
If you rent, do you have your Landlord's permission and contact information?
*
What is your age?
*
How many people live in your home?
*
List ages of other residents, (Children).
*
How long will the dog be alone on average?
*
What is the occupation for each member of the household? We ask this question because some dogs are not suited for a busy household.
*
Do you have a fully fenced in yard or enclosure on your property?
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Yes
No
Partial
Type of fencing and height.
*
Do you have a pool, pond, river or lake on your property?
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No
Above-ground pool
On-ground pool
In-ground pool
Pond, River or Lake
If yes to a pool do you have the pool area fenced in or a secure safety cover?
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No Pool
Fenced in pool area
Safety cover
None
Where will the dog live
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Indoor
Exclusively Outdoor
Where will the dog stay during the day?
*
Where will the dog sleep at night?
*
Are there any other animals at present in the home? List number, species, sex, age and breed mix (for dog).
*
Will you have the dog/puppy Spayed/neutered?
*
Yes
No
Already Altered
Will you take your dog for annual check ups and routine vaccinations with a veterinarian?
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Yes
No
Sometimes
Only if needed
If you currently or previously owned animals can you provide your Vet Clinic's name and number. PLEASE CALL YOUR VET so they can release your pets records to us when we call.
*
Can you please provide 2 personal references -Name, Email address, phone number.
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If you currently or previously owned animals can you please tell us where the animal came from? e.g.: Breeder, Shelter, Rescue, Purchase etc...
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What is your previous experience with dogs and list breeds.
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What training tools do you have experience with? ie-Leash types- 6ft,harness,ecollar, extended muzzles. Collars- Martingale, Prong. Treats, Kong, Crate etc...
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Have you ever used a trainer? If so please provide trainers info.
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Have you ever had to rehome an animal for any reason?
*
Why do you feel this is the right time to adopt a dog?
*
Any additional information you would like to add?
Our adoption process starts with this application so we can ensure the dog is the right match for you. Thank you for considering adoption.
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