Sunshine State Animal Rescue: Dog Adoption Application

Sunshine State Animal Rescue Dog Adoption Application
Adoption Fee $175 -$300

Transport is unavailable at this time

Fees are payable via cash, check, PayPal/Venmo, directly to our vet.
Sumitting this application does not mean you are commiting to a dog, nor does it guarantee you will get that dog. It is simply a tool we use to help both you and us identify a good potential match for your family and lifestyle.

A successful adoption depends on selecting the right dog for your household and a good understanding of the dog's needs and care requirements. Please help us with this process by answering the following questions fully & completely. THANK YOU!
Name of the dog you want to adopt*
Adopter's Name*
First & Last Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Drivers License #*
Adopter's E-mail*
Phone Number*

Area CodePhone Number
Phone Type*

CellHomeWork
Alternate Phone Number*

Area CodePhone Number
Names and ages of all permanent residents of your home. Adults and children! *
Is anyone in your home allergic to dogs?*

YesNo
Does anyone in your home fear dogs?*

YesNo
Have you discussed this adoption with all members of your household?*

YesNoYes, adults have discussed. Kids don't know yet.
We will be speaking to all adult residents to confirm everyone is aware of this application process and wants to have a dog added to the family. Please do not submit this application if you are "trying to talk someone into" adopting this dog or think "once they meet the dog, they will want one" or "I'm getting this dog as a surprise birthday present for them." In those scenarios, you are welcome to email us to discuss the dog, but we would like all adults in the home to be involved in that email discussion.
Do you currently have any pets?*

YesNo
If you currently have pets, please list them below.*
Are all of your current pets spayed or neutered?*

YesNoN/A
If your current pets are not altered, please explain why below.
Are all of your current pets up to date with vaccines, heartworm medication, and flea medication?*

YesNoN/A
If your current pets are not up to date with vaccines, heartworm medication, and flea medication, please explain why below:
Please provide information for any pets that you have had within the last 5 years that are no longer with you:*
Your vet's name and phone number: (contact your vet to let them know we will be calling)*
Two personal references:*
Reference 1 contact number*

Area CodePhone Number
Referecne 2 contact number*

Area CodePhone Number
I/We live in a:*

Single family homeCondo/TownhomeApartment
Do you rent or own this property?*

RentOwn
Renters, have you contacted your landlord to find out if there's any restrictions on the kind or size of dog you can have?

YesNoOther
Name and phone number of landlord*
Do you have a yard?

YesNo (apartment or townhome)
If you answered yes, describe your fence:
Name of your employer:
On average, how many hours will your dog be alone each day?*
While you are away from home, will your dog be kept in*

CrateFree run of houseBack yardOther
Are you active duty military?*

YesNo
If you are active duty military, what is your plan for your pets should you be deployed? What is your plan for your pets when you receive orders to pcs? *
When will you be ready to adopt this dog?*

TodayThis weekendWithin a weekWithin a monthNot ready yet, just researching
How often and how will you exercise your dog?
Upon meeting the dog, what would give you cause to not want to adopt it? Please explain.*
Fantasy question: What would your dream dog be like? (If this dog is not a fit, we may be able to recommend another based on what you say here.)*
What is the energy level in your house?*

Wild and crazy! (Lots of barking, tv noise, kids playing)Medium energy (a good mix of both extremes)Totally chill (lots of naps, very quiet)Other
Please check all that apply. I want to adopt this dog...*

As a family petTo train/use for huntingTo train/use for agilityTo train/use as a therapy dogTo train/use as an assistance dog for the disabledTo use as a guard dogFor a jogging/hiking partnerTo interact with lots of friends/familyAs a gift for a friend, partner, or family memberAs a companion for my dog(s)As a companion for my cat(s)As a companion for my child/children
Please check all that apply. My adopted dog will...*

Be kept indoors most of the timeBe left outside during the work day while we are awayBe kept inside while we are awayBe crated when we are not homeHave free reign of the house when we are not homeBe taken to formal obedience classesBe trained by me/usTake frequent car rides with usBe mostly interacting with adultsBe interacting frequently with children under 8Be interacting frequently with older childrenMust be housebroken prior to adoptionWill be walked more than one mile per day every dayWill be walked occasionallyBe attending formal group obedience classes with usBe trained by us without the advice of a trainerHave private sessions with a trainer as neededBe attending agility classesBe taking frequent car rides/trips with usBe boarded when we go on vacationStay with family when we go on vacationOther
Please take time to think, be honest with yourself and us when answering this question. What are you absolutely NOT willing to deal with at the time of adoption or at any time during the life of the dog?*

HousebreakingChewingJumpingPulling on leash during walksCounter surfingObedience trainingFear of menFear of womenFear of childrenMouthiness (may sometimes snag your hand or arm instead of the toy in play and will need redirection/training)GrowlingBarkingRough play with my dogHigh activity levelFood/toy aggression/not willing to share with other dogsFood/toy aggression with peopleWhining/cryingBlindnessLimited SightDeafnessSeparation AnxietyDiabetesSpecial DietLong Term MedicationIncontinence / Leaking UrineTaking classes with the dogGets stressed/carsick when riding in vehicleDoesn't know how to climb stairsCan't climb stairs due to age/arthritis/health issuesHeart conditionSkin allergiesFood allergiesTrimming nailsYeast on coat or in earsEar mitesFleasTicksHeartworm preventative/annual testI will do whatever it takes to help this dog adjust and work with a trainer to help resolve any training needs.Other
What would cause you to return a dog?*
What do you feel is a reasonable amount of time for a dog to adjust to life with you/your family?*
How do you plan to integrate this dog into your family?*
What would you do if you discovered after adoption (at any time during the life of the dog) if your vet diagnosed an expensive health condition?*
Do you plan to get pet health insurance?*

YesNoI wasn't aware this was available. I will look into it.
How long have you been looking for a dog?*
Do you have any additional comments, questions or concerns? Anything else you would like us to know to help match you up to a dog?*
Agreements for Adoption:
- I am prepared to make 10 to 15 year (lifetime of the dog) commitment to my new dog.
- I understand rescue may arrange for a home check or video may be required.
- I will keep my dog on a regular routine of heartworm prevention *REQUIRED*
- I will provide flea/tick control as needed.
I will work with my vet and agreee on a regular schedule for wellness, visits, inoculations, and any other tests we agree necessary for the health and well-being of my dog.

I will not chain or tie-up my dog and leave it outside alone. My dog will be an indoor dog and an important member of my family.

If, for any reason, I am unable or unwilling to keep this dog, I agree to return him/her to Sunshine State Animal Rescue. I will not give this dog away, take it to a shelter, place him/her with another person or family member, or sell/give away this dog to any other person without the express permission of the Sunshine State Animal Rescue.

I am financially able to provide routine and emergency care for this dog for his/her lifetime. This includes but is not limited to food, boarding (if necessary), regular vet care, heartworm prevenative and flea and tick prevention.
Please read the above, check this box, sign, and click Submit.*

I/We have read and understand all of the above.
Applicant's Signature*
Signature date*
Feel free to email us with any questions:

Contact-SSAR2015@outlook.com

SSAR reserves the right to reject any application based on information obtained during this screening process. If at any time we find you have falsified any part on this application the adoption will be canceled. Please understand that our primary goal is the health, happiness, and safety of our rescued dogs.
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Sunshine State Animal Rescue Dog Adoption Application