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A1 K9 Rescue On-Line Application
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Application must be filled in completely (you must be over the age of 18 to apply). Please be sure your email is correct as this is how
you will be contacted.
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Your name:
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Dog you are
applying for::
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Address:
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City, State,
Zip:
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Email:
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Best phone number
and time to reach you:
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Do you know the
adoption fee of the dog
you are wanting to
adopt:
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Do you rent, own or live
with parents:
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If rent, does landlord
allow pets:
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Will the dog be kept
indoors?
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Please describe your
yard and how you will
exercise the dog:
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Is anyone in the
household allergic to
dogs?
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Are you planning on
moving? If you do
move, what will you do
with your pets?
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Are there children in
the household or who
visit regularly? If so,
how many and what
are their ages.
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Do you currently have
any pets? If so, please
state type of pet, ages,
and whether they are
spayed/neutered.
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Please give current
veterinarian name and
phone number:
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Please give a personal
reference and their
phone number (other
than your veterinarian
or a family member):
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How long would the dog
be left alone (typically)?
Where will the dog be
while you are at work?
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Where will the dog be at
night? Are you going to
crate train?
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Are you willing to make
the commitment to do
whatever it takes to
train and/or housebreak
your new dog or puppy?
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What do you feel is a
good reason to return
an adopted dog? Have
you ever surrendered a
dog to the pound or
Humane Society and if
so, why?
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Are you familiar with
the breed that you are
wanting to adopt? If
not, have you done your
research on the breed?
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Is there any additional
information you would
like to provide to assist
us in deciding whether
or not to place this dog
with you and your
family?
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Thank you for considering adopting a rescue dog. This form is designed to help us help you find the
right pet for your particular household. In order to be considered for adoption, you must: 1) be at least
18 years of age, and 2) understand that this adoption application must be approved. Please know the
adoption fee BEFORE submitting an application. Once your application is approved, you will be
sent an acceptance letter but please understand that this does not guarantee adoption. It is just the first
step and the final decision will be made upon meeting you. We reserve the right to refuse an
application to any applicant. If you want to see a dog, please schedule an appointment. You will be
coming to my home so please DO NOT just show up unannounced as it is very inconsiderate to me and
my family and you will not be provided service. Please read and understand the adoption contract
before committing to adoption. No personal information provided will be shared in any way.
Thank you!
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