Rapids Little Dog Rescue Application for Adoption

Please answer all questions completely

Name

Address

City:                               State:                           Zip

Phone Numbers:

Home:                                Best time to call

Work:                                 Best time to call

E-mail Address

Number in household?

Children under 18?

If yes, what age?

Do you:

Rent?

Own?

Are ther restrictions on this property regarding pets?

Do you have a fenced yard?

If yes, please describe the fence.

If you do not have a fence, how will the dog exercise and relieve itself?

If you ever need to move, will you look for housing where pets are allowed?

Preferences:

Type of dog?

Breed

Sex                              Age

Are you willing to adopt a dog that has special needs? (blind, deaf, on meds, etc)

Are you willing to adopt a dog that has a history of abuse or neglect?

Are you willing to adopt a dog with behavior problems requiring special training?

Are you willing to consider adopting a pair if they can't be separated?

Are you willing to consider a mix breed?

Do all members of your family agree on getting a dog?

Does anyone in your family have allergies?

What will you do if a family member or current pet can't get along with your new dog?

Have you ever owned a dog before?

If not, are you aware of the grooming requirements & common health problems with the breed?

How will you handle grooming?

Will you pay a groomer?

Will you purchase supplies and groom the dog yourself?

Are you willing to spend an hour a week brushing out the coat of a dog?

Are you willing to pluck hair from the inside of ears monthly to prevent infections and to clean the eyes daily if necessary?

Have you thought about the cost of both routine veterinarian care and non-routine emergency care, especially as the dog gets older?

Approximately how many hours a day will your dog be alone?

Where will your dog be when left alone?

How long will your dog be left outside?

Where will your dog sleep at night?

Who will have the primary responsibility of caring for your dog?

Are you willing to take the time to rehousetrain your dog during the transisition period in  your home?

What is you definition of disciplining a dog?

Who will take care of your dog when you are out of town or on vacation?

Do you have pets now?

If yes, how many?

Breed-Sex-Age-Spayed/Neutered-How long owned-Where kept?

Have you had any pets in the past?

If yes, how long owned and what happened to them

References:

Please provide three references, including your veterinarian and groomer.  If you rent, you must include your landlord as a fourth reference.  Other references may include a neighbor or good friend who has knowledge of you with dogs.  Only one reference may be a relative.

Landlord Name

Phone Number

Vet Name

Phone Number

Groomer Name

Phone Number

Personal references:

Name

Phone Number

Name

Phone Number

Name

Phone Number

Have you contacted any other Rescue groups?

If so, please list the names of the Rescue Group/Groups

All of the information I have provided is true and complete to the best of my knowledge

Signature of Applicant:

Date of Application:

Thank you for your interest in adopting a dog from Rapids Little Dog Rescue.

Note, our adoption fees range from $150 to $300 depending on the dog's age.

All dogs are up to date on shots and are spayed or neutered.

Sandy Calverley

Rapids Little Dog Rescue

7820 Deer Rd.

Wisconsin Rapids, WI 54494

715-421-3705

Please return application to Rapids Little Dog Rescue.  If returning application by email, copy, paste, fill out application, and click on send to Sandyc@tznet.com