ADOPTION APPLICATION

Thank you for your interest in adopting a dog from Working Dogs Rescue.
So that we may find the appropriate dog for you, we ask that you answer the following questions as completely as possible. This application is NOT a commitment to adopt. The purpose of this application is to match a dog with you and you with a dog.

First Name

Last Name

Birthday

Contact Number

Alternative Contact Number

Best Time to Reach You

Street Address

City

State

Zip Code

Employment Status - You

Hours Per Day

Employment Status - Spouse

Hours Per Day

Adults in Household

Children in Household

Other Animals

Allergies

Type of Home

Own or Rent?

Years at Address

Home Visit

Fencing

Caretaker

Hours Alone

Hours Indoors

Hours Outdoors

Socialization

Exercise

Training Philosophy

Day Arrangements

Night Arrangements

Sleeping Arrangements

Have you ever owned a dog?

Have you previously owned a rescue dog?

Breeds/Experience

Why do you want a dog? What qualities are you looking for in a dog?

Costs (Do you realize on average it costs $600 a year to vaccinate and take care of standard health of dogs and this does not include emergencies? Are you willing and financially able to take on this kind of costs?)

Commitment (When adopting a dog, you are making a lifetime commitment that could be 10 to 15 years, are you willing to take on this lifetime commitment?)

Household Commitment (All members household agree to adopt a dog and are committed to the dog's care.)

Returned Dog (Have you ever rescued or purchased a dog and had to return or give up the dog?)

Explain

Name (Please provide names and telephone numbers for 3 personal references, including your veterinarian.)

Relation/Years known

Phone Number

Name

Relation/Years known

Phone Number

Name

Relation/Years known

Phone Number

Agreement

ALL OF THE INFORMATION I HAVE PROVIDED ON THIS APPLICATION IS, TO THE BEST OF MY KNOWLEDGE, TRUE AND COMPLETE. I UNDERSTAND THAT FALSIFYING ANSWERS ON THE APPLICATION, OR AT ANY OTHER TIME DURING THE ADOPTION PROCESS, DISQUALIFIES ME FROM ADOPTING. Privacy Policy *

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