|
|
Applicant Name(s)
|
|
|
|
Street Address
|
|
|
|
City/State/Zip
|
|
|
|
Home Phone
|
|
|
|
Work Phone
|
|
|
|
Email Address
|
|
|
|
Applicant Age and Occupation:
|
|
|
|
Do you have Children?:
|
|
|
Number in Household:
|
|
|
|
|
|
|
Please tell us the name, age and relationship of the members of your
household. (family members, room-mates, etc..)
|
|
|
|
If your application is accepted for adoption a HOME VISIT WILL
BE SCHEDULED at this time, you will be ask to make a $100
deposit towards your adoption fee. Your adoption fee will include
minimum vet care of Spay/Neuter, DHLPP and rabies
vaccinations, HW test, dental cleaning (if needed) and basic
groom. Deposits are NON-REFUNDABLE if you should decide not
to adopt from us. Do you agree to pay an adoption deposit prior
to your home visit?
|
|
|
|
Does anyone in your household smoke? (Some pug nose dogs
do have respiratory problems with second hand smoke.)
|
|
|
|
Are you planning to add a child(ren) to your family in the future?
|
|
|
|
If yes, how will this affect any of the living conditions of the dog you are
wanting to adopt? Please explain.
|
|
|
|
Who is wanting to add a new dog to the family?
|
|
|
|
Preferences
|
|
|
|
Please note: The average age of a rescue is between 2-7 years. A toy breed average
lifespan is between 12-14 years. So please keep your mind open to an older baby. If you
are looking for a younger dog, under two years, your wait may be slightly longer. Also if you
are Elderly, please do NOT ask for a young dog, our goal is to place our furbabies in a LONG
term "forever" home.
|
|
|
|
What furbaby are you interested in adoptiong?
Please give the specific name(s)
|
|
|
|
Have you applied with any other rescue group(s) to adopt?
|
|
|
|
If the answer is yes to the above question, please indicate the name of
the rescue group(s) and the STATUS of your application(s):
|
|
|
|
Are you willing to travel to Alabama to pick up your new family
member? We do NOT ship our furbabies.
|
|
|
|
Are you willing to adopt a dog with special medical needs, such as
eye drops or special diet or medication?
|
|
|
|
Are you willing to adopt a dog with a history of neglect/abuse who
would need extra love, attention and time to adjust to your home?
|
|
|
|
Please explain any reservations or limitations you might have about adopting
a neglected/abused furbaby.
|
|
|
|
What do you consider behavior problems?
|
|
|
|
How soon are you wanting to adopt your new furbaby? Our adoption process
can take a couple of weeks sometime, based on vet needs of dog or the time
it takes to find a home visit volunteer in your area.
|
|
|
|
Why a Toy Breed or other HIGH maintenance dog?
|
|
|
|
Have you previously owned a toy breed or high maintenance dog?
|
|
|
|
Have you read "Adoption Process and Guideline Information"?
Please do so before submitting your application!
|
|
|
|
What do you like about a toy breed dog?
|
|
|
|
Please describe what you feel are the characteristics of the ideal dog for you
and your family.
|
|
|
|
Most long hair toy breeds are a high maintenance dogs, and while you may love the breed
you may discover that you do not have the time or the resources to devote to its upkeep.
But if you do, the furbaby will more than repay you with a lifetime of joy and loyalty.
|
|
|
|
Are you willing and prepared to pay up to $30.00 or more,
every 4-6 weeks to groom your furbaby?
|
|
|
|
Are you willing to spend approximately one hour each
week brushing and coming out your furbaby?
|
|
|
|
Are you prepared to deal with the cost of both routine
veterinarian care (worming, annual shots, heartworm
preventative) and non-routine/emergency veterinary care,
especially as the dogs gets older?
|
|
|
|
Your Home
|
|
|
|
Do your currently own, lease, rent your resident?
(or other)
|
|
|
|
Does your lease or home owners association restrict pet
ownership? If YES, explain below:
|
|
|
|
Please check the one that best describes
your resident:
|
|
|
|
Is your yard securely fenced? A fenced yard is required
for 99.9% of adoptions!!!
|
|
|
|
What type of fence do you have?
|
|
|
|
If you have a pool, is it fenced separately from the rest
of the yard?
|
|
|
|
If you do not have a fenced area, please explain how you plan to SAFELY
exercise your dog and allow it to relieve itself.
|
|
|
|
References
|
|
|
|
Please provide THREE names as references, including your Vet.
Your application will NOT be considered if you do not complete this section.
|
|
|
|
Vet's Name, City, State and Phone Number
NO VET REFERENCE, NO ADOPTION!
|
|
|
|
Personal References (Name, phone number (with area code) and relationship to applicant
|
|
|
|
Care and Responsiblity
|
|
|
|
Appoximately how many hours a day will your new
dog be alone?
|
|
|
|
Where will the dog be left when alone?
|
|
|
|
Do you travel frequently?
|
|
|
|
If yes, who will take care of your dog when you are away?
|
|
|
|
Have you asked yourself whether your lifestyle is so busy that you might not
have the time or energy to properly care for a high maintenance dog? (explain)
|
|
|
|
Are you willing to restrict your choice of housing to places
where pets are allowed?
|
|
|
|
Where will the dog sleep at night?
|
|
|
|
Does anyone in the household have any know allergies to
animals?
|
|
|
|
What is your definition of disciplining/correcting a dog?
|
|
|
|
For what reason(s) would you rehome your dog? Take a few minutes to really
think about this question! (Children, Marriage, Divorce, Sickness, Relocate, New Job,
Lose Job, Dog develops issues/illness)
|
|
|
|
Previous and Current Pet(s)
|
|
|
|
Please list animals (current & past) that have lived with you. Please list Name,
breed, age, how long you owned, inside/out and living or deceased. If deceased
or no longer living with you, what happened. Must have DETAILS!
|
|
|
|
Are all your current pets, spayed/neuterd and up to date
on vaccinations? (if NO, please explain in Comments)
|
|
|
|
Comments:
|
|
|
|
By submitting this application you acknowledge you have read and understand the SSTR
adoption process and policies listed on our website: www.SouthernShihTzuRescue.org AND
you are aware that you will be required to sign a detailed ADOPTION CONTRACT.
|
|
|
|
Applications are approve by the SSTR Board of Directors, ALL adoptions will be approved on the NEEDS of the
dog. Our Process and Policies are NOT all inclusive.
SSTR reserves the right to deny an application and terminate the adoption process at any time.
|
|
|
