Describe in detail - why did you chose this dog?
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What is the name of the dog you are interested in?
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Primary applicant FULL name:
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First Name
Last Name
Secondary applicant FULL name & relationship (spouse, roommate, etc):
First Name
Last Name
Phone 1
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Phone 2
(###)
###
####
Email
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Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Do you own or rent?
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Do you plan to move soon?
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Yes
No
Unsure
Do you live in a House, Apartment, or Townhouse/Condo?
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House
Apartment
Townhouse/Condo
Do you live on a military base?
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Yes
No
If you rent, do you have permission from your landlord?
Yes
No
Landlord's name & phone number:
Employer & Position Held
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Number of adults in the household besides spouse/S.O. & their relationship to you:
Number of children in the household, ages, & genders:
Have you ever had indoor dogs before?
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Yes
No
Have your children ever had indoor dogs?
Yes
No
Is anyone in the household allergic to pets?
Yes
No
What do you believe is the difference between adopting a dog from a rescue group as opposed to an animal shelter or city animal control/pound?
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What is the main reason you want to adopt a dog?
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Companion for self
Companion for child
Companion for other pet
Gift
Watch Dog
Name, Age, Breed & Genders of other dogs:
Any indoor cats? Have they been with other dogs?
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Are all your pets spayed/neutered? If not, why?
Have you ever given away a pet or surrendered a pet to a shelter? If yes, what were the circumstances?
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Do you agree to return this dog to DASH if the adoption does not work out?
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Yes
No
Where will your dog be kept when you leave the house?
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Where will your pet stay during the day?
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Where will your pet stay at night?
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Where will your pet stay if you are out of town?
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Will your pet be left outside unattended at any time? (Please explain)
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Are you familiar with crate training?
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Yes
No
What traits are you looking for in a dog?
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What is your desired "grown weight" of a dog?
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How long are you prepared to allow a new dog to adjust to its new environment?
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What activity level are you looking for in a dog?
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Are you familiar with the cost of veterinary care?
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Yes
No
What do you expect to pay in a year for your pet's medical expenses?
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Are you familiar with the cost of annual vaccines and with monthly flea/tick preventives?
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Yes
No
Are you familiar with heart worm disease and how to prevent it?
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Yes
No
How many hours each day will your pet be alone?
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Please describe the material, height, and condition of your fencing:
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Are there any holes or areas that can be "dug under" by a dog?
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Yes
No
Do you have adequate shade and shelter in your backyard?
Yes
No
Will you allow a home visit as part of the adoption process?
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Yes
No
If you are adopting a puppy, are you prepared for the chewing stages a dog goes through in its first year?
Yes
No
Are you willing to travel to meet your new pet?
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Yes
No
Are you aware that some dogs can live 15 years or more and are you prepared to care for your pet for its entire lifetime? (THIS INCLUDES ANY CHANGES IN YOUR LIFE SUCH AS DIVORCE, JOB LOSS, OUT OF STATE MOVES, & other unexpected changes?
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Yes
No
Have you ever house-trained or obedience-trained a dog before?
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Yes
No
Name of dog you are interested in?
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Do you consider yourself financially stable enough to provide for all your pet's needs?
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Yes
No
Under what circumstances would you surrender or return your dog?
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What behavioral issues will you not tolerate?
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What precautions will you take for interactions between your dog and children?
Vet recommendations and records for other pets may be required; may we contact your vet? What vet (Name, address, etc) will you use?
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Are you aware there is a $450 adoption fee that covers medical expenses and administrative costs?
Yes
No
Are you looking at any other rescue dogs other than ours?
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If you live with parents and are UNDER 21 a parent must send an email to sara@dashdog.org agreeing to your application. Do you understand?
Yes
No
PLEASE ADD ANY OTHER SPECIFIC INFORMATION ABOUT YOURSELF AND/OR FAMILY THAT WILL AIDE IN OUR DECISION-MAKING ABOUT PLACING THIS DOG OR ANY OF OUR DOGS IN YOUR CARE:
