Adoption Application | Herd About Rescue

Date

Year

Month

Day

Name of the dog you are interested in (if any):

Contact Information:

First name

Last name

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Email

About your Family:

How many people live at this address:

What are the ages of everyone who lives at this address:

Do any children live or spend time at this address:

If yes, what are the ages of all the children who live/spend time at this address:

Does everyone at this address want to adopt a dog at this time?

Do all adults work outside the home?

How many hours per day will the dog be alone?

Have you ever adopted from a rescue/shelter before? If yes, which ones?

Has anyone in the home been denied adoption before? If yes, please explain why.

What is the general activity level like inside the home? (Loud, quiet, busy, calm, etc.)

What is the general activity level like outside the home? (Sporty, gardening, dog sports, quiet, not super active, etc.)

Has anyone at this address ever been charged or convicted of animal cruelty or neglect under any municipal, provincial, or federal law or regulation

About Your Home:

Is your home a:

Do you own or rent this home:

Own

Rent

If you rent, please provide the name and number of your landlord:

Is your yard fully fenced:

Yes

No

In not fenced, how will you contain the dog, and where/how will you exercise the dog daily:

About Current and Past Pets:

Do you currently have any dogs:

Yes

No

If yes, are they spayed/neutered:

Yes

No

If yes are they up-to-date with vaccinations:

Yes

No

If yes, are they good with other dogs:

If yes, what breed(s) are they:

Do you currently have any cats:

Yes

No

If yes, do you have any concerns with them meeting a new dog:

Have any of your current animals bitten or caused injury to another animal or a human:

Describe your current pets:

Tell us about any past pets:

Name of your vet clinic and/or veterinarian:

Clinic Phone Number:

What you are looking for:

Age you want to adopt:

Gender you want to adopt:

What other traits are important to you:

What traits/behaviours would NOT work in your home:

General Information:

Why are you interested in adopting at this time:

Do you have experience with herding breeds (some of our adoptees are NOT herders, we know :) )

Do you know/understand that most herding breeders are considered "barkier" than other breeds and understand this will be one of their on-going quirks:

If the rescue requires or recommends the dog you adopt attend an obedience class are you willing to do so:

Additional Information: Add here anything you feel we should know about your family, home or what you are looking for, or if you would like to expand on any of your answers above:

Adoption Application: