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Your Details

First Name*

Last Name*

Email*

Phone number*

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Address Line 1*

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City*

State/Province*

Postal Code*

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Additional Information For Your Application(s)

1 X Initial Application and Adoption Process

Name of the dog you are interested in

Required

Characters Remaining: 500

Date

Required

We reserve the right to refuse any adoption that we feel will not suit the dog's/puppy's requirements. Please complete the questionnaire for adoption as completely as possible. Dogs/puppies are fun, loving, playful, & a lot of work. Please be sure you can make a commitment to the care of the pet before you decide to adopt.

For questions that don't apply, please write "N/A".

Why do you want to rescue a dog?

Required

Characters Remaining: 2000

How long have you been looking?

Required

Characters Remaining: 500

What breed are you interested?

Required

Characters Remaining: 500

Any preference with males or females?

Required

Characters Remaining: 500

What age are you looking for?

Required

Characters Remaining: 500

Employer:

Name of employer:

Required

Characters Remaining: 500

Occupation

Required

Characters Remaining: 500

How long have you been with this current employer?

Required

Characters Remaining: 500

Are you able to leave work and go home for lunch or otherwise, if necessary?

Required

Do you have a spouse?

Required

Spouse’s Employer:

Required

Characters Remaining: 500

Spouse’s Occupation:

Required

Characters Remaining: 500

How long has your spouse been with their current employer?

Required

Characters Remaining: 500

What type of residence do you live in?

Required

Other

Required

Characters Remaining: 500

Do you own or rent?

Required

Leasing Company or Landlord’s Name:

Required

Characters Remaining: 500

Landlord’s Phone #:

Required

Characters Remaining: 500

Do you agree to allow GODR to talk with your landlord?

Required

Do you have a private fenced yard?

Required

Height of fence at shortest point (feet):

Required

Characters Remaining: 500

Type of fencing:

Required

Characters Remaining: 500

Do you have a balcony?

Required

If yes, type of fence:

Required

Characters Remaining: 500

Do you have a pool?

Required

If yes, is it fenced/gated?

Required

Do you have a Sego Palm tree(s) in your backyard?

Required

Will you allow GODR to do home checks & pre – home check consist of pictures of backyard and inside the home?

Required

How many adults live in your house (including yourself)?

Required

Characters Remaining: 500

How many children are in the home?

Required

Characters Remaining: 500

If no children, do you expect this to change during the lifetime of the dog?

Required

Do you often have people visiting your home?

Required

Do you often have children visiting on a regular basis?

Required

Does anyone living in the home smoke?

Required

If yes, where do they primarily smoke?

Required

Where will your dog spend most of the day?

Required

Characters Remaining: 500

Please explain and be specific:

Required

Characters Remaining: 500

Will your dog be left alone in the house?

Required

If yes, for how many hours?

Required

Characters Remaining: 500

Will your dog ever be left unattended outside while no one is home?

Not including when the dog goes outside to go potty and someone is home who may be working on his or her computer. (We are referring to if someone leaves the dog outside unattended. When they go to work for 7-8 hours a day.).

Required

When you are not home where will your dog be kept?

Required

Characters Remaining: 500

Will your dog be crated/kenneled?

Required

If yes, for how long?

Required

Characters Remaining: 500

Do you have a dog door?

Required

If not, will you install one?

Required

Is anyone home during the day?

Required

Is the dog allowed on the furniture?

Required

How active is your lifestyle?

Required

How do you plan to exercise your dog?

Required

Characters Remaining: 500

Where will your dog sleep? (be specific)

Required

Characters Remaining: 500

Do you have other pets?

Required

If yes, what types?

Required

Characters Remaining: 500

As an adult, have you ever had a dog before?

Required

If yes, how long?

Required

Characters Remaining: 500

If yes and you no longer have him/her, what happened? Please explain below:

Required

Characters Remaining: 500

Do you have a dog now?

Required

If yes, what breed(s)/age(s):

Required

Characters Remaining: 500

Are they spayed/neutered?

Required

If No, please explain:

Required

Characters Remaining: 500

Do they get along with other dogs?

Required

Are they vaccinated?

Required

Vaccines up-to-date?

Required

Have you ever given up a pet before?

Required

If yes, why? (be specific)

Required

Characters Remaining: 500

If you had to suddenly relocate or had other drastic lifestyle changes that made it hard to keep your new pet what would you do with him/her? Please explain below:

Required

Characters Remaining: 500

Please list all the reasons you can think of that would prevent you from keeping your adopted dog. PLEASE BE HONEST WITH YOURSELF…At times there are legitimate reasons that this could happen and this information will help us match you with a dog that suits your needs:

Required

Characters Remaining: 500

Are you prepared to make a commitment of 10-18 years to this dog?

Required

Do the costs of vaccinations, medical care, licensing, grooming, and/or general up-keep of your dog present any financial problems for you?

Required

Are you prepared to spend between $600-2,000+ for an emergency vet bill at any given moment?

Required

Current Veterinarian’s Name (if you have one):

Required

Characters Remaining: 500

Vet's Phone Number

Required

Characters Remaining: 500

Do you give GODR permission to speak to your vet?

Required

If yes – please tell them it will be under Girls of Dog Rescue – one of the members from the rescue will be calling.

Optional

Characters Remaining: 500

Do you have experience with the breed you are interested in?

Required

Are you willing to give the dog time to adjust to the new household and start feeling comfortable in its new surroundings?

Required

Do you have experience with puppies?

Required

Have you ever trained a dog/puppy?

Required

Are you willing to take this dog to obedience class, if necessary?

Required

Are you willing to adopt a dog that requires housebreaking?

Required

Does your commitment to your pet include working through issues? (ie: housebreaking, fear of strangers, chewing, fear, separation anxiety, walking on leash, etc.)

Required

If your answer above is “Depends on Issues” then please explain below:

Required

Characters Remaining: 500

For any reason, it doesn’t work out with the Adopted Pet in 4 or 5 years or whatever time period, maybe as an adopter. You would need to return the dog back to the rescue as we would accept any of our pets who we adopted out to our adopted families. As a potential adopter, understand that you, as an applicant, need to return the dog to the rescue does, not rehome the dog yourself.

(initial)

Required

Characters Remaining: 500

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Your Details

Additional Information For Your Application(s)

1 X Initial Application and Adoption Process

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