All4Mutz
Wednesday, March 10, 2010
 Application Details: Minimize

• You must be 21 years of age
• You must be willing to make a ten- to twenty-year commitment to the dog
• We do not adopt to students.
• We do not adopt dogs as gifts.
• All dogs will be INDOOR companions.
• Any children in the home must be over the age of 5, unless there is another dog in the home and the toddler knows how to respect a dog's space.
• All current pets in the household MUST be sterilized and current on all shots(and we do call and verify this information)
• Our adoption contract legally binds you to provide the dog with proper veterinary care, including a yearly wellness exam, up-to-date required vaccinations and emergency care if necessary.
• We reserve the right to deny an application without explanation.

 
 
Please do not leave answers blank; if you do your application will be denied.
 Online Application Minimize
Send Email To  
Your Name  
Email Address  
Co Applicant  
What is the name of the dog you are intrested in  
Address  
City  
State  
Zip  
Home Phone  
Work Phone  
Cell Phone  
Best time of day to be contacted  
Occupation of adults in household  
Age of Adults in household  
Are there children in the household  
Names and Ages of Children:  
When is the earliest you can meet the dog: (Please put day of the week, not asap)  
If you are not local how would you be getting the dog:  
Primary Residence  
If you rent are pets allowed:  
Name and Number of Landlord:  
Type of Residence:  
Do you have a fenced yard:  
Description of fence (Height, Completely enclosed, Size)  
Will the dog be outside unattended  
How many hours will dog be alone during the day:  
Where will dog stay when home alone?  
Where will dog stay at night:  
Will you allow us to do a homevisit: (if not local can local rescue do home visit)  
Are you looking for a dog as a :  
Have you ever owned a dog:  
What other Animals Do you Currently Have:



 
Type, Breed, Sex and Age of owned dogs and cats  
Are they spayed or neutered:  
If not altered why not?  
Where are these animals kept:  
What other pets have you had in the past?  
What happened to them  
What problems did you have with them:  
Have you ever surrendered a dog to the shetler or a rescue:  
Have you ever given away or sold a dog:  
Adopted pets need time to adjust; are you willing to give the new dog at least one month to allow the dog to adjust:  
What would be a reason for not keeping an adopted pet (check all that apply:)






 
If you currently have a dog what BRAND of food are you using?  
If you do not have a dog what type will you be using:  
Do you use heartworm preventative with your pets? If you do not currently have a dog will u be using preventative?  
Type:  
Do you use flea preventative with your pets?  
Name of Current Veterinarian  
Phone Number  
May we contact your Vet?  
If no current Veterinarian, Name and number of Past Veternarian  
If no Veterinary reference, please provide the Name and Number of 2 personal references other than a relative.  
Does Everyone in your household agree on adopting this dog?  
Are you 100% sure you want to adopt a dog today?  
Anything else you would like to add?  
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