Seattle Purebred Dog Rescue Adoption Application The answers you give on this application will help us to find the best possible match between you and the dogs available through SPDR. Please fill out the form completely and return with $5.00 processing fee to the address on back. If no phone number is given, this application will be discarded. Name:____________________________________ home phone:__________________________ Address:_________________________________ work phone:__________________________ City________________________________ State_________ Zip:_____________________ Email Address (if available):___________________________________________________ Best time to call__________________ Occupation:________________________________ Personal reference: Name:____________________________ Relationship:____________ Phone:__________________________ Do you own or rent your home?___________________________________________________ If rent, do you have landlord's permission to keep a dog?_______________________ Landlords name and phone number:________________________________________________ Do you live in a (circle)*house*apartment*trailer*other*describe________________ How long have you lived at this address?________________________________________ If less than one year give previous address_____________________________________ Do you have a fenced yard?_________ List fence height and type:________________ Does fencing completely enclose a yard for dog?_________________________________ If no fence, how will you handle dogs exercise and toilet duties?_______________ Do you have a separate kennel run?___________ List height and size:____________ How many adults in household?______________ How many children?_________________ Age and sex of children?________________________________________________________ Are there regular visitors to your home, human or animal, with which your new dog must get along?______________ Describe_____________________________________ Do you own other dogs?______________ Are they neutered?________________________ Give breed, sex and age of each: ______________________________________________ ________________________________________________________________________________ Do you own cats?______ How many?_____ Any other animals you own?______________ Do you have a regular veterinarian?______ Give name____________________________ Address and phone:______________________________________________________________ How many dogs have you owned in the last five years?____________________________ Give breed and list if you still own dog________________________________________ If not, what happened to dog (be specific)_____________________________________ What breed do you want to adopt? (if more than one, list in order of preference) ________________________________________________________________________________ ________________________________________________________________________________ Have you owned this breed before?_______________________________________________ Why did you choose this breed?__________________________________________________ List all plans for this dog (Circle) pet*guard*hunting*obedience*search&rescue Do you want to adopt (Circle) * Male *Female* *No preference* Color preference______________________________ Age preference__________________ Size preference____________________ If applicable, coat length_________________ I have marked my preferences above, but would be willing to consider a suitable dog of a different (circle) *sex* *color* *age* *size*
Where will dog spend the day?(Circle what applies) *Loose indoors* *Crate* *Basement* *Garage* *Fenced yard* *Loose outdoors* *Tied up outside* *Kennel run* *other* describe________________________________________________ How many hours, on the average, will dog spend alone?___________________________ Where will dog spend the night?(Circle what applies) *Loose indoors* *Crate* *Basement* *Garage* *Fenced yard* *Loose outdoors* *Tied up outside* *Kennel run* *other* describe________________________________________________ Do you understand SPDR requires this dog be spayed or neutered?_________________ Do you agree to license this dog and give regular health care?__________________ Do you agree to contact SPDR if you can no longer keep this dog?________________ Would you be willing to let a representative of SPDR visit your home by appointment?______ If no, why?_________________________________________________ How did you hear about SPDR?____________________________________________________ ________________________________________________________________________________ We do not charge for dogs placed in new homes, other than to recover our expenses. Actual adoption costs will vary for each dog, discuss this with your breed rep. Therefore, to continue our work we ask for a tax deductible donation if SPDR is successful in matching you with a dog. SPDR is non-profit, and depends on such donations to continue operating. ________________________________________________________________________________ All of the information I have given above is true and complete. Should an unneutered dog be placed with me, I agree to have it neutered within one month of adoption or by a date agreed upon by me and a representative of SPDR. This dog will reside in my home as a pet. I will provide it with adequate food, water, shelter, training, affection and medical care. I understand that SPDR is a referral service and is not responsible for the accuracy of information received about the temperament, habits or physical condition of dogs available for adoption. I understand that it is my responsibility to see and evaluate the dog for myself before agreeing to adopt it. I am in full agreement with these terms of adoption. Seattle Purebred Dog Rescue is in no way liable or responsible for any damage, accident or injury resulting from the placement of a dog into my household. _________________________ _______________________________________ ____________ Applicant signature Parent co-sign if applicant Date is under 18 years of age We reserve the right to refuse an applicant! ________________________________________________________________________________ Thank you for contacting SPDR. One of our representatives should be contacting you shortly after receiving your paperwork. If you have not received a response (by phone or mail) in 10 working days, call SPDR at 654-1117. Leave your name, phone number and breed or breeds of dog you wished to adopt. Note: Each breed is handled by a different representative, so it is important that you mention every breed that you listed in your paperwork. We hope that you will be contacted before this call becomes necessary, in most cases, you will be. But some of our volunteers handle a great deal of paperwork. This way we can be certain that yours gets the prompt attention it deserves. Please mail this form and $5.00 nonrefundable, for processing to: Seattle Purebred Dog Rescue, P.O. Box 3523 Redmond, WA 98073-3523 © (c) Copyright 1996 by Seattle Purebred Dog Rescue, all rights reserved. You may not distribute this document without prior written permission from SPDR.
The following agreement specifies what we feel is required to provide
a safe and loving home for a dog. Please understand that the details of
the contract reflect our concern that both owner and dog have a happy life
together.The conditions set forth are based on years of experience and a
continuing commitment to see that our rescue dogs find safe and happy permanent
homes. We hope that you will understand that considerable emotional involvement,
time and energy go into insuring that our rescue dogs have the best possible
second chance at life.
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If I am successful in the adoption of a dog through Seattle Purebred
Dog Rescue I herein promise and agree to the following conditions.
1 . To keep this dog in my personal possession, provide proper and sufficient
food, water, shelter, grooming and humane treatment at all times.
2. If this dog has not already been spayed or neutered at the time of adoption,
I AGREE TO HAVE HIM OR HER SPAYED OR NEUTERED AT MY EXPENSE within thirty
days. Proof of spaying or neutering will be provided in writing to Seattle
Purebred Dog Rescue within ten days of surgery. I will not allow this dog
to breed or be bred under any circumstances.
3. To procure veterinary care at once if it becomes sick or injured and
to keep current all vaccinations against rabies, distemper, parvo, and corona
viruses.
4. To provide him or her with an ID tag secured to a collar which will be
worn at all times. In addition, SPDR recommends tattooing or micro-chipping
as a means of permanent identification.
5. To obey any and all animal control regulations governing the area in
which I live, and to license this dog according to such regulations within
one month of adoption.
6. Not to sell, trade, transfer ownership, abandon, or dispose of this dog
in any way, but to notify SPDR if I must relinquish custody of the dog.
This includes release to family members.
7. To allow an SPDR representative to examine the dog and its living conditions
and to surrender it to said representative for return to the organization
if the conditions are found unsatisfactory.
8. To assume full responsibility for this dog's actions, and for any damage
done by this dog.
9. To keep this dog as my household pet and companion. To insure that when
outside and unattended, the dog is in a secure fenced yard or kennel run
with adequate shelter from the elements. To exercise him or her on leash
within a fenced yard or kennel run or by walking this dog on a leash, and
to never allow him or her to run loose without adequate adult supervision.
To never chain or tie this dog without being in attendance.
10. In accordance with Washington state law, I agree never to allow him/her
to be transported in the open bed of a pickup truck or similar vehicle.
The undersigned hereby agrees to abide by the "Terms of Adoption"
listed above.
_______________________________________ _____________________
Signature
Date
Sign and return this copy with your Adoption Application. No adopter will
be considered without prior consent to the "Terms of Adoption".
We suggest you make a copy for your own records.