APPLICATION

HOW TO ADOPT A DOG FROM THE SENIOR DOG HOUSE AND RESCUE

The Senior Dog House and Rescue is a non-profit adoption referral organization dedicated to placing unwanted and abandoned dogs of all breeds into new, carefully screened homes.

People who apply to adopt a dog through SDHR must fill out an extensive application form, explaining why they want a particular dog, how they plan to care for the dog and what kind of home they will provide. When an application is received, it is either approved or declined. Applicants for dogs may be declined if it is felt they cannot provide a suitable home for a dog. You should hear within 7-10 days after your application is received.

We will review our listing forms from private individuals wanting to place their dogs. Approved applicants will then be referred to owners of dogs most closely fitting their description of what they are looking for. If a dog that matches your request turns up in the shelter, we will refer you to the shelter. You would then have to be approved by the shelter and would adopt directly from the shelter.

Owners adopting dogs are under no obligation to accept any dog referred by SDHR. If you feel a dog is not right for you, simply notify us. We will continue to refer applicants we feel might be suitable until the right match is found.

We will do our best to help you find a dog. However, SDHR can in no way guarantee an immediate placement. Adopters should expect to spend some time working with SDHR to find the best dog for their requirements.

We warn adopters that dogs in most area animal shelters are kept for a very limited time. The shelters do not have the space to keep the large number of dogs surrendered by their owners and turned in as strays. If you are notified about a dog in the shelter, please respond promptly.

SDHR charges a non-refundable $10.00 processing fee to help cover immediate costs. Actual adoption costs will vary for each dog. However, if we were successful in helping you adopt a dog, we would very much appreciate a further donation. SDHR is non-profit and depends on such donations to continue operating.

THANK YOU FOR ADOPTING A DOG FROM SDHR!

THE SENIOR DOG HOUSE AND RESCUE ADOPTION APPLICATION

The answers you give on this application help us to find the best possible match between you and the dogs available through SDHR. In addition to sending this application, you must also send a non-refundable $10 processing fee and the Terms Of Adoption Agreement at the bottom of the page (which requires a SIGNATURE, so print it out) to an address that will be supplied to you.

Please LEFT click on all of the application questions below and highlight them. Then go up to the gray bar at the top of your page where it says, "Edit." Click on it and hit "COPY." Next, click on this email link and paste what you just copied into the email message (it would again be under "EDIT" and all you do is hit "PASTE." Easy! Be sure to answer each question, and PLEASE LEAVE A SPACE BETWEEN EACH QUESTION so it's easy to read. Thanks!

Click here to send application via email and for more information!

List breed and name of dog you are applying to adopt:

Name

Home phone

Work phone

Address

City

State

Zip Code

Email address

Best time to call

Occupation

Personal reference 1: Name, phone # and Relationship

Personal reference 2: Name, phone # and Relationship

Personal reference 3: Name, phone # and Relationship

Do you own or rent your home?

If rent, do you have landlord's permission to keep a dog?

Landlord's name and phone number?

Do you live in * 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? Fence height & type

Does fencing completely enclose a yard for dog?

If no fence, how will you handle dog's exercise and toilet duties?

Do you have a separate kennel run? 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? (Circle) * Yes * No *

Name?

Address and phone number?

Have you owned a dog before?

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)

Why did you choose the breed you had as well as the breed you are applying to adopt?

List all plans for this dog (circle) pet * guard * hunting & obedience * search & rescue *other

If other, please describe

Do you want to adopt (circle) * Male * Female * No Preference *

Color preference Age preference Size preference (circle) * small * medium * large

I have marked my preferences above, but would be willing to consider a suitable dog of a different (circle) * sex * color * age *

Where will the 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 average, will dog spend alone?

Where will dog spend the night? (Circle what applies) Loose Indoors *Crate * Basement * Garage * Fenced Yard * Loose Outdoors * Kennel run * Tied up outside * other *

Describe

Do you understand SDHR requires this dog to be spayed or neutered?

Do you agree to license this dog and give regular health care?

Do you agree to contact SDHR if you can no longer keep this dog?

Would you be willing to have a representative of SDHR visit your home by appointment?

If not, why?

How did you hear about SDHR?

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 a SDHR representative. Therefore, to continue our work, we ask for a donation if SDHR is successful in matching you with a dog. SDHR 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 SDHR. 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 SDHR 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. The Senior Dog House and Rescue is in no way liable or responsible for any damage, accident or injury resulting from the placement of a dog into my household.

By sending this email, I agree to all of the above conditions and am responsible for adherence to this agreement. I understand I will also send a $10 processing fee and the Terms Of Adoption Agreement before my application will be finalized.

Date sent:

We reserve the right to refuse an applicant!

Thank you for contacting SDHR. 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, please email us and provide your name and phone number. 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.

You may also print out and answer the questions, returning it with a $10.00 non-refundable processing fee. Please email the Webmaster for instructions.

THE SENIOR DOG HOUSE AND RESCUE "Terms of Adoption"

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. If I am successful in the adoption of a dog through The Senior Dog House and 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 THIS DOG SPAYED OR NEUTERED AT MY EXPENSE within thirty days. Proof of spaying or neutering will be provided in writing to The Senior Dog House and Rescue within ten days of surgery. I will not allow this dog to breed or to be bred under any circumstances.

3. To procure veterinary care at once if this dog becomes sick or injured and to keep current all vaccinations against rabies, distemper parvo and corona viruses.

4. To provide this dog with an ID tag secured to a collar which will be worn at all times. In addition, SDHR 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 two weeks of adoption.

6. Not to sell, trade, transfer ownership, abandon or dispose of this dog in any way, but to notify SDHR if I must relinquish custody of this dog. This includes release to family members.

7. To allow a SDHR representative to examine the dog and its living conditions and to surrender it to said representative for return to SDHR if the conditions are found to be 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, this dog is in a secure fenced yard or kennel run with adequate shelter from the elements. To exercise this dog within a fenced yard or kennel run or by walking this dog on a leash, and to never allow this dog to run loose (except in an off-leash dog park) without adequate adult supervision. To never chain or tie this dog without being in attendance.

10. To never allow this dog to be transported in the open bed of a pickup truck or other similar vehicle. The undersigned hereby agrees to abide by the "Terms of Adoption" listed above.

_______________________________________ _______________________________________

Signature and Date

___________________________________________

Witness

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.