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 our fosters of all breeds into new,
carefully screened homes. 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
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 *
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 *
Veterinarian's
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.
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
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 signed
copy of 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.