Adoption application/dogs

NAME OF THE DOG YOU ARE APPLYING FOR::

Your name::

Your complete address::

Your phone number::

Your email address::

Retype your email address::

How did you hear about Sasha's Den ?:

What type/breed of dog do you wish to adopt ?:

Gender::
Female
Male
No preference

Age::
a) Puppy (9 months and under)
b) Young (9-18 months)
c) Adult (18 months-6 years)
d) Mature (6-8 years)
e) Senior (8 years and over)

Energy level:
a) Calm
b) Moderately active
c) Very active

Coat type:
a) Shorthaired
b) Longhaired
c) Wirehaired (terrier type)
d) Hypoallergenic

Size:
a) Small (20 lbs and under)
b) Medium (20-40 lbs)
c) Large (40-80 lbs)
Extra-large (80 lbs and over)

Who will be the primary caregiver for this animal ?:

Are all your family members interested in this adoption ?:
yes
no

What type of dwelling to you live in ?:
a) House
b) Apartment

Do you own or rent ?:
a) Own
b) Rent

If you are renting, do you have the permission from your landlord to keep an animal ?:
yes
no

If you are renting, do you give us permission to contact your landlord ?:
yes
no

Name of landlord::

Landlord's phone number::

Do you have access to a yard ?:
yes
no

If so, is it fenced in ?:
yes
no

What is the fence's height ?:

Please give us the names of the adults in your household::

Please give us the names and age of the children in your household::

If there are children in your family, have they ever lived with dogs ?:
yes
no

Do children visit your family, either occasionally or regularly ?:
yes
no

What is the work schedule of the adults in your household ?:

How many hours will the dog spend alone on a typical weekday ?:

How many hours will the dog spend alone on weekends ?:

Where will this dog be kept while you are away ?:

Where will this dog be kept while you are home ?:

Where will this dog sleep ?:

Do you have any pets at the moment ?:
yes
no

If so, please give us the name, age and breed for each::

If you have pets, how do they get along with other dogs ?:

Are your pets spayed/neutered ?:
yes
no

If not, why ?:

Have you had pets before ?:
yes
no

If so, what happened to them ?:

Have you trained a dog before ?:
yes
no

If so, how (crate, type of collar, type of correction, etc) ?:

Have you ever taken obedience lessons with a dog ?:
yes
no

If so, what type and where ?:

Why are you looking to adopt a dog ?:
a) Companionship
b) Obedience traning
c) Agility/flyball training
d) Other (please explain below)

Other: please explain::

How do you plan to solve behavioural issues, should they come up with your dog ?:

What type of behavioural issue would you not accept to deal with ?:

Are you aware that Sasha's Den requires that the dog is returned in those circumstances ?:
yes
no

Are you aware that adopting a dog is a long-term commitment ?:
yes
no

Do you have sufficient financial resources to properly care for a dog ?:
yes
no

Do you have sufficient financial resources to handle a vet emergency ?:
yes
no

Are you aware that all of Sasha's Den's dogs are spayed/neutered prior to adoption ?:
yes
no

Do you have a veterinarian ?:
yes
no

If so, what is his (her) name and what is the clinic's address ?:

Sasha's Den sometimes requires that a home visit is performed prior to approving an application.:
a) I agree to a home visit.
b) I do not agree to a home visit.

Please feel free to add any information that you feel might help us with this application::

By typing my name here, I hereby certify that all info I have provided is true::

Please type the text below: