Le repaire de Sasha - Adoption form

Le repaire de Sasha -

If you are interested in adopting a dog from Sasha's Den, please take a moment to fill out all fields in the form below.

By typing your name in the last box, you certify that the information you have provided on this form is the truth.

PLEASE MAKE SURE THAT YOU TYPE THE SECURITY CODE IN THE BOX AT THE END OF THE FORM, OR ELSE WE WILL NOT RECEIVE YOUR APPLICATION.

Sasha's Den reserves the right to refuse any adoption application that does not meet the needs of one particular dog. These criteria vary from one animal to the other, according to what we believe is in their best interest.

Sasha's Den is not a shelter and is not open to the public. Our dogs are fostered in private homes. It is therefore of no use to write to us asking to visit a dog the very same day. We set up appointments with approved applicants only, and according to our foster homes' availabilities.

Sasha's Den is managed voluntarily and outside of our regular work schedules and family lives. Please allow 24-72 hours for the processing of your application. We receive hundreds of email messages weekly. If you do not hear from us within 72 hours, please do send us a courteous reminder.

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 that appears in the picture below:

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