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Application for AdoptionTo use this application, please highlight the entire application, copy, and paste it into your email program. Yo u can then fill it out by moving with your mouse or arrow keys. Please send the application to: thefarm@morrisoncorner.com Date applied ________________
If you are applying for a specific dog, which dog were you looking at? ____________________ Why were you looking at this particular dog? _(please take all the space you require for an answer)______________________________________________________________________ _____________________________________________________________________________ Applicant(s) 1. ________________________________________ H phone___________
(Whose should we use? __________) Street address ___________________________________________________________ City/State/ZIP ______________________________ E-mail_______________________ No. of adults ________ Age range ________ No. of children _________ Ages_________ Do children frequently visit?________________________________________________
Do you have a fenced yard _______ Type/height of fence ____________________ Other animals in the home: Type/Name Age Sex Altered? Characteristics(friendly/dominant/shy) _______________ ___ ____ ______ _________________________________ _______________ ___ ____ ______ _________________________________ _______________ ___ ____ ______ _________________________________ _______________ ___ ____ ______ _________________________________ _______________ ___ ____ ______ _________________________________ Is someone home during the day? _________ # Hours the dog will be alone______ Where will the dog be during the day? _______________ At night? _____________ PREFERENCES (if any) M or F ______ Age _______ Would you consider over 5? ______ Over 8?______ Do you have a preference for Color __________ Coat __________ Other____________ Will you consider crating the dog? ________________________________________ Activity level you want -- or cannot tolerate ___________________________________________________________________ Must your dog be purebred? ______ Would you like us to share this application with another escue group?___________ Would you consider fostering a dog that does not match your preferences while waiting to adopt?______________________________________________________________ Check the traits most important to you ___ Good with children ___Good with dogs ___ Good with cats ___ Travels well ___Friendly ___ Low energy level ___ High energy level ___ Plays fetch ___Won't need obedience training ____ Can eventually go off leash ___ Doesn't chew ___ Doesn't jump up ____ Will run with jogger ___Obedience competition potential ___hunting dog Other traits/characteristics that are important to you ______________________________________________________________________________ ______________________________________________________________________________ HOME Applicant's Employer ______________________________ Position _________________ Co-applicant Employer _____________________________ Position _________________ Do you live in (circle) House Townhouse Apartment Duplex Other_____________ Own or rent? _________ Landlord (if rent)______________________________ Type of setting (city, suburb, country, etc.)_________________________________ How will the dog be exercised ___________________________________________ __________________________________________________________________ Other pets you have had in the last 10 years: Type/Name Age Sex Altered? Where are they now? If deceased, reason. _________ ___ ____ ______ _____________________________________ _________ ___ ____ ______ ______________________________________ _________ ___ ____ ______ ______________________________________ _________ ___ ____ ______ ______________________________________ Have you ever participated in obedience training with a dog? ___________________ Do you plan to do training with this dog? __________________________________ REFERENCES Please give the names and phone numbers (or email, which would be great) of two references: __________________________________________________________________ __________________________________________________________________ Please give the name and phone number of the veterinarian you plan to use __________________________________________________________________ List other rescues to whom you have applied _______________________________ I ACKNOWLEDGE THAT ALL THE INFORMATION CONTAINED IN THIS FORM IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT ANY MISREPRESENTATIONS OF FACT MAY RESULT IN THE REMOVAL OF THE ADOPTED DOG FROM MY HOME BY RAGTAG. Signed ___________________________________________ Date ____________ Signed ____________________________________________ Date ___________ Mail email this application to thefarm@morrisoncorner.com AND send a copy to Rescue@peppertree.org if you are based outside of Vermont. The maximum Adoption Fee for a RagTag dog is $250. The minimum is $100. |