| Name of dog you're interested in adopting: |
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| Your full name: |
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| Address: |
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| City: |
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| State: |
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| Zip code: |
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| Best time to contact you: |
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| Home/cell phone: |
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| Work phone: |
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| E-mail address: |
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| Your date of birth: |
(mm/dd/yyyy)
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Please explain what you like about this particular dog:
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If the above dog is not available, would you still want to be considered for other dogs? If yes, any specific kind?
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Is this dog for you or for someone else?
*SDR does not adopt dogs out to be given as gifts. Please have the person who will be caring for the dog answer these questions.
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| What are you looking for in a dog? |
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| When you're home, do you want your dog to be by your side: |
all of the time
some of the time
not much of the time
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What characteristics are you looking for in a dog?
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playful
laid back
watch dog
cuddly/lap dog
agility potential
companion for resident dog
mellow
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Have you had a dog before? If yes, when was the last time you had a dog?
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Are you comfortable investing money and time in training for your dog to improve manners such as jumping, counter surfing, pulling on the leash, etc.?
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Number of hours you work per day, and how many days per week:
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Names and ages of all children living with you, or who visit regularly:
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Who, besides immediate family, resides with you?
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Do you own or rent your current residence?
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If you rent, please provid the name and phone number of your landlord:
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Is this a house, duplex, condo, townhouse, apartment, or mobile home?
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How long have you lived at your current residence?
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Do you know the city animal ordinances/licensing procedures? Please explain.
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Do you have a fenced-in yard? If yes, what type of fence is it, and how tall?
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If you do not have a fenced-in yard, explain how you will allow for the dog to relieve itself.
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Will the dog be kept inside or outdoors?
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Please explain where/how dog will live, and what a typical day would be for the dog:
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How many hours per day will the dog be left alone?
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Will the dog be crated during the day? If so, for how long?
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Do you currently have any other animals living with you? Please describe them, including ages, breeds, health conditions, whether spayed/neutered, current on shots, training they have received, etc:
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Please list any companion animals you have had in the last five years, and explain where they are now/what happened to them:
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What steps have you taken to learn about this breed and/or dog guardianship?
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If this dog needs to be housebroken, what measures do you take to housebreak a dog?
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How would you handle accidents or misbehaving?
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What behavioral and/or training issues can you absolutely not deal with?
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If you were to return this dog to us for any reasons, what might they be?
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If, for any reason, you are unable to keep this dog, will you agree to return him/her to SDR?
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Would you allow a volunteer of SDR to make a preliminary home visit and follow up?
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Does any person residing in your home have any allergies to any substances, including animal dander?
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How much do you estimate the cost of this dog would be on a yearly basis? Please give an estimate and explain.
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Please provide the name and phone number of your vet:
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Please provide the names and phone numbers of at least three references. You will not be considered for any adoptions unless we have three references.
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| Only one family member can be considered as a reference. Your vet cannot be considered as a reference. |
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How did you hear about us? Please be specific (PetFinder, Craigslist, Google, etc.)
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SDR fee/adoption policy:
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I understand that Small Dog Rescue of Minnesota's policy for adopted dogs is that if I should not be able to keep the dog within the first seven days, that I am entitled to a partial refund of the adoption fee (all but $100), or I can choose to put the whole adoption fee toward another dog with Small Dog Rescue.
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I understand that after seven days from the adoption date, all of the adoption fee is non-refundable.
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I understand that adoption fees are charged to cover costs incurred for medical and foster care. Small Dog Rescue of MN does not condone the sale of animals for any reason.
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Sales tax is applied to adoption fees in compliance with Minnesota state law regarding animal rescue organizations.
I agree to these terms
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