Adoption
Application
RockySpot
Rescue, Inc.
http://www.rockyspot.com
Theresa Monnard, PO Box 98, Newcastle, OK 73065
405/699-7358
We appreciate your interest in our breed. Please complete the following so that we may know you better.
Date _________________
Name
_____________________________________________________________________________________
Address
___________________________________________________________________________________
_________________________________________________________________________________________
Home
phone (_____)_______________
Emergency contact________________________________________
Work
phone (_____)_______________ Personal
reference_________________________________________
Reference phone #__________________________________________
Best time to be contacted
_____________________________________________________________________
How did
you hear of us?
______________________________________________________________________
Why do
you want to own a
Dalmatian?
__________________________________________________________________________________________
__________________________________________________________________________________________
What do
you know about Dalmatians and where did you get your
knowledge?
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Do
you consider yourself/family to be active in such a way that it would include
your Dalmatian? ___________
Describe
__________________________________________________________________________________
_________________________________________________________________________________________
What
dogs do you currently have (breed, sex, age)?
_______________________________________________
_________________________________________________________________________________________
Have
you had?
_____________________________________________________________________________
How
do your dogs get along with other dogs?
____________________________________________________
_________________________________________________________________________________________
Is/are
dog(s) neutered?________________________ Ever breed a litter?
_____________________________Ever train in obedience?_______________________
Willing to train in obedience? _____________________
What dog food
fed?_________________________________________ How often?_____________________
Watered/dry?_______________________
Own cats?_______ Are they used to
dogs? _______
Name and address of veterinarian: ________________________________________________________________________________________
___________________________________________________________________Phone________________
Size
of yard __________________________________________________ Fence height
________________
Fence
type_______________________________________________________________________________
Enclosure
attached to the house? __________________ Yard completely enclosed?
____________________
What kind of shade in enclosure?
_____________________________________________________________
What kind of
accommodations do you have for the dog in the cold?
________________________________________________________________________________________
________________________________________________________________________________________
Anyone
home during the day? _______
Hours dog would be left alone
____________________________
Where will the dog stay during the day when
alone? ______________________________________________
Do you have a dog door
into house or garage? __________________
Do you own/have you used a dog
crate? ______________________
What do you do with your pets when you go on
vacation? ________________________________________
_______________________________________________________________________________________
Ages
of children in contact with dog
_________________________________________________________
Any asthma or
allergies in household to dogs or cats?___________
How
severe?_____________________________________________________________________________
Describe
neighbors that dog will be involved with (do they like dogs?, have children
(ages), have dogs or cats?)
_______________________________________________________________________________________
Any
problems with neighbors currently?_______
Explain
________________________________________________________________________________________
Own
your home? ____________ If not, please include a letter of permission from your
landlord to have a Dalmatian. Give landlord’s name, address and phone number:
_______________________________________________________________________________________
Please
specify what age/sex/color of Dalmatian you are looking for (if there is a
preference)
_______________________________________________________________________________________
Do
all parties (if more than one adult in house) want a Dalmatian?
__________
Any more questions about the breed we can answer?
_____________________________________________
_______________________________________________________________________________________
Adopted
pets need an adjustment time. Are you willing to give the new dog at least one
month trial to ensure proper adjustment?_______
What would, in your opinion,
constitute a reason for not keeping the dog?
________________________________________________________________________________________
Would you consider a second Dalmatian at a future date? ____________
We
are always in need of temporary homes for our rescue dogs. Would you be willing
to foster a needy Dalmatian if it is compatible with your life style and other
pets? __________
For how long? ______________ Until placed? __________
If a Dalmatian is placed with me/us, I/we agree to cooperate with ROCKY SPOT RESCUE (RSR) in its attempt to provide a smooth adoption. I also agree to contact RSR about problems that might arise in the future. Should the dog need to be placed, or euthanized (prior to normal old age), I will contact RSR first to determine whether the dog might be a candidate for placement elsewhere.
If the Dalmatian placed with me is not
neutered, I agree to give RSR a deposit of $50 and to neuter the dog within
________________. Once proof of neuter is received, the deposit will be
refunded. If dog is not neutered within time frame, I agree to relinquish the
dog to RSR.
Signed______________________________________________________Date______________________