Adoption Application

RockySpot Rescue, Inc.

http://www.rockyspot.com

Theresa Monnard, PO Box 98, Newcastle, OK 73065

405/699-7358

Theresa@RockySpot.com

 

We appreciate your interest in our breed. Please complete the following so that we may know you better.

 

Date _________________


Name _____________________________________________________________________________________


Address ___________________________________________________________________________________


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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?
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What do you know about Dalmatians and where did you get your knowledge?
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Do you consider yourself/family to be active in such a way that it would include your Dalmatian? ___________


Describe __________________________________________________________________________________


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What dogs do you currently have (breed, sex, age)? _______________________________________________


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Have you had? _____________________________________________________________________________

How do your dogs get along with other dogs? ____________________________________________________

 

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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? ________________________________________________________________________________________

 

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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? ________________________________________


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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?)
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Any problems with neighbors currently?_______
Explain
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Own your home? ____________ If not, please include a letter of permission from your landlord to have a Dalmatian. Give landlordís 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? _____________________________________________

 

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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______________________