RockySpot Rescue, Inc.
Theresa Monnard, PO Box 98, Newcastle, OK 73065
We appreciate your interest in our breed. Please complete the following so that we may know you better.
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? ___________
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?_____________________
Own cats?_______ Are they used to dogs? _______
Name and address of veterinarian: ________________________________________________________________________________________
Size of yard __________________________________________________ Fence height ________________
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?___________
Describe neighbors that dog will be involved with (do they like dogs?, have children (ages), have dogs or cats?)
Any problems with neighbors currently?_______
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? _____________________________________________
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.