Rescue Adoption Application 

Names:

Address:

City, State, Zip:

Phone numbers: home:                                 work:

    Cells:

Children's names, genders and ages:

For Adults, Ages:                     Relationship:               General Health:

Occupation of adults:

Are all adults in the household interested in getting a Greater Swiss or mix?

Does anyone have known allergies to animals?

Have you owned any dogs before?  

Have you ever surrendered a pet to an animal shelter?

If yes, please, explain the circumstances:

Breeds of Dogs owned and their ages during your ownership? 

Do you have dogs now? 

If yes:  What breeds:

           What ages:

           What genders:

           Spayed/Neutered? 

Do you have other pets?  

If yes, please list: 

Do you live in a house?                                     Apartment? 

Condo?                                          Other? 

Are you buying or renting your home?  

If renting, does your landlord allow dogs? 

Landlord's contact information:

            Name:

            Mailing Address:

            City, State, Zip:            

            Phone Number: 

Do you have a fenced yard? Back                     Front                    Height

What are your fences made of? wood               chain link              pickets

If not, how will you exercise your dog once or twice daily?

How many floors are in your home?           

How many flights and number of steps in each flight?

Where will your Swissy or mix live? 

Where will your Swissy or mix sleep?

Will you crate train your Swissy or mix?

Are you willing to take your Swissy or mix to at least one basic obedience class? 

Have you ever owned a Swissy before? 

Have you met any Swissies?

Are you familiar with the characteristics of a Swissy?            If Yes, in what way?

 

Are you familiar with a working dog temperament?            If Yes, in what way?

 

Please explain why you are interested in owning a Swissy or mix?

 

What do you like about the Swissy?

Are you interested in: Male           Female           What age Swissy would you prefer?

Are you aware that all purebred Swissy and Swissy Mix rescues over the age of 6 months are spay

or neutered before placement?

Are you aware that purebred Swissy 'rehomes' are done through that dog's breeder and on contract?

If a purebred comes available, may I forward this information on to that breeder?

Will you care for your Swissy or mix for the remainder of it's lifetime? 

If you can't keep your Swissy or mix, will you return it to it's Breeder or Rescue Organization?

If you find a Swissy or mix in need of rescue or rehome, will you contact the Breeder or Local Rescue

Organization Rep immediately?

Do you understand that Breeders or Rescue Organizations are more able to identify and locate owners

of lost dogs?

Do you understand Rescue placement and ownership restrictions?

Will you return your dog to the Breeder or Rescue Organization if you unable or unwilling to provide a

caring, happy home?

Will you return your dog to the Breeder or Rescue Organization if you have irresolvable temperament

or behavioral issues? 

 

Are you interested in doing fun stuff and activities with your dog? 

Please check those activities that interest you: obedience      carting (draft)     weight pull (freight haul)

herding      tracking    search and rescue    backpacking     agility     fly ball      visits to the park

any others (explain) 

Have you participated in any of these activities with other dogs? 

Are you aware of dietary and exercise needs of a Swissy or mix? 

Will you ask for information and advice about all concerns, should you need it? 

Do you understand that these are difficulties better discussed before problems might appear?

Please list two personal references: (helpful but not required)

Name:              

            Street Address:

            City, State, Zip:

            Phone Number:

 

Name:              

            Street Address:

            City, State, Zip:

            Phone Number: 

Your Veterinarian's Name:

Clinic Name and phone number:

 

May I talk with your Vet if your Swissy has any breed specific problems?

If you don’t have a Vet you trust, may I help you find one in your area?

Please, to submit via email, cut and paste these questions into a Word document, complete and send as an attached file.  Do not include the picture Banner at the top of the page when copying.  You can print this form, complete by hand and send via US Postage Service. 

Last modified: 04/11/08

Copyright © 2008  Nancy Sturgis, All rights reserved