Date
*
MM
DD
YYYY
Name
*
First Name
Last Name
Email
*
Age
*
Phone
*
(###)
###
####
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Employment Status
Employed
Unemployed
How long at your current residence?
*
How many adults live in your household?
What are their ages?
How many children live in your home?
*
What are their ages?
*
Are you looking to foster or adopt?
*
Foster
Adopt
Have you previously been approved as an adopted by Cane Rosso Rescue?
*
Yes
No
Does anyone living in the home have allergies to pets? If yes, please explain*
Do you own or rent your home?
*
Own
Rent
Do you plan to move in the near future?
*
Yes
No
What type of home do you live in (house, apartment, etc.)?
*
If a rental, are dogs allowed? Are there breed restrictions?
What are the size restrictions, if any?
Manager / Landlord name and phone number
Describe your yard
*
Where will the dog live (not including walks & playtime)?
*
Where will the dog spend nights?
*
Do you have a securely fenced yard? If so, what kind? Please be detailed.
*
Will you allow the dog to run loose? If yes, where?
*
How many hours per day will the dog be alone?
*
Where will the dog stay when left alone?
*
In the absence of the primary caregiver, who will care for the dog?
*
If for some reason you are not able to care for this pet in the upcoming future, what will you do with this adopted dog?
*
Have you ever had to return or surrender an animal in the past? If so, please list circumstances.
*
Have you researched hunting breeds? Do you have any prior experience with them?
*
Are you willing and able to pay veterinary costs of caring for your new pet?
*
Yes
No
If the dog is not house trained, how will you manage this?
*
Would you consider obedience training if required or recommended?
*
Yes
No
How much time are you prepared to allow for your new pet to adjust to your home?
*
Will you be able and willing to regularly exercise this adopted dog?
*
Yes
No
Please describe your method of exercise.
*
Please list current pets names, species and breed, age, sex, spayed/neutered, current on vaccines and if they are indoor or outdoor.
If you currently have dogs, are they on heartworm preventative year round? If no, please explain.
Please list past pets names, species and breed, age at time of separation, years owned, sex, spayed/neutered, current on vaccines and if they were indoor or outdoor.
If you had dogs, were they kept on heartworm preventative? If no, please explain.
Will your new dog be on heartworm prevention?
*
Yes
No
Please list name and phone number of current vet.
*
Do you consider your pets a part of the family?
*
Yes
No
Are you aware that a dog is a large and lifelong commitment?
*
Yes
No
Are you willing and able to take care of this pet for its natural lifetime?
Yes
No
Name of dog you are interested in?
*
