Canine Adoption and Rescue League Adoption Application
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NOTE: YOU MUST BE 18 YEARS OR OLDER TO FILL OUT A DOG ADOPTION APPLICATION
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Applications will not be considered until you have met the dog(s) you are interested in.
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Your Name:
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Today's Date:
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Home Phone:
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Work Phone:
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Cell Phone:
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Home Address:
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City:
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State:
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Zip Code:
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Email Address:
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Name of dog or puppy you are interested in:
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2nd Choice
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3rd Choice
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Have you met any of your choices in person?
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How did you hear about Canine Adoption and Rescue League?
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You & Your Household: (list all that apply)
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Dog Experience:
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1. Never had a dog
2. Grew up with dogs
3. 1st dog as an adult
4. 1 or 2 dogs as an adult
5. Many dogs as an adult
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Household Members:
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Number of Adults 18 - 29
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Number of Adults 30 - 60
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Number of Adults over 60
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Number of Children
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Ages of children, if any
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Atmosphere:
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(quiet/calm, moderate, active, lively)
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Dog Will Live:
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(inside, outside, inside/outside)
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Dog Will Be Alone:
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(Rarely, 3 - 5 hours a day, 6 - 10 hours a day, more than 10 hours a day)
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Will dog be allowed on furniture?
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(Yes, No, Some)
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Will you exercise your dog on a daily basis?
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(Yes, No), Explain...
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Have dogs you have had in the past been
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(indoor dogs?, outdoor dogs?, indoor/outdoor dogs?)
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Do you have other dogs for companionship?
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(Yes, No)
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Where do you prefer the dog to sleep at night?
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Is anyone in your household allergic to animals?
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(Yes, No), If Yes, please explain...
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Housing Type:
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(House, Condo, Apartment, Mobile Home, Other)
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Do you own or rent?
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If rent, how long?
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Landlord's name and phone number:
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Do you have a completely fenced and secure yard?
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(Yes, No), If No, please explain...
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How tall is your fence?
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In the past, have you ever had a dog "escape" from your home or yard?
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(Yes, No), If Yes, explain...
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If applicable, were you able to find your dog?
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What did you do to find your dog?
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When you go on vacation, who will care for your dog?
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In what situations do you feel it is safe for your dog to be off leash?
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Who is your current veterinarian?
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The average cost of yearly check-ups, shots, county license, food, treats & toys is $2,000.00, not considering emergency medical bills.
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Are you willing and able to take on that expense?
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The average life expectancy of a dog is 10 to 15 years. We hope by best matching a dog to you & your family, we are placing the dog for the rest of its life!
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Are you willing to make this commitment?
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If you had to have a previous pet put to sleep, what source did you use?
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(Veterinarian, Animal Shelter)
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What methods would you use to housebreak your dog or puppy?
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What would you do if your dog or puppy had an "accident" in the house?
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What discipline would you use if your dog chews up any of your favorite things?
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What would you do if your dog is really naughty and just won't listen?
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Under which circumstances would you give up your dog?
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(Please list all that apply)
1. Dog barks too much
2. Big vet bills
3. Divorce/separation
4. Dog nips at strangers
5. Dog develops an illness
6. Having or had a baby
7. Dog is not the kind of dog I thought it would be
8. Dog bites kids
9. Can't train
10. Dog loses control of bowel or bladder
11. Moving
12. Allergies
13. Other (explain)
14. N/A
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Have you ever given up a pet?
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If yes, please explain the circumstances involved.
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Please list your current pets:
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(Include species, breed, gender, altered, age, How long have you had the pet?)
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Past pets of all household members: (last 10 years)
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(Include species, breed, gender, altered, age, Years the pet was with you (from-to)?, What happened to the pet?)
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By submitting this application, I certify that I am 18 years or older and the information I have provided is true and correct to the best of my knowledge. I understand that false information may void my application. I understand that C.A.R.L.'s main concern is that all pets be properly cared for by their owners. Once a dog is adopted, if it is found to be neglected or abused, C.A.R.L. reserves the right to reclaim the dog.
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