ADOPTION FORM
Information About You:
Name of Dog Instested In/Breed:
Your Name
Day Phone
Evening Phone
Address
City
State
Zip
Email
Basic Information:
How did you hear about OREBA Rescue Network Group?
Why do you want to adopt a dog?
How many years of experience do you have as a dog guardian?
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What type of dog are you interested in?
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Sex:
Age range?
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Color?
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Hair type?
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Activity level?
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Type of activity?
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Size?
Where would the dog stay during the day?
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Do you have an enclosed yard?
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How tall is your fence?
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Where will your dog sleep/which room?
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How long will the dog be home alone?
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If gone too long for a dog's bathroom needs, can you go home mid-day to take the dog out?
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Where will he/she stay?
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Who will be primarily responsible for the dog's care?
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Do all members of your household want a dog?
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If no, please explain?
Do you know that dogs should get yearly vet exams?
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How many days per week will you walk your dog? For how long/distance?
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Your walk speed: Slow, Moderate or Fast pace?
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Do you plan to jog with your dog?
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If needed, will you take your dog to Doggie Day Care, Dog Parks or Socials?
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Any special activity?
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Are you planning to obedience train your dog?
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Have you taken any dog training classes before?
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If so, name of school or trainer?
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What will you do if your dog develops behavior problems?
Do you have a vet?
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If so, may we contact them for reference?
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Vet name:
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Vet phone:
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Vet Address:
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Vet City:
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Vet State:
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Vet zip code:
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Do you understand that you will be sharing your life with a dog for 14-18 years, who is totally dependent on you for food, shelter, health, and verterinary care? Are you willing to make this long term commitment to a dog as a family member?
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Family Information
How many adults in your household? (including yourself)
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How many children in your household?
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Ages of children?
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Has your child lived with a dog in you home before?
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Do you have children visiting?
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If so, how often?
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Ages of children?
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Do you have pets currently? If so list type of animal, age, sex, indoor/outdoor, and weight.
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If you have a cat, has it lived with a dog in your home before?
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Do you live in a?
Do you rent or own?
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If you are renting, we require a signed note from you landlord/property manager that it is OK for you to have this dog.
If renting, landlord name:
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If renting, landlord phone:
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Would you agree to a home visit to ensure that it is secure for the pet?
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PLEASE READ AND CERTIFY THE FOLLOWING
I certify that all information in this application is true, and I understand that false information may void this application. I agree that upon adopting a bet from OREBA, I will agree and abide by their Adoption Agreement.
Yes, I certify that this is true.
Notes/Special instructions for OREBA Rescue Network Group:
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