All Dog Rescue of Florida Adoption Application

We do not adopt out our dogs outside of an hours drive of the Clearwater FL area**

Dog Name: *

M/F *

AGE/DOB *

All Dog Rescue of Florida, Inc. (ADR) is responsible for the welfare of the dogs we place. ADR takes great care in selecting an appropriate home for each dog.

Please fully and carefully complete the following questionnaire to assist us in this endeavor.

First & Last Name: *

Address: *

City/State/Zip: *

Cell Phone: *

Home Phone: *

Employer: *

Position: *

Address: *

City/State/Zip: *

Drivers License #: *

Email Address: *

1: Why do you want a dog? *

2. Number of people living in house: *

Ages: *

3. Do you or any of the other people in your house have allergies: *

4. Do the other people in your house consent to you adopting a dog? *

5. Do you live in a: *

6. Do you live in the: *

City

Suburb

Rural

Campus

7. Do you: *

Rent

Own

Live with Parents

8. If you rent give the landlord's name, address & telephone number: *

9. Does your landlord consent to having animals on the premises? *

10. When does your lease expire? *

11. What happens to the dog when you move? *

12. Will the dog be left alone while you are at work? *

13. Where will the dog be left while you are at work? *

How long? *

14. Where will the dog sleep at night? *

15. Are there other pets in the household? *

If so, list them: *

16. Are they all spayed/neutered? *

17. Do your pets get along with dogs? *

18. Are your dogs licensed? *

19. What kind of food or diet is your current dog/cat on? *

20. Do your other pets receive regular veterinary care? *

21. Date of last visit to the vet: *

22. Please state the name of the Veterinarian you use: *

23. Current Veterinarian's telephone number: *

24. Do you give ADR permission to contact your Veterinarian? *

25. Have you ever owned an animal before? *

26. What are your thoughts on discipline? *

27. How do you currently discipline your pets? *

28. Do you have a fenced yard? *

Type of fence? *

Height: *

29. Does the fence encompass the entire yard? *

30. Does a door to your house open into the fenced area? *

31. Do you plan to use a portable dog run? *

How many hours per day? *

32. Do you plan to use an overhead cable? *

How many hours? *

33. Do you plan to use a crate? *

How many hours per day? *

34. Do you plan to take the dog to obedience? *

35. How, where and by whom will the dog be exercised? *

36. What is your past experience with dogs & cats? *

37. Do you understand the responsibilities and commitment of pet ownership? (Medical, feeding, grooming, adhering to the veterinarian recommended vaccination schedule, not lett the dog run loose?) *

38. Do you understand that children and dogs should not be left alone together unsupervised for the safety of both? *

39. Are you aware of the Animal control laws in your area? *

40. Will you adhere to any local ordinances regarding curbing your dog? *

41. Where id you hear about ADR?

TV

Radio

Flyer

Newspaper

Other?

42. Do you understand that routine veterinary care may be expensive for your pet? *

And that it may cost approximately $200-$500 per year? *

43. Do you understand that ADR will refund the entire adoption fee if the dog is returned within the first 30 days after adoption? *

45. Do you understand that if, at any time you cannot or do not wish to keep the dog you adopt from ADR, you MUST return the dog to ADR? *

46. Do you understand that if the terms of the Adoption Contract you sign upon adopting an ADR dog are not followed, ADR may reclaim the dog and seek restitution for all expenses incurred? *

47. List 2 references Names & Phone Numbers: *

48. What will happen to the dog if you move or become unable to care for it? *

49. Explanation of why you would surrender your dog back to ADR: *

50. Are you willing to be responsible for a dog for the next 10 - 15 years? *

51. Have you ever had to give up a pet before? *

What were the curcumstances? *

Who did you give the pet to? *

Do you have any other questions or comments?