| Nashville Schnauzer Rescue APPLICATION FOR ADOPTION Thank you for your interest in our rescue dogs. We appreciate your answering the following questions so we may more easily select the right dog for you and your family. All information is confidential. Thank you for you cooperation and help in answering our questions. The current adoption fee is $150.00, payable upon receipt of your new miniature schnauzer. Name: _______________________________________________________________________________ Address: _____________________________________________________________________________ City: ___________________________________________ State: ________________ Zip: ___________ Phone: (Home)__________________________ (Work)________________________ (Sorry, if no phone number is given, we cannot process this application.) What is a good time to call you? _______________________________________ ************************************************************************************** Do you live in a ____ house? ____ apartment? ____ condo? ____ other? __________________________ If you rent, does the landlord allow pets? ____ yes ____ no Are you married or living with another adult? ____ yes ____ no If yes, does the other adult in your household approve of getting this dog? ____ yes ____ no Your age _____ Number of children _____ Ages______________________________________________ Occupation of adult(s) in family: ___________________________________________________________ ______________________________________________________________________________________ Do you work outside the home? ____ yes ____ no If yes, how will your dog be cared for when you are gone? _____________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Who else in your household will have contact with the dog? _____________________________________ ______________________________________________________________________________________ Why are you interested in obtaining one of our miniature schnauzers? _____________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ What do you not want to find in a miniature schnauzer? ________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Have you ever owned a miniature schnauzer before? ____ yes ____ no Are you committed to caring for this dog for its lifetime (10-15 years)? ____ yes ____ no Please Note: miniature schnauzers are a high maintenance breed when it comes to coat care. Do you have the necessary time to groom your dog? ____ yes ____ no If not, do you have the financial resources to have the dog professionally groomed every six weeks? ____ yes ____ no Can you afford veterinarian bills, routine and emergency care? ____ yes ____ no What arrangements will be made for your miniature schnauzer when you go out of town? _____________ ______________________________________________________________________________________ ______________________________________________________________________________________ Do you have a fenced yard? ____ yes ____ no Are you willing to keep your dog on a leash when it is not confined in the house or yard? ____ yes ____ no Do you have a color/age preference? _______________________________________________________ Gender preference? ____ male ____ female ____ no preference Please keep in mind - the more selective you are, the longer it could take to find the right dog for you. History of previously owned companion animals: What happened to them? _________________________________________________________________ ______________________________________________________________________________________ Dogs/Cats/Rabbits/(etc.) currently present in the home (breed, age, gender): ________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Are they spayed/neutered? ____ yes ____ no On heartworm preventative? ____ yes ____ no Current on all shots/vaccinations? ____ yes ____ no Your Veterinarian's name: _______________________________________ Phone number ____________ May we use him/her as a reference? ____ yes ____ no Would you be willing to obedience train a dog that you adopted if it was recommended (or required) as being in the best interest of the dog and you? ____ yes ____ no Would you be willing to use a dog crate if it was recommended (or required) as being in the best interest of the dog and you? ____ yes ____ no Would you be willing to allow a Nashville Schnauzer Rescue representative to visit your home by appointment? ____ yes ____ no How did you hear about the Nashville Schnauzer Rescue? ______________________________________ _____________________________________________________________________________________ Please add any other information you wish us to consider in placing one of our miniature schnauzers with you. We would appreciate it if you would give us a little insight into the expectations you may have for this new addition to your family. __________________________________________________________________ _____________________________________________________________________________________ ______________________________________________________________________________________ ****************************************************************************************** Thank you again. Your interest is deeply appreciated. ______________________________________________________________________ ____________ Signature Date Please sign and return to: Nashville Schnauzer Rescue 3001 Dobbs Ave Nashville TN 37211 |
 |
 |
 |
| Name: |
| City: |
| Address: |
| State: |
| Zip: |
