Schnauzer Adoption Process and Application

Your Name *

First

Last

Date of Birth *

Your Email *

Your Occupation *

Your Place of Employment *

Do you have a partner/spouse? *

Yes
No

Partner/Spouse

First

Last

His/Her Date of Birth

His/Her Email

His/Her Occupation

His/Her Place of Employment

Home Information

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Work Phone

Best time to Call

Does Anyone in your household smoke? *

Yes
No

If YES, do they smoke inside the house or car?

Yes
No

Is there anyone interacting with the dog who has allergies, asthma? *

Yes
No

How did you find out about Schnauzer Savers Rescue? *

Have you applied for a dog with any other rescue groups? *

Yes
No

If so, which ones?

How many people live in your home? *

What is your primary reason for adopting and why do you feel you would be a great home/family for a rescue dog? *

Is there a particular dog you are applying for? *

Yes
No

Name of the Dog

If not, do you have a preference on age, size or temperament?

Age, special needs, or other details

Please tell us your reference regarding the dogs sex:

Female
Male
No preference

What do you know about this breed of dog and what makes you want this particular breed and size? *

What traits would be considered UNACCEPTABLE in a dog? *

Are you and all family members willing to work with an adopted rescue dog with any issues? *

Yes
No

If the dog needs training or worked with his/her behavior(s) how would you handle this? *

How do you plan to groom the dog? *

Groomer/Grooming Service
Yourself

Where will your dog be allowed to sleep/stay at night and while you’re away from home during your work hours or extended periods of time? (crate, dog bed, family member's bed - daycare) *

How many hours per day will the dog be left alone? *

Where will the dog be kept during this time left alone? (inside/inside in a crate/outside/outside in a crate/garage/other) *

If dog is left alone for 6 hours or more, how do you intend to care for the dog? (potty, exercise, etc.)

Could you possibly relocate in the foreseeable future? *

Yes
Maybe
No

What would you do with your pets including the one you are trying to adopt?

Is your yard enclosed by a fence? *

Yes
No

If yes, what type and height of fence and are gates secured?

If no, how will you handle exercise and toilet duties?

Will children be living in the home with the dog? *

Yes
No

Have they ever lived with a dog?

Yes
No

What are the ages of the children?

Do you have children visiting often? If do you, who are they (grandchildren, nephews, etc.) and how often do they visit? *

How many other pets do you currently have (0, 1, 2, 3, etc) *

Please list any and all current pets in your household by name, breed, age, sex and length of time you have owned them:

Are your current pets on monthly heartworm preventative and flea/tick preventative?

Yes
No
Mixed

Are your current pets spayed/neutered?

Yes
No
Mixed

Why are all your pets not?

What type of home do you have? *

Other type of home *

Own or rent *

Own
Rent

How long have you owned or rented? *

Size of your home (# of square feet) *

If you rent, does your landlord allow pets? If you rent you must be willing to provide proof your landlord will allow pets.

Yes
No

If you own, are you in Home Owners Association or other community with rules regarding dog ownership. *

Not in a HOA or other community with restrictions
In a HOA or other community AND we have written permission to own a dog
In a HOA or other community AND we are unsure about the dog ownership policies

Home Setting: *

When you go on vacation what do you do with your pets? *

Have you ever had to give away a pet? *

Yes
No

If yes, please explain:

Have you ever had to euthanize a pet? *

Yes
No

If yes, please explain:

What do you anticipate the annual cost will be to provide basic care for your dog? (Grooming supplies, vet care, dental cleanings, food, license, toys, bed, etc.) *

Additional Information: Including anything specific to your adoption or past pet ownership that might be helpful to us in considering your application.

VETERINARIAN REFERENCES:

Please list vets in the last 5 years below.

I authorize my vet and staff to speak to a representative of Schnauzer Savers Rescue.
PLEASE CONTACT YOUR VET, GIVING PERMISSION FOR US TO SPEAK WITH THEM.

Do You Have a Veterinarian Reference? *

Yes
No

Veterinarian's Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Name in which vet records are listed

Do You Have a second Veterinarian Reference?

Yes
No

Veterinarian's Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Name in which vet records are listed

Do You Have a third Veterinarian Reference?

Yes
No

Veterinarian's Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Name in which vet records are listed

PERSONAL REFERENCES:
RELATIVES, VETS, IN-LAWS, OR ANYONE RESIDING IN YOUR HOME, WHOM ARE RELATED TO YOU ARE NOT ALLOWED.

Please supply three (3) personal references NOT including your Vet or Family members.
BE SURE TO INCLUDE EMAIL AND PHONE NUMBERS FOR EACH

Reference #1 *

First

Last

Relationship to you *

Reference #1 Email *

Reference #1 Phone

Reference #2 *

First

Last

Reference #2 Relationship to you *

Reference #2 Email *

Reference #2 Phone *

Reference #3 *

First

Last

Reference #3 Relationship to you *

Reference #3 Email *

Reference #3 Phone *

Important Notice of Temperament:

SSR makes no explicit or implicit guarantees in reference to the health and/or temperament of the dog. The dog is adopted "as is" and the adopter assumes all responsibility for treatment of any and all existing conditions or any other conditions of physical or temperament changes that may occur. SSR will provide the dog with the basic vaccines and heartworm test before adoption if the age and current health of the dog permits. While the SSR makes every effort to place only healthy animals, the SSR cannot guarantee the health of any animal and shall not be held responsible for any medical expenses which may be incurred, hereby expressly excluding any implied or express warranties of merchantability or fitness for any particular purpose, including, without limitation, any warranties regarding health, temperament or whether the animal is housebroken.

I understand, if for ANY reason, this dog does NOT work out, I will return it to Schnauzer Savers Rescue. I understand that I do not have the right to place the dog in another home, shelter or any other facility. The adopter agrees to pay SSR the sum of $500 as liquidated damages in the event the terms of this contract are breached: this liquidated damage value does not bar SSR from seeking the return of the dog by judicial process or other legal means if necessary. If legal action is instituted, the Adopter agrees to pay reasonable attorney's fees and court costs. Thank you for completing this application form.

From this form it should be evident that we take placing our rescued dogs very seriously. Your application will be reviewed, and a home visit will be scheduled prior to final approval. We reserve the right to refuse adoption without explanation to the applicant. Submitting an application does not guarantee you will receive a rescued dog.

By typing your name below you are providing an electronic signature certifying that the information you have provided on this form is true and accurate and that you agree to the terms and conditions put forward.

Type your name as an electronic signature *

Please tell us the answer to the question below so we know you are human (or a very smart Schnauzer) *
What is 7 + 40 ?

Schnauzer Adoption Application