Date of Birth * MM 1 2 3 4 5 6 7 8 9 10 11 12 / DD 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / YYYY 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 Your Email * Your Occupation * Your Place of Employment * Do you have a partner/spouse? * Phone * Work Phone Best time to Call Does Anyone in your household smoke? * Is there anyone interacting with the dog who has allergies, asthma? * How did you find out about Schnauzer Savers Rescue? * Have you applied for a dog with any other rescue groups? * 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? * 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? * 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? * 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) * Could you possibly relocate in the foreseeable future? * Is your yard enclosed by a fence? * Will children be living in the home with the dog? * 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) * Are your current pets spayed/neutered? What type of home do you have? * Single Family House Townhouse Apartment Row House Duplex Condo Mobile Home Other (specify below) How long have you owned or rented? * Size of your home (# of square feet) * When you go on vacation what do you do with your pets? * Have you ever had to give away a pet? * Have you ever had to euthanize a pet? * 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.
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? *
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 Relationship to you * Reference #1 Email * Reference #1 Phone Reference #2 Relationship to you * Reference #2 Email * Reference #2 Phone * 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 *