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Welcome to the Much Love Animal Rescue Program!

We are glad you would like to adopt a new pet from us. The following information is required so that we can assist you in the selection of your new pet. This form and consultation with a Much Love representative is designed to help us determine if the adoption is in the animal’s best interest, and to assist you in finding the animal most compatible with your lifestyle.

THERE IS A $200.00 ADOPTION FEE FOR DOGS, $250.00 ADOPTION FEE FOR PUPPIES.

This helps us cover the spay/neuter of your new pet, current shots, microchipping and temporary boarding of
the animal. A homecheck will be required. A binding contract will be required to adopt the animal.

Name of Dog Color

Sex Age

Name of Second Choice Dog

Name of Third Choice Dog

Name of Applicant Date of Birth

Street Address City

State Zip

E-mail

Home Phone

Cell Phone

What is Your Occupation

How Long at Current Job

Employer Telephone

Address

Personal Reference #1 Telephone

Personal Reference #2 Telephone

Who shares your household Spouse Significant Other Roommate Live Alone Children
If Children, Their Ages Other

If your present relationship were to change, with whom will the dog remain?

Please Explain

At what age do you feel children are responsible enough to take care of a dog without assistance (i.e., walk, feed, etc.)?

Would this be your first pet?

What kind of pets have you had in the past?

Which of these do you still have?

Are they spayed or Neutered?

What happened to the pets you no longer have?

If they are no longer living, how did they die?

What behavior are you looking for in a pet?

If you do have pets, how do you feel they will adjust to a new animal?

Why do you want this animal? Companion Companion for another pet House Pet Mouser Watch Dog
Guard Dog Hunting

Does anyone in your family have allergies to animals?

Are you planning on moving in the next 12 months?

If so, where?

Which do you live in? House Apartment Condo
Other

Do you own or rent? If renting, do you have permission to have animals?

Your landlord's name and telephone number

Do you share your yard with other tenants?

Do you have a completely fenced yard? What is the height?

What kind of fence?

What is the bottom of the fence?

Which of the following is used to secure your gate? Latch Keylock Deadbolt Padlock
Do not lock the gate because

Do you have a gardener, house keeper or pool cleaner? If yes, where will the dog be while they are working? Do you trust workers not to let the dog out? Explain

Do you have any poisons (rat/mouse, snail bait) where the animal will be kept?

Is someone home during the day? Who?

How many hours will the dog be alone during the day? Please explain

If you work full time away from home, what are your plans for the dog during that time?

Which rooms, if any, are off limits to dogs?

Will the dogs be allowed on the furniture?

Will you exercise your dog on a regular basis?

What exercise method and how often?

Where will the dog be kept during the day?

Where will the dog be kept during the night?

When you go on vacation, who will care for the dog? House Sitter Veterinarian Kennel Friend's House Friend comes by to feed but doesn't stay | Other

Will you keep the dog's vaccinations up to date?

Will you feed your dog dry or canned dog food?

How many times a day?

Who will be responsible for feeding the dog?

Which of the following would force you to give up your dog? Divorce/Separation Move out of state Move where pets aren't allowed Dog barks alot Dog nips at strangers Dog bites children Marry someone with allergies Dog loses control of bladder Dog develops chronic illness Big vet bills Dog is untrainable Dog is not the kind of dog I thought it would be Planning on having a baby Dog doesn't get along with current pet Neighbors complain about pet Does not apply

Who is your veterinarian?

Are you prepared to cover any vet expenses your pet may incur throughout it's life?

Is there a limit? How much is too much?

Would you consider euthanizing your pet because of medical costs?

What do you think is the best way to keep your animal's teeth clean? Clean them myself Never thought about it Have a profressional clean them
It's not necessary

Which of the following would you use for flea control? Flea spray Flea bath Flea collars Herbal flea collars Flea busters
Flea comb Program, advantage or frontline

What sort of behavioral modifications do you think will be needed by this animal?

What is a behavior that would not be acceptable to you?

If necessary, would you be willing to hire a trainer or take your dog to obedience classes?

What method do you intend to use to housetrain your dog?

In which of the following situations would you allow your dog off leash? Public park Hike Beach Neighborhood walk My front yard Dog park Other

What discipline will you use if your dog chews your favorite shoes? Swat nose Spank with hand Spank fanny with newspaper Stern voice
Scruffing | Other

If you become ill or die, what plans will you make for your pet?

Are you willing to have a Much Love representative come to see where the pet will be living? If not, why?

How did you hear about Much Love animal rescue?

Have you tried to adopt an animal from Much Love in the past?

Have you tried to adopt an animal from another rescue group?

If so what happened?

Comments by applicant about why you would like to adopt this dog

I understand that filling out this application does not guarantee the adoption of a Much Love Animal. I agree that all of the above information is honest and true.