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About You and Your Family
Are you applying to adopt or foster a dog?
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Adopt
Foster
Name of dog you are interested in:
What are your reasons for wanting to adopt or foster a dog?
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Companion Animal
Gift
For your children
Watch Dog
Help save a life
Other
Other
If you are applying to foster would be the ideal dog for your lifestyle?
Your name (first and last):
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Email address
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Phone number(s). Best place & time to reach you:
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Street address:
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City & Zip code:
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What your occupation?
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What is your age range?
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21-25
26-30
31-35
36-40
41-50
51-60
61-65
66-70
71-75
76-80
Over 80
What type of home do you live in?
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House
Condo
Apartment
Other
Other
Do you own or rent?
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own
rent
If renting, do you have your landlord's permission to have a dog?
yes
no
Does your rental agreement or homeowner's insurance restrict dog breeds or sizes?
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No
Yes
Yes
Who shares your household?
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I live alone
Spouse
Significant Other
Roommate
Live-in housekeeper or caretaker
Parent(s)
Children (please list names and ages)
Children (please list names and ages)
Are you planning on having children in the future?
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No
Yes
Yes
Do you have young children (grandchildren, nieces/nephews, friend's children, etc.) that visit?
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No
Yes (Please let us know their age(s) and if they will be interacting your dog and how often)
Yes (Please let us know their age(s) and if they will be interacting your dog and how often)
Does anyone in your household have allergies to animals?
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Yes
No
Are you planning on moving or traveling in the next 12 months?
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No
Yes (please explain)
Yes (please explain)
At what age do you feel a child is responsible enough to care for a dog without supervision? (i.e. walking, feeding etc?)
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Will all household members be able to come and meet the dog at a scheduled adoption appointment?
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Yes
No (please explain)
No (please explain)
Your Home Environment
Do you have a completely fenced private yard?
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Yes
No
What kind of fence do you have (i.e. wood, chain link, block wall, wrought iron etc)?
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What is the height at the highest point of your fence?
What is the height at the lowest point of your fence (including gates)?
Do the gates have locks?
Yes
No - (are you willing to install locks prior to a homecheck?)
No - (are you willing to install locks prior to a homecheck?)
I don't lock my gate because:
Do you have an electric driveway gate?
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No
Yes - if yes, will the dog have access to the driveway when the gate is opening and closing?
Yes - if yes, will the dog have access to the driveway when the gate is opening and closing?
Does anyone in your home smoke?
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No
Yes
Yes
Do you have a dog door?
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No
Yes - when would the door be accessible?
Yes - when would the door be accessible?
Do you have a pool?
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No
Yes
If yes is your pool fenced?
Yes
No
Who has access to your yard other than immediate family?
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Housekeeper
Gardener
Pool man
Exterminator
Neighbor
Other
Other
Where will the dog be when people enter your yard?
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Inside
Dog Run
I trust others to not let the dog get out. Please explain:
I trust others to not let the dog get out. Please explain:
Your Pet Experience
What is your level of experience with dogs?
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First time owner
Intermediate
Very experienced
Advanced (ONLY CHECK THIS BOX if you have studied under a professional dog trainer) - If you chose this option please tell us your dog training philosophy:
Advanced (ONLY CHECK THIS BOX if you have studied under a professional dog trainer) - If you chose this option please tell us your dog training philosophy:
What behavioral issues if any do you have experience with?
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None
Housebreaking
Leash aggression
Animal aggression
Human aggression
Food aggression
Separation Anxiety
Escaping
If you chose any of the above please tell us about your experience
If you chose any of the above please tell us about your experience
If you have children, what is their experience with dogs?
List your PAST pets that you had as an ADULT - type of pet, length of time in your care, and what happened to them (gave away, euthanized, died of natural causes, lost, etc.):
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Please describe your current pets. Include breed, age, gender, length of time in your care:
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Are your current pets spayed or neutered?
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Yes
No
Don't know
Not Applicable
Are your current pets up to date on vaccines?
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Not Applicable
Yes
No (please explain)
No (please explain)
Have you ever had a pet escape from your yard?
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No
Yes (please explain)
Yes (please explain)
If you currently have a dog how do you walk it?
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Not applicable
Always on leash (unless in a secure yard)
Off leash
Both (please explain)
Both (please explain)
Have you ever turned a dog into a shelter.
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No
Yes - (please explain)
Yes - (please explain)
Have you ever allowed an animal to breed/have babies?
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No
Yes - please explain
Yes - please explain
Do you have a veterinarian? If yes, please list name, number and how long you have used the vet:
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Living With A Companion Animal
Is someone home during the day?
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No
Yes (Who?)
Yes (Who?)
How many hours a day will the dog be alone?
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Which rooms, if any, are off limits to the dog?
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Will the dog be allowed on the furniture?
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Yes
No
Only certain pieces of furniture
What activity level are you looking for in a dog:
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Couch potato
Short walks
Intermediate
Active - long walks, hiking, jogging partner
Agility training
Will you be able to exercise your dog on a regular basis?
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No
Yes (explain method of exercise)
Yes (explain method of exercise)
Where will the dog be kept during the day?
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Where will the dog sleep at night?
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What plans would you have in place for your dog when you travel? (Ex: hired petsitter, friend who stops by to feed, dog will stay at a kennel, etc)
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What type of food would you feed your dog? If commercial food, please state brand, if the food is canned, kibble, dried, raw, etc):
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What kind of walking device would you use? (Ex: harness, choke chain, pinch collar, head halter, martingale, retractable leash etc):
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Will your dog wear a collar and identification tag?
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Yes
No
Sometimes (please explain)
Sometimes (please explain)
Will you walk your new dog:
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Always on leash (unless in a secure yard)
Off leash
Both (please explain)
Both (please explain)
What method to you intend to use to housetrain your dog?
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Crate Training
Puppy Pads
Frequent trips outside
I only want a dog that is house trained
Other
Other
What discipline would you use if your dog chewed your favorite shoes?
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Swat nose
Spank with hand
Spank with newspaper
Stern voice
Other (please explain)
Other (please explain)
Are you willing to live with a dog that is destructive at times?
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Have you and or would you be willing to hire a trainer or take a dog to obedience classes?
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If your pet becomes ill, gets injured, needs surgery or ongoing medical care, what amount are you willing to spend on veterinary/medical care?
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I am applying to foster
Up to $500
$500 - 1500
$1500 - 3000
$3000 - 5000
No limit
Would you consider getting pet insurance for this animal?
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Applying to foster N/A
Yes
No
What might cause you to give up your dog? Check all that apply:
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Allergies
Accidents in house
New spouse doesn't like dog
Financial reasons
Biting/aggression
Dog is hard to train
Dog gets sick
You get sick
New baby
Moving out of state
Move to a place that dogs aren't allowed
Expensive vet bills
Dog barks a lot
Dog growls or nips at strangers
Dog is too rough with children
Dog bites children
Dog loses control of bladder
Dog doesn't get along with current pet
Aggressive with other dogs
Neighbors complain about pet
Poor watchdog
Jumping on people
Not the kind of dog I thought it would be
None of the above
A dog can live to be 15 to 20 years old; are you able to make this long-term commitment?
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Applying to foster N/A
Yes
No (please explain)
No (please explain)
Who would care for this dog in the event something happened to you or you could no longer care for your pet?
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If there is anything else that you would like to tell us about you or your family, please feel free to write your comments here.
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If I adopt a Rescue Train dog, I can make a donation of at least $250 to help rescue and care for other abandoned dogs. I understand that my adoption donation is often just a fraction of the cost that The Rescue Train has spent on boarding, spaying and neutering, vaccines, microchips, medical costs and dog training. I understand that my donation is a gift freely given, not a purchase price for a dog. No goods or services have been or will be provided in exchange for the donation. I understand that any donation made is not refundable.
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Applying to foster N/A
I agree
I do not agree
I understand that a home visit is required and that a home visit does not guarantee placement:
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I agree
I do not agree
Would you like to sign up for our newsletter?
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Yes
No
I understand that submitting an application does not mean I am approved to a adopt or foster a dog from the Rescue Train. The Rescue Train has the right to refuse any applicant for any reason. The Rescue Train is not obligated to provide a reason or explanation for refusing adoption to an applicant:
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I agree
I do not agree
Thank you for your interest in this animal. You'll automatically receive a copy of this application as your confirmation.