| The dog I am applying for is: |
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| Applicant’s Name: |
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| Street Address: |
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| City: |
State: Zip:
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| Home Phone: |
Cell Phone: |
| Other Phone Numbers: |
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| E-mail: |
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| How did you first hear about the DAWG dog for which you are applying? |
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At DAWG Facility DAWG Website The Independent Petfinder.com
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AdoptAPet.com Photo of DAWG dog at a local business Santa Barbara News Press
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Other
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| Are you at least 18 years old? |
Yes No
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| Do you presently live in a: House Condo Apartment Mobile Home
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Other
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| How long have you lived at your current residence? |
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| Are you a student or military personnel that will be moving within the next year? Yes No |
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| Do you: Own Rent
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| a. If you rent, do you have the landlord’s permission to have this dog? Yes No
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b. Landlord’s name and phone number:
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If you rent or reside in another person’s home, your landlord/home owner will be contacted and we will verify they are the owner on record |
| c. If you own your residence, what name/title appears as the owner of record in public records? |
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| When you are home, this dog will be: |
| In the yard In the house Other |
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| How many hours a day would the dog be left alone? |
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| While you are away from your residence this dog will be: |
| In the yard In the house In a crate With you |
| Other |
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| How do you plan to keep this dog on your property when it is outside? |
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Fenced Yard Fenced Run/Pen Invisible Fence/Shock Collar On Leash |
| Other
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| If you will keep the dog within a fenced yard or pen, what kind of fence is it?
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| How high is the fence at its lowest point? ft. highest point? ft.
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| If you plan to leave this dog outside unattended, what type of shelter/housing do you intend to provide: |
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| Where will this dog sleep at night? |
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| What is your household activity level: Quiet/Serene Some Activity Very Active
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How would you describe the amount and type of visitors or guests at your residence? Check all that apply: |
| Few Visitors/Guests Many Visitors/Guests Adult Visitors/Guests |
| Child Visitors/Guests Teenage Visitors/Guests Workers/Gardeners/etc.
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| How will you exercise your dog and how often? |
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| Please list any animals (dog and non-dog) that currently live at your residence |
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| How do you plan to transport this dog? Car Truck |
| Other
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| Why do you wish to adopt this dog? Companion Gift Child(ren) want(s) a dog |
| Protection Other
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| Why is this particular dog the right dog for you? |
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| Please tell us why you fell you would be the best possible home for this dog. |
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| What is your experience with dogs? |
| This will be my first dog I have/had dog(s) Knowledgeable and experienced |
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| If this will be your first dog, what research or reading have you done in preparation? |
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| How will you discipline this dog? |
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| Have you previously attended a basic obedience course with your dog(s)? Yes No |
| Why or why not? |
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| Do you have consent from all household members to have this dog? Yes No |
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| List the names, ages, and relationships of all people living at your residence (including yourself) |
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| Does anyone in the household have allergies to dogs? Yes No |
| If so, how will that be addressed? |
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| How much do you plan on spending per year to feed, license, and provide veterinary care for this dog? |
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| Do you have a vet? If yes, what is the name of your vet? |
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| What would you do if you had to move and had trouble finding a residence that allowed dogs? |
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| What dog care arrangements have been made for when you travel? |
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| In case of emergency who will care for this dog? (This person may also be called as a reference for you) |
| Name: Phone Number Relationship |
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| Please list all pets for which you have been the guardian in the past 10 years (not including those listed above). |
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| What would you do if the dog was destructive (chewing, barking, digging, house soiling)? |
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| What do you feel is aggressive behavior? And what would you do if this occurred? |
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| Do you completely understand the leash and license laws? Yes No |
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| The adoption fees range from $125-$250. Are you able to afford these fees? Yes No |
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| Have you ever relinquished an animal to a shelter or rescue group? Yes No |
| If yes, when and why? |
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| During the dog’s lifetime which of the following reasons might prompt you to give this dog back to DAWG? (Check all that apply) |
| Moving to a new residence |
Health Problems (dog’s or family’s) |
| Biting |
Financial Problems |
| New job |
Aggressive with other pets |
| New Baby |
New partner doesn’t like dogs |
| Divorce or Breakup |
Agressive with People |
| Dog is escape artist |
No longer have time for dog |
| Pressured to give up dog |
Home restrictions of certain breeds |
| Dog is NOT dog-social |
Death of a family member |
| Landlord revoked persmission/can’t find dog-friendly home |
| Dog requires more exercise than you can provide |
| No reason would prompt me to bring this dog back! |
| Other |
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I you are unable to keep this dog in your family at any point in its life, do you promise to return this dog to Dog Adoption and Welfare Group, and sign all necessary papers for thee surrender of the dog? If yes, please initial:
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By signing below, I certify the information I have provided is complete and accurate. I give my permission to DAWG to contact my landlord (if applicable), my reference, and my current and/or previous veterinarians. By submitting this form, I hereby make application to Dog Adoption and Welfare Group to be considered for the purpose of giving a DAWG dog a permanent home. |
| Signature: Date: |
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