application

ARF Adoption Application

Please note that our adoption fee is $250.00 for most dogs. Young Golden Retrievers are $300.00
This fee MAY be reduced on senior, or special needs dogs.

A $10.00 donation is suggested at the time of the HomeCheck

	Have you read our General Agreement?: YESNO
	Do you agree to the terms of our General Agreement?: YESNO
Name:
Home Phone
Work Phone:
Fax Number:
Is Fax Home or Office?:
Address:
City
State
Zip:
Email Address:
Occupation:

Personal Reference:		Phone No:
Veterinarian:		Phone No.:

Are you over 21 years of Age?	YESNO
Do you own or rent your home?	OwnRent

If you rent, do you have written permision from your Landlord to have a dog?	YESNO
You will be required to provide written permission from your Landlord. Please list Landlord's name and phone number

Do you live in a house, condo, apartment or trailer?	HouseCondo ApartmentTrailer
Do you have a fenced yard?	YESNO
Fence height and type:
Is your yard completely enclosed for a dog?	YESNO
Do you have a separate kennel run?	YESNO

How many adults in the household?:
How many children in the household (include ages)?:
Do other children or animals frequently visit your home?:
Does everyone in the home want a dog?	YESNO
Who will be the primary caretaker of the dog?:
What plans do you have for this dog?	Pet Guard Hunting Obedience/Agility Other
How do you plan on exercising this dog?:

Do you own other dogs?	YESNO	Age, Breed and sex of each?
Do you own cats?	YESNO
Do you own other pets?	YESNO	If yes, describe ?:
Are they spayed or neutered?	YESNO	If no, why not ?:

Are you a previous dog owner? if so, when was the last time you owned a dog?:
What happened to those dogs that you currently do not own?:

Do you agree to have a volunteer visit your home for a home check?	YESNO
What type of dog would you prefer - select all that apply?	Labrador Retriever Golden Retriever Chesapeake Bay Retriever Curly Coated Retriever Flat Coated Retriever Retriever Mix

Preferred Sex of dog?	MaleFemale Any
Preferred Color?:
Preferred Age Range?:
Preferred Activity Level of dog?:

Where will the dog spend the day - check all that apply?

Loose Inside Crate Garage Fenced yard

Loose Outside Tied up Inside Tied up outside Outside run

Where will the dog spend the night - check all that apply?

Loose Inside Crate Garage Fenced yard

Loose Outside Tied up Inside Tied up outside Outside run

How many hours a day will the dog spend alone without a person?:
Where will the dog be when you are not home?:

What circumstances would cause you to give up a dog?:
How would you manage a dog that may present behavior problems?:
Do you plan to take this dog to obedience training?	YESNO
Describe your ideal dog and expectations?:
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In order to further aid in finding a dog that is a perfect match for your family, please tell us what dog behaviors you are unwilling or unable to try and work through. Please check all that apply. If there is one we have skipped please use the other area and note the characteristic.	Eliminating in the house Digging Destructive chewing Escaping Rowdy behavior Aggressiveness towards other dogs Aggressiveness towards cats Barking Mouthiness Jumping up Scratching at doors Thunderstorm anxiety Shyness In need of ongoing medical attention Shedding Drooling Other: please explain
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Would you be willing to adopt more than 1 dog?	YESNO
Would you be willing to adopt an older dog ? (over 8 years)	YESNO
How will the dog be cared for if you do not take him/her on vacation with you?:
What level of experience are you as a dog owner?	Experienced Somewhat Experienced Novice
Have you previously adopted a rescue dog?:
Which dog (on our website) are you interested in?:
When are you ready to adopt a dog?:
How did you find out about ARF?:
What other Rescue groups have you contacted?:
Would you consider fostering a dog?	YESNO
Our rescues are often located throughout the Southern California area. In order to be considered for a particular dog, you must be willing to drive to where that dog is located and also be willing to return the dog to us, if needed. What areas or distance are you willing to travel to to get your dog?

Other Comments:

Please print a copy of your application for your records. Also, please note the date of your application.