Adoption Application |
Thank you for taking the time to answer our questions. This valuable information will help us match you with the perfect dog for your lifestyle. |
| * = required field and you will not be able to submit the application without answering the question |
| First Name: |
| Phone:
* Cell:
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| Street Address:
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| City:
* State/Prov:
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Zip/Postal Code:
* County:
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| Country:
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| Email address:
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| Best time to call:
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| Is the area in which you live:
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1. Are you at least 18 years old?
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| 2. Do you presently live in a:
Other
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| 3. Do you own or rent your home?
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| 4. How long have you lived at your current residence?
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| 5. If you rent, do you have your landlord’s permission to have this dog?
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| 5a. 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 of record. |
| 6. If you own your residence, what name/title appears as the owner of record in public records?
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| 7. For whom are you adopting this dog?
Other:
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| 8. Why do you wish to adopt this dog?
Other:
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| 9. Have you ever relinquished an animal to a shelter or rescue group?
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| If yes, When?
Why?
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| 10. What is your experience with dogs?
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| 11. If this will be your first Catahoula, what research or reading have you done in preparation?
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| 12. How many hours on average will the dog spend alone each day?
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| 13. Where will this dog sleep at night?
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| 14. When you are home, this dog will be:
Other:
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| 15. While at work (or away from your residence) this dog will be:
Other:
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16. How do you plan to keep this dog on your property when it is outside?
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| Other:
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| 16a. If you will keep the dog within a fenced yard or pen, what kind of fence is it?
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| 16b. How high is the fence at its lowest point?
ft. |
| 16c. How high is the gate at its lowest point?
ft. |
| 17. If you plan to leave this dog outside unattended, what type of shelter/housing do you intent to provide?
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| 18. What is your household activity level:
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| 19. How would you describe the amount and type of visitors or guest at your residence? Check all that apply:
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| 20. How will you exercise this dog?
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| 21. Are you willing to provide obedience training for this dog?
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| 21a. Have you ever owned a rescued animal?
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21b. Do you understand that some rescued animals can come with seen or unseen traumas, fears, behavior problems or may just need time to adjust to the changes etc. -- some of which may not be immediately apparent?
*Please note that our dogs that are in foster homes are evaluated and any known issues will be disclosed along with suggestions on how to address them & if anything else arises we are always here to help |
22. Do you have consent from all household members to have this dog?
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| 22a. List the names, ages, and relationships of all people living at your residence:
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| 23. Are you aware of the cost of owning a dog, such as medical care, vaccinations, and license fees?
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24. Do you have a vet?
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| 24a. If yes, what is the name, phone number & location of your vet?
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| *Some vets require your permission to give us a reference so in order to speed up the application process please call and let them know it is OK to talk to a Catahoula Rescue Rep |
| 24b. If no, please proved the name & phone numbers of at least two personal references (not family members) & your local animal control:
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| 25. During this dog’s lifetime, which of the following reasons might prompt you to give this dog back to Catahoula Rescue Inc.? (Check all that apply |
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| 25a. Other, please explain:
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| 26. Please list any animals that currently live at your residence: (Please provide Species, Name, Breed, Age, Sex, If Altered, Rabies, DHLPP and On Heartworm Preventation |
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| 27. Please list all dogs you have owned in the past 5 years. (Please provide Name, if Altered, Age & what happend to the the dog)
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28. If you are unable to keep this dog in your family at any point in its life, do you promise to return this dog to Catahoula Rescue Inc.?
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| 28a. If you have any concerns, issues, or problem behaviors arise, do you promise to contact your Catahoula Rescue Inc. Rep at the onset of such issues for assistance?
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| *Please note that we are very familiar with every issue that may arise and can offer simple suggestions in most cases and even have volunteer trainers/animal behaviorists that help with even more serious concerns |
| 29. Are you working with a specific rescue person?
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| 30. Is there a particular dog(s) you are interested in adopting?
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| 31. Is there anything else you would like to tell us about yourself? |
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Terms of Acceptance
(By clicking below, I certify that the information I have provided is complete and accurate and that I give my permission to Catahoula Rescue Inc. to contact my landlord (if applicable) and my current and/or previous veterinarians.) By submitting this application, I declare that all of the above information I have given is true and complete.
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| If you do not get a message that says SUCCESS once you submit this form your application did not go through. If the trouble persists contact us . |
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| By filling out this application you are automatically added to our weekly Monday's Dog mailing list. If you do not wish to continue receiving that email please click here. |