Adoption Application

POMERANIAN RESCUE GROUP

ADOPTION APPLICATION

If you have problems accessing this application, please contact our webmaster for help.

Please be truthful and candid in your answers. No answer is wrong.

Name:

Email Address:

Which Dog(s) are you interested in?

Why do you want this particular dog(s)?

Address (Street, City, State and Zip code):

Home Phone (Include area code):

Cell Phone (Include area code):

Occupation:

Employer:

Please list all members of your household (Including ages):

Type of Home: House
Apartment
Condo
Mobile Home
Other

Do you: Own
Rent

If renting, do you have your landlord's permission to have a dog? Yes
No

Landlord or HOA Name & Phone Number (REQUIRED if you rent):

How long have you lived at this address?

If you are in an Apartment or Condo., what is the pet weight limit?

Will the dog be an indoor or outdoor pet? Inside
Outside
Both

How many hours a day will this dog be inside?

How many hours a day will the dog be outside?

How many hours a day will the dog be left alone?

Will the dog be allowed on the furniture? Yes
No

Will some furniture be off limits? Yes
No

What furniture will be off limits?

Will the dog be allowed in all areas of the house? Yes
No

Which areas will be off limits?

Where will the dog sleep at night? (check all that apply) Dog House Outside
Dog Bed Inside Home
Crate Inside Home
Bedroom
Garage
Other

If other, please describe:

Will you give your dog people food? Yes
No

What type of exercise will you provide?

Will you walk/exercise this dog on or of leash? On Leash
Off Leash
Both

If off leash, where?

Do you have a backyard? Yes
No

Is your backyard fenced? (if applies) Yes
No

Height of fence:

Type of fence:

Latched gates: Yes
No

Locked gates: Yes
No

Do you have a pool? Yes
No

If yes, is it fenced? Yes
No

Will this be your first dog? Yes
No

Are "All" other pets spayed or neutered? Yes
No

If you have cat(s), are they: Indoor
Outdoor

If you have cat(s), are they de-clawed? Yes
No

If the cat(s) are de-clawed, please explain why:

Pet #1 Breed:

Male or Female

Length of Ownership?

Still own?

If yes, how old is this pet?

If no, what happened to this pet?

Pet #2 Breed:

Male or Female

Length of ownership?

Still own?

If yes, how old is this pet?

If no, what happened to this pet?

Pet #3 Breed:

Male or Female

Length of ownership?

Still own?

If yes, how old is this pet?

If no, what happened to this pet?

Have you ever been in a situation where you were not able to keep a pet? Yes
No

If yes, please explain:

Were you ever in a situation where you had to bring a dog to a shelter? If yes, please explain:

If you travel, who will care for your dog when you are away?

Veterinarian information (Name, Address,City,State,Zip,and Phone Number)

What is a reasonable amount to spend on your dog if he became very sick?

Does anyone living in your home have animal related allergies? Yes
No

If yes, who and to what?

How will you train this dog? Obedience School
Spray Bottle
Firm Verbal Commands
Swat with newspaper
Other

If other, please explain:

Are you willing to housetrain a dog? If yes, using what methods?

What will you do if the dog has accidents in the house?

Do you understand and accept that a change in a dog's environment may cause the dog to have accidents, especially in the early days of the adoption? Yes
No

What will you do if the dog chews, or has other bad habits?

Do you plan to take your new dog to obedience school? Yes
No

If no, please explain why:

Are you prepared and able to take care of this dog for his/her entire lifetime? yes
No

Do you have a friend(s) or relative(s) who would take this dog, or facilitate returning it to Pomeranian Rescue Group, if you became unable to care for it? If yes, please list their name and phone number:

Please estimate the annual cost of dog food, toys, vet care, grooming, etc. for your new pet:

We are a non-profit organization. The adoption donation is used to partially recover the costs involved in rescuing this dog. These costs include but are not limited to: Shelter fees, spay/neuter, food, housing, vaccinations, de-worming, micro chip, and any vet exams or medical care that the dog may have required. We would not have been able to save the life of the dog you applied for without the adoption donation from another that came before him/her. Are you willing and able to make the donation fee? Yes
No

If no, please explain why:

What circumstance would cause you to give up a pet?

We reserve the right to inspect all potential homes and yards prior to placement. Is this agreeable to you? Yes
No

I have read the above carefully and have filled out this application honestly. I understand that an omission and/or failure to answer all questions can result in the application being declined. If an omission or untruth is discovered after an adoption takes place, I understand that Pomeranian Rescue Group has the right to annul the adoption and reclaim the dog. This application becomes part of the adoption contract. I agree
I disagree

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Name:
Email Address:
Which Dog(s) are you interested in?
Why do you want this particular dog(s)?
Address (Street, City, State and Zip code):
Home Phone (Include area code):
Cell Phone (Include area code):
Occupation:
Employer:
Please list all members of your household (Including ages):
Type of Home:	House Apartment Condo Mobile Home Other
Do you:	Own Rent
If renting, do you have your landlord's permission to have a dog?	Yes No
Landlord or HOA Name & Phone Number (REQUIRED if you rent):
How long have you lived at this address?
If you are in an Apartment or Condo., what is the pet weight limit?
Will the dog be an indoor or outdoor pet?	Inside Outside Both
How many hours a day will this dog be inside?
How many hours a day will the dog be outside?
How many hours a day will the dog be left alone?
Will the dog be allowed on the furniture?	Yes No
Will some furniture be off limits?	Yes No
What furniture will be off limits?
Will the dog be allowed in all areas of the house?	Yes No
Which areas will be off limits?
Where will the dog sleep at night? (check all that apply)	Dog House Outside Dog Bed Inside Home Crate Inside Home Bedroom Garage Other
If other, please describe:
Will you give your dog people food?	Yes No
What type of exercise will you provide?
Will you walk/exercise this dog on or of leash?	On Leash Off Leash Both
If off leash, where?
Do you have a backyard?	Yes No
Is your backyard fenced? (if applies)	Yes No
Height of fence:
Type of fence:
Latched gates:	Yes No
Locked gates:	Yes No
Do you have a pool?	Yes No
If yes, is it fenced?	Yes No
Will this be your first dog?	Yes No
Are "All" other pets spayed or neutered?	Yes No
If you have cat(s), are they:	Indoor Outdoor
If you have cat(s), are they de-clawed?	Yes No
If the cat(s) are de-clawed, please explain why:
Pet #1 Breed:
Male or Female
Length of Ownership?
Still own?
If yes, how old is this pet?
If no, what happened to this pet?
Pet #2 Breed:
Male or Female
Length of ownership?
Still own?
If yes, how old is this pet?
If no, what happened to this pet?
Pet #3 Breed:
Male or Female
Length of ownership?
Still own?
If yes, how old is this pet?
If no, what happened to this pet?
Have you ever been in a situation where you were not able to keep a pet?	Yes No
If yes, please explain:
Were you ever in a situation where you had to bring a dog to a shelter? If yes, please explain:
If you travel, who will care for your dog when you are away?
Veterinarian information (Name, Address,City,State,Zip,and Phone Number)
What is a reasonable amount to spend on your dog if he became very sick?
Does anyone living in your home have animal related allergies?	Yes No
If yes, who and to what?
How will you train this dog?	Obedience School Spray Bottle Firm Verbal Commands Swat with newspaper Other
If other, please explain:
Are you willing to housetrain a dog? If yes, using what methods?
What will you do if the dog has accidents in the house?
Do you understand and accept that a change in a dog's environment may cause the dog to have accidents, especially in the early days of the adoption?	Yes No
What will you do if the dog chews, or has other bad habits?
Do you plan to take your new dog to obedience school?	Yes No
If no, please explain why:
Are you prepared and able to take care of this dog for his/her entire lifetime?	yes No
Do you have a friend(s) or relative(s) who would take this dog, or facilitate returning it to Pomeranian Rescue Group, if you became unable to care for it? If yes, please list their name and phone number:
Please estimate the annual cost of dog food, toys, vet care, grooming, etc. for your new pet:
We are a non-profit organization. The adoption donation is used to partially recover the costs involved in rescuing this dog. These costs include but are not limited to: Shelter fees, spay/neuter, food, housing, vaccinations, de-worming, micro chip, and any vet exams or medical care that the dog may have required. We would not have been able to save the life of the dog you applied for without the adoption donation from another that came before him/her. Are you willing and able to make the donation fee?	Yes No
If no, please explain why:
What circumstance would cause you to give up a pet?
We reserve the right to inspect all potential homes and yards prior to placement. Is this agreeable to you?	Yes No
I have read the above carefully and have filled out this application honestly. I understand that an omission and/or failure to answer all questions can result in the application being declined. If an omission or untruth is discovered after an adoption takes place, I understand that Pomeranian Rescue Group has the right to annul the adoption and reclaim the dog. This application becomes part of the adoption contract.	I agree I disagree