DANBURY ANIMAL WELFARE SOCIETY, INC by ISCI8UCB

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									                                                                                                                        608 Eastcastle Court
                                                                                                                          Franklin, TN 37069
                                                          Critter Cavalry Rescue                                       Phone: (615) 661-5333
                                                                                                                        Fax: (866)-589-5389




                                                                Adoption Application

Thank you for considering the adoption of a pet from the Critter Cavalry Rescue (CCR)! Your complete and
accurate answers to the following questions will help us to find a pet that best matches your preferences and your
lifestyle.

The adoption fee for most dogs is $450, which goes directly towards caring for the critters. Under certain
circumstances, it could be somewhat higher. The fee covers veterinary costs and vaccinations for rabies, DHLLP,
bordatella (if applicable), fecal and de-worming, microchip, spay/neuter surgery, heartworm test (adult dogs) and
transport up to New England.

If you encounter challenges with your dog after your adoption is complete, Critter Cavalry Rescue is committed to
working with you to seek solutions. Should you decide that you prefer to return your dog to Critter Cavalry Rescue,
some or all of your adoption fee may be retained to cover transportation fees, veterinary costs, and expenses
associated with securing a new placement.

IMPORTANT NOTE: Critter Cavalry Rescue reserves the right to approve or deny any application according
 to our adoption policies. Our only objective is to find good homes for the long-term wellbeing of our dogs.

                   You must be 21 years of age or older in order to be considered as an adopter.
              Please include a copy of your government issued ID or utility bill with your application for
                                                 address verification.


Date Submitted:                   Your full name:
Which dog, or what type of dog, would you like to adopt?
Your Street Address:
City, State, Zip:
Home Phone:                        Cell Phone:                       Work Phone:
Email Address:
How long have you lived at this address?
How long do you plan on staying at this address?
Is your residence a:     HOUSE        APARTMENT       CONDO        MOBILE HOME     OTHER:
Do you:       own or      rent     If renting, does your lease allow pets?     YES        NO                     NOT SURE
Landlord’s Name and Phone Number:
Your Occupation:                              Spouse’s or Partner’s Occupation:
Your Employer:                                Spouse’s or Partner’s Employer:

Please list all animals living in your home:

Pet’s Name              Dog/Cat          Breed            Age    Altered   Indoor   Other Information:
                                                                 (Y/N)     (Y/N)
                                                                                    Veterinarian Name:
                                                                                    Veterinarian Number:
                                                                                    Owner Name on Record:


Critter Cavalry Rescue Adoption Application v4.5 050112                                                  Page 1 of 3
                                                                                                                       608 Eastcastle Court
                                                                                                                         Franklin, TN 37069
                                                          Critter Cavalry Rescue                                      Phone: (615) 661-5333
                                                                                                                       Fax: (866)-589-5389



Other than the animals already listed, have you owned any other dogs within the last 10 years? If so please
describe the type of dog, when you owned it, when and why you stopped owning it, and what veterinarian you used.




Please provide below the names and phone numbers of two personal references that you have known for more
than three years. Only one of the two references may be a relative.

 Reference Name                                   Phone Number         Relationship to you   Best time to call
                                                  (Including Area
                                                  Code)
 1.
 2.

Why do you want a dog?




I have a:           FENCED YARD                DOG RUN         STATIONARY TIE OUT
                    INVISIBLE/UNDERGROUND FENCE                OTHER: _________________


If you have a fence, please indicate type and height?    Type:              Height:
If you do not have a fence, how will you handle exercising and toilet duties?




How many hours each day will the dog be left alone?
Where will the dog spend the day when alone?      LOOSE INDOORS       CONFINED TO ROOM INDOORS     CRATE INDOORS
     GARAGE          BASEMENT       FENCED YARD       OUTSIDE RUN       LOOSE OUTDOORS        OTHER:
Where will the dog spend the time when you’re home?    LOOSE INDOORS      CONFINED TO ROOM INDOORS     CRATE INDOORS
     GARAGE          BASEMENT       FENCED YARD       OUTSIDE RUN       LOOSE OUTDOORS        OTHER:
Where will the dog sleep at night?    LOOSE INDOORS      CONFINED TO ROOM INDOORS     CRATE INDOORS
     GARAGE          BASEMENT       FENCED YARD       OUTSIDE RUN       LOOSE OUTDOORS        OTHER:

From which rooms and areas of the house will the dog will be restricted? Please describe:



How many adults are in your home?                                           Ages:
How many children?                                   Ages:

Does anyone in your household have any allergies to
                                                                             YES       NO
animals?
What is the noise/activity level of your household?                           Quiet          Moderate
                                                                              Active         Very Active



Critter Cavalry Rescue Adoption Application v4.5 050112                                                 Page 2 of 3
                                                                                                                   608 Eastcastle Court
                                                                                                                     Franklin, TN 37069
                                                          Critter Cavalry Rescue                                  Phone: (615) 661-5333
                                                                                                                   Fax: (866)-589-5389



Who will be responsible for the care and training of your
dog?
What is your experience with dogs?                                          First time dog owner
                                                                            Had dog(s) growing up
                                                                            Experienced dog owner
If you have children, please describe their experience with
dogs:
Do children visit your home often?                                      YES            NO
If yes, what are the ages of the visiting children?
How long are you willing to give your dog to adjust to you,
your family and its new environment?
Do you understand that should you decide to return your                    YES         NO
dog to Critter Cavalry Rescue, some or all of your adoption
fee may be retained to cover transportation fees,
veterinary costs, and expenses associated with securing a
new placement?
Have you ever experienced behavior or training problems
with your current or previous dogs?                                        YES         NO
If yes, please explain the issues and how they were resolved:

ALL dogs need some level of obedience training/learning.
Are you willing to seek some type of training for this dog
whether it be private, in-home sessions and/or group
classes?                                                                   YES         NO
  If no, why not?
Have you already looked into training classes/options in                   YES         NO
your area?
 If yes, why?
 If no, why not?

Have you ever surrendered an animal to a rescue group,               YES          NO
pound or animal shelter?
  If yes, please explain the circumstances:
Are you familiar with crate training, used for
                                                                     YES         NO
housebreaking and training?
Do you intend to use this method?                                    YES         NO
What veterinarian will you use for this pet?
Would you be willing to have an in-home visit by a CCR                Yes              No
representative?
How long have you been looking for a new pet?

Signed: ________________________________________ Date: ____________________________




Critter Cavalry Rescue Adoption Application v4.5 050112                                             Page 3 of 3

								
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