Sunshine Airedalers of Florida – Airedale Rescue Organization

Personal Information

Your Name:

Name(s) of adults in household

Home Address

Street

City

State

Zip Code

Email

Phone Number

Please use the exact format displayed in the field above.

Please list ALL human household members (you may include frequent visitors), and their approximate ages:

Name/Relationship

Age

Name/Relationship

Age

Name/Relationship

Age

Name/Relationship

Age

Name/Relationship

Age

Name/Relationship

Age

Additional Family Members, Relationship and Ages

Does any family member have pet allergies?

Yes No

If you checked yes to pet allergies please give us some details.

How long have you lived at this address?

If less than two years, please give your previous address.

Street

City

State

Zip Code

Your Occupation

Spouse's/Partner’s Occupation

Residential Information

If you checked other for residential information please describe.

Own or Rent

Own Rent

If you rent, do you have written permission for having a dog?

Yes No

What is the type/height of fencing?

What is the approximate size of the fenced area?

Does your back door open directly into the fenced yard?

Is the fence detached from the house so you must walk out to it

Pet History

Have you ever owned an Airedale?

Yes No

If not, why do you now want an Airedale?

Do you prefer

Male Female No Preference

Age Preference

Size Preference (List Maximum Weight)

What will your Airedale need to get along with? (Check as many as are applicable)

If you checked other for what your Airedale needs to get along with please explain.

Describe your plan to provide your dog with exercise:

Generally speaking, what kind of temperament would best suit your household? Check all that apply.

Energetic, Always on the go Loves to walk, run or hike Sweet and Cuddly Patient and tolerant of kids Couch potato 80% of the time Protector of the house barks loud Good at meeting visitors Devil dog, needs constant watching or will find things to get into

Have you been to obedience classes?

Yes No

What type of pack leader are you?

Strong Average Weak

Have you adopted a rescue before?

Yes No

Have you ever had a dog that ran away or was stolen?

Yes No

Please describe the event.

Have you ever given up a dog?

Yes No

If yes, why?

For what reasons would you give up your dog?

Are you ready for a dog now?

Yes No

If not, what date did you have in mind?

Where will your dog stay when no one is home during the day?

For how many hours?

How often?

Will your dog have the run of the house?

If the dog is confined, describe where and how he would be confined. Maximum time dog would be crated per day with the door shut.

Will you use a crate?

Yes No

Where will your dog sleep?

Will he/she be allowed on the furniture?

Will he/she have several beds or cushions throughout the house?

Will he/she sleep in your bedroom?

When you travel, where will your dog stay?

Pets currently in your household. Include animals that visit frequently.

Type of Animal/s

Age of Animal/s

Sex of Animal/s

Spayed/Neutered Status:

Weight of Animal/s

Tell us about your previous pets, how long they lived and what ultimately happened to them. Breed, Age, and What happened.

References

If you currently have pets, we would like to be able to contact your veterinarian about your care of your current pets.

Veterinarian or Vet Clinic

Street Address:

City:

State

Zip Code:

Telephone Number:

If you do not currently have any pets, we would like to have contact information for one personal reference – someone who is not a relative and is not living in our household.

Reference Name:

Street Address:

City:

State

Zip Code:

Home Phone:

Cell Phone:

Work Phone:

How does this person know you? (i.e., through work, church, neighbor, etc.)

Adoption Information

Do you understand that rescues are spayed/neutered or have a spay/neuter contract?

Yes No

Do you understand that if at any time you cannot keep the rescued Airedale, it must be returned to Airedale Rescue?

Yes No

Are you aware that if Rescue places an Airedale with you, you will be asked to make a donation? We are an all-volunteer rescue organization and operate on donated funds. If you adopt a rescue Airedale from us, our minimum donation is $550 - $350 depending on age and is subject to change.

Yes No

Do you understand that volunteers from our organization may confirm any information or contact any person provided on this application in regard to your application to adopt an Airedale?

Yes No

Individuals who adopt a rescue Airedale are contacted periodically for an update to help ensure that the Airedale successfully adjusts to its new life. If you adopt a rescued Airedale, do you consent to home visits after adoption?

Yes No

Once you submit this form, a volunteer will contact you for a telephone interview. If there are no concerns that arise from the telephone interview, we will have a volunteer do a home visit with you. They will bring an Airedale with them (if possible). By submitting this application you certify that the information provided on this form is true and correct. You understand that proceeding with this application does not guarantee that we will approve you for adopting one of our dogs. You also understand that if you are approved, you may have to wait until a dog enters rescue that SAF believes is a good match for you and your family.

Our rescues are all spayed or neutered (if medically cleared), heartworm negative, micro chipped and current on all shots when placement is made.

Would you be able to care for a pet with special needs?

Yes No

Would you consider "saving a place for an elder face?"

Yes No

To fill out this application by hand, print it and mail to: Tom and Pam Baker 1775 SW St. Andrews Drive Palm City, Fl 34990 or email to TomBaker@keyes.com.

SUNSHINE AIREDALERS OF FLORIDA APPLICATION FOR ADOPTION

Personal Information

Residential Information

Pet History

References

Adoption Information

SUNSHINE AIREDALERS OF FLORIDA
APPLICATION FOR ADOPTION