Solo Rottweiler Rescue - Adoption Application

Solo Rottweiler Rescue - Adoption Application

Solo Rottweiler Rescue is a non-profit rescue staffed solely by volunteers who are not compensated financially for their time. No tax monies support our rescue, and we rely solely upon donations and fundraisers in order to continue our rescue efforts. As such we require that adopters make an adoption donation of $150-$250 (mix breeds are usually $75-$100).

Solo Rottweiler Rescue adopts to families located in our coverage area in the state of Louisiana.
Personal Information:

Name: Age:

Email Address

Spouse: Age:

Address:

City: State: Zip:

Home Phone:

Your employer: Phone:

Length of Employment:

Spouse employer: Phone:

Length of Employment:

If Military, list rank and any deployment plans:

If Military, what is your PCS history for the past 2 yrs?:

If applicable, number and ages of children:

How long have you lived at this address?

If less than two years, please list your previous address:

Please indicate which best describes your current living situation: House Condo Apartment Mobile Home

Do you? Rent Own Live with Parents

What type of environment? City Suburban Country

If you rent, name & phone number of Landlord:

If you own, do you have a home owners association? : Yes No

Are Rottweilers allowed? Yes No

What is the name of your home owner's/renter's insurance company?

Have you checked to see if Rottweilers are allowed on your policy? Yes No

Besides your immediate family, are there others residing in your home? Yes No

Names:

Ages:

Does your home have a yard? Yes No

Is there a fence? Is the gate padlocked? Is it secure underground?

Adoption Information:

Have you ever owned a Rottweiler? Where is that Rottweiler now?

Why do you want a Rottweiler?

Will the Rottweiler be used as a guard dog?

Is everyone in your household in agreement on adopting a Rottweiler?

Which dog would you like to adopt?

Do you prefer a male or female Rottweiler? Age range?

Where will the dog stay when you are home?

Where will the dog stay when you are gone?

Where will the dog be kept most of the time?

Do you have a city or county ordinance that limits the number of dogs you are allowed to have in your home? Yes No

If yes, how many are you allowed to have?

Do you own a Dog Crate? What kind?

If you do not own a crate are you willing to buy one and use it for the rescue dog?

Completing an obedience class is a requirement of adoption. Where will you take your dog for obedience class?

Under what circumstances would you give up your dog?

Other Pet Information:

Do you currently have pets? Please list their species, breed, age and sex.

Please list the pets you have had in the past 10 years and what happened to them:

Have you ever had a dog killed by a car? Poisoned? Lost? Stolen?

Are your other pets all spayed or neutered?

Are your other pets current on all vaccinations? Yes No

Are your dogs on heartworm preventative? What brand?

Veterinarian's name & Phone Number:

Name that animals are under at the vet's office (pet's name and owner's name):

How did you hear about Solo Rottweiler Rescue, Inc.?

Have you recently applied to adopt from any other rescue organizations? If so, who?

We will attempt to provide you with an honest evaluation of temperament on any dog we have to place. Do you realize that often times the complete history of a Rottweiler may not be known and you may encounter some behavioral problems? Are you willing to work with us on correcting these problems?

Please provide the name, address and phone number (please note if this is a work or home number) of three references:

Reference #1

Reference #2

Reference #3

I certify that the information provided on this form is true & correct. I am also financially and physically able to care for this animal. I understand that proper food and veterinarian care can be costly and I am able to meet these requirements. Home visits are made on a random basis following to adoption. If upon inspection we find information contained in this application to be false, we retain the right to turn down or remove the animal from your premises without a refund of moneys paid. If at anytime following the adoption, you feel like you can not keep the dog, the dog MUST be returned to Solo Rottweiler Rescue. I understand that electronically signing my name below is valid as a means of legal signature for the purpose of this adoption application.

Signature

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