The adoption fee is refundable in 30 days if the adopter is dissatisfied with the dog for any reason, and we DO want our dogs returned. The fee covers the cost of heartworm test, spay/neuter, vaccinations, worming and a microchip. It does not cover heartworm treatment, eye or other corrective surgery, dermoid sinus removal, dentals or thyroid testing.
Adopted dogs come with health records, collar and leash, Avid microchip registration and a one-month supply of heartworm prevention. Sorry, we do not adopt to families without a fenced yard or who live in apartments.
The Adoption Application is available as a Word Doc and a PDF file.
You may also copy and paste this page to an email, and send it to etosharescue@gmail.com
Or, you can print it, fill it out by hand and mail it.
Prospective owner's name: ___________________________________________
Address:_________________________________________________________
Home telephone:______________ work:________other:____________________
What is your age? ________________Married or single? __________________
Your occupation:___________________________________________________
Do you rent or own your home:__________________
Type:_______________
How long at this address:_________
email address _____________________________
Do you have an in-ground swimming pool?__________ Is it fenced off?______________
Do you have a fenced yard?____________
Type & height:___________________
What outdoor shelter suitable for a dog do you have? _______________________________________________________________
Have you owned a dog? ____________
What happened to it? ________________
Do you own other dogs now? ______Cats? _________
Are they neutered?______
CURRENT PETS:
Please list dogs' breeds, age & sex:
KIND BREED SPAY/NEUTER KEPT WHERE TIME OWNED AGE
Dog____________ | Yes___No___ | In____Out___ |________|______|
Dog____________ | Yes___No___ | In____Out___ |________|______|
Dog____________ | Yes___No___ | In____Out___ |________|______|
Please list cats' breed, age & sex:
KIND BREED SPAY/NEUTER KEPT WHERE TIME OWNED AGE
Cat____________ | Yes___No___ | In____Out___ |________|_______|
Cat____________ | Yes___No___ | In____Out___ |________|_______|
List other animals you own:
_________________________________________________________
Your veterinarian's name, address & telephone number:
_________________________________________________________
_________________________________________________________
What form of training will you provide your dog?
__Obedience class
__Follow training books
__Professional training
__Home training
How many adults in your household?_______
How many children?________
Age & sex of children: __________________________________________
If you have young children, they need to be educated on how to interact with
the dog in order to prevent dog bites, are you able/willing to do that?
___Yes ___No
Please explain which breed you are interested in and why:
__________________________________________________________
What do you feel makes you a good pet owner?
__________________________________________________________
What types of pet behavior do you find difficult to deal with?
__________________________________________________________
What would you do if your pet developed a physical disability?
__________________________________________________________
What will you do when your pet becomes elderly?
__________________________________________________________
What would you do if your present pets do not get along with your adopted dog?
__________________________________________________________
Do you have any limitations in caring for this particular dog/breed?
__________________________________________________________
Where will you keep this dog when you TRAVEL?
__________________________________________________________
What plans have you made for your pets if you are physically unable
to care for them?
___________________________________________________________
What type of balanced nutrition do you intend to provide for your dog?
Dog Food Brand:
_________________
Dry or Wet Food:_________________
Other type food: ___________________
Are you financially able to provide veterinary care for a dog? _______________
Are you aware of the importance of heartworm preventative? _______________
Would you allow your dog to ride in the back of a pickup truck? ____________
If adopted, where will your dog sleep at night? __________________________
Where will the dog stay during the day? _______________________________
How many hours per day will your dog spend alone? _____________________
Who will provide the necessary care for the dog? ________________________
How will this dog fit in with your hobbies/lifestyle, etc.? ___________________
Explain:_______________________________________________________
Will your dog be crated at home? __________________________________
Do you wish to adopt a male_____ or female_____ Age preferred: _____
If dissatisfied with your dog, would you return him/her to Etosha Rescue & Adoption Center?
____________________________________________________________________
Reference #1:
_____________________________________________________
Address:
_____________________________________________________
Phone (Day):
_____________________________________________________
Email address: _______________________________________________
Reference #2:
_____________________________________________________
Address:
_____________________________________________________
Phone (Day):
_____________________________________________________
Email address: _______________________________________________
Reference #3:
_____________________________________________________
Address:
_____________________________________________________
Phone (Day):
_____________________________________________________
Email address: _______________________________________________
Address:
_____________________________________________________
Phone (Day):
_____________________________________________________
Email address: _______________________________________________