EmailMe Form - All Mutts Great and Small Adoption Application

Name *

First Middle Last

Email *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Cell Phone

### - ### - ####

Home Phone

### - ### - ####

Work Phone

### - ### - ####

Age of Applicant *

Name of the dog you wish to adopt: *

Why did you choose this dog or puppy? *

When choosing a dog or puppy, what characteristics are important to you? *

What energy level are you looking for in your dog?

Why are you adopting a dog? Check all that apply. *

Companionship for self

Companionship for dog

Companionship for senior

Companionship for children

Will this dog be used as any of the following? Check all that apply.

Please briefly describe your average day and how your dog will fit into it. *

What methods do you use for training your dog and if you have a trainer, please provide their contact information. *

What do you believe is a reasonable amount of time to give a dog, to bond with you and acclimate to your household? *

Give reasons you would feel it was necessary to return or rehome an adopted dog. *

Would you seek professional help before returning or rehoming an adopted dog? *

Yes

No

Are there children in your house? *

Yes

No

If you have children in your house, please list their ages.

Note: We ask about childrens' ages because some dogs are very good with all ages of kids and other dogs, while very kid-friendly, may have too much energy combined with lack of training to be safe around young kids. Other dogs are simply nervous around children, increasing bite risk. We are happy to discuss this on an individual basis.

List all other people currently living in the home with you, their relationship to you and their roll if any, in caring for the dog. *

Are all members of your household in agreement on adopting a dog? *

Yes

No

Are any members of your household allergic to dogs? *

Yes

No

If you answered yes to the previous question, please describe how you will handle having a dog in the home.

Housebroken dogs will often mark their territory or have accidents when first introduced to a new home. Are you prepared to accept this? *

Yes

No

Please note* Housebroken dogs, by our definition, are those that, with regular and frequent outdoor opportunities and diligent observance on the part of their human, prefer to potty outside BUT are NOT to the point in their training, where they are asking to be let outside via physical or vocal communication nor should they be trusted to hold it for long periods of time, while their owners are away..

Do you understand that adopted puppies are not housebroken and that the responsibility for training will fall on you and your family? *

Yes

No

Do you have other dogs in the home? *

Yes

No

If yes, please list the age, sex and breed of each dog.

Will existing dogs in the home accept a strange new dog into their territory without aggression?

Yes

No

Note: We require any existing dogs in the home be present for the adoption "Meet and Greet" before we approve the adoption. This is to ensure the safety of all and give the adopted dog the greatest chance of acceptance into his/her new environment. If your dog is too old or incapable of travel we may make an exception to the requirement if acceptance and social ability can be demonstrated through video or vet reference.

Do you have cats in your household? *

Yes

No

If yes, are they used to being around dogs, even strange ones that will want to investigate them? 

Yes

No

Note: We test incoming rescue dogs with the cat(s) living in our foster homes who are accustomed to being exposed to new dogs on a regular basis. They are secure and do not run from introductions. If we have indicated a dog is good with cats we are going by their reaction to the cats in their foster home. A cat that runs can elicit a much different response and could create a situation where injury to one or both might occur. We make NO GUARANTEES our dogs, even those listed as cat friendly, will accept the cat or cats in your home.

Please list any other pets or animals living in the home and on your property, i.e. pocket pets, exotics, barnyard/farm animals and what, if any kind of access your dog will have to them.

Which best describes your living situation? *

I live in a home I own

I live in a home owned by a family member

I rent my home from a landlord and I am the leaseholder

I live in a rented home and I am not the leaseholder

If you own your residence, how long have you owned it?

If you rent your home from a landlord, please provide the name and contact information for your landlord or property manager.

Is the property where the dog is to live, securely fenced for safe containment? *

Yes

No

If yes, describe the fence in detail. What materials is it made from? How Tall? What type of gates? Does it secure a back yard? A front yard? Etc.

If no, please describe how your dog will safely receive sufficient outdoor time.

Is there a move in your near future? *

Yes

No

If yes, what are your plans for your dog if you cannot secure dog friendly housing?

Daily, will there be a time your dog is left alone for more than six straight hours? *

Yes

No

If yes, please describe how long the dog will be alone and how your dog will be secured, i.e. crated, kept in a room, allowed free access to the home, outside in a yard, kennel, etc

Do you have a doggy door and if yes, how often and for how long, will your dog have access to it. *

For extended periods away from the home (hospital stays, vacation, etc.) how will the dog be cared for? *

Where will the dog sleep at night? *

Have you ever had to rehome a dog?

Yes

No

If yes, please describe the circumstances.

What are your feelings on spay and neuter? *

Do you believe it is important to keep a dog up to date on vaccinations? *

Yes

No

If no, please elaborate.

If there are animals currently residing in your home, are they all up to date on vaccinations and have they been spayed or neutered? *

Yes

No

If no, please elaborate.

List the dogs you have owned in the last 15 years (not including current ones). Please explain why they are no longer with you i.e. rehomed (Why) Passed Away (How) Ran Away, Stolen, Seized etc.

If you are a first time dog owner, as an adult, just put none.

Pet medical care can be costly. Are you financially prepared for not only routine medical care but emergency care? Please explain. *

Please list the name and number of your most utilized veterinarian. *

Note: If you are new to an area and have not established a veterinarian, list the one in your previous location. We are attempting to establish responsible ownership:

May we call your veterinarian for a reference *

Yes

No

Note: Refusal to allow us to check a vet reference will result in a halt in processing your application.

While we do our best to ensure all dogs are healthy and of good temperament, and any known quirks or unpleasant behavior is revealed, underlying issues not readily observable could occur, such as hidden parasite infestation, object-specific aggression, environmentally-triggered anxiety, etc. Knowing this, are you prepared to handle such a situation if it should arise? *

Yes

No

Our rescue is located in South Central Washington State. Are you willing to travel to our rescue to bring home your new companion? *

Yes

No

Do you fully understand, if you are adopting a dog that cannot be spayed or neutered at this time, you will be expected to do so at your own expense when medically appropriate and that failure to do so will result in All Mutts Great and Small reclaiming the dog for breach of contract? *

Yes

No

Are there any other comments or insights you would like to share with us?

All Mutts Great and Small is an all-volunteer organization. We have no paid staff and most volunteers have full time professional jobs and personal obligations outside of their volunteer work so we ask for your understanding and patience.

Communication about your application will be conducted at the earliest available opportunity and will most likely be through email so please check your spam/junk box or include our email address in your contacts.

If you are selected for adoption you will be contacted by our adoption coordinator at the email address provided to us, on your application. The time it takes for us to respond to an approved applicant varies, depending on how busy we are at the rescue and the availability of your landlord and veterinarian to respond to our reference requests. It can be as early as within 24 hours but has been known to take as long as a week. You can help us by providing complete contact information for your vet and landlord.

WE DO NOT NOTIFY APPLICANTS WHO WERE NOT SELECTED.

If you have not received communication after a week of submission, the dog you were applying for was most likely approved to another applicant. This in NO WAY indicates your are not qualified to adopt a dog from us. We adopt dogs out on a series of checks. The more favorable boxes we can check off the greater chances an applicant has for being approved. This usually comes into play on high value dogs, i.e. purebreds, hypo allergenics and puppies.

We will be happy to communicate with you about your application via email. Questions regarding your application need to be submitted to allmuttsgreatandsmall@yahoo.com. Calls to the rescue regarding the status of your application, for reasons of time and volume, will not be returned.

By signing/submitting this adoption application, you give All Mutts Great and Small, authority to contact any and all references listed, that you read and understand the above statement, and that you swear that all information is truthful and complete.

This application was completed by: *