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Second CHANCE Cocker Rescue Application
We keep these applications on file for several years. If you have submitted one application there is no need to submit another. Just contact us at elizabeth.mazzetti@gmail.com. Thank you.
Adoption fees run from $300 to $550.
We adopt to the following locations: CA, AZ, ID, NV, MT, OR, WA, AK and west coast Canada
Second CHANCE Cocker Rescue Application
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Please select
Adopting
Fostering
Name
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First
Last
Email
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Phone
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Address
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Street Address
City
State / Province / Region
Postal / Zip Code
How did you hear about us?
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Please select
Adoptapet.com
Petfinder.com
Craigslist.org
Second Chance Cocker Rescue Website
Facebook
TV News
Newspaper
Radio
Friend/Referral
Previous Adopter
Other
If Other (how you found us), please state:
Specific dog(s) you are interested in?
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Reason for wanting a cocker?
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What are you looking for in a dog? check all that apply.
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Male
Female
Calm
Active
Low-Med Energy Level
Med-High Energy Level
Shy
Confident
Docile
Outgoing
Dependent
Independent
Interested in Playing
Kid Friendly
Dog Friendly
Cat Friendly
What age range are you looking for in a dog?
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Do you have any other pets? or had any in the past? What happened to them?
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What is your lifestyle like?
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How many family members are there and what are the ages of the children?
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Is there anyone home during the day?
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How long will the dog be left alone on average?
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Where will the dog sleep?
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Please select
In the garage
Outside
In their bed in another room of the house
In their bed in our room
In our bed
Other
Where will the dog be when you are not at home?
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Please select
Crated
In the garage
In the yard
In the house with access to the yard
In the house in a restricted area
In the house anywhere they chose
Other
What brand of dog food are you planning on feeding?
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What kind of training are you planning to use on your dog?
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I would give up my dog because? Check all that apply.
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Large vet bills
Biting
Moving
Allergies
Training issues
Incompatible with others
I would never give up my dog
Other
If Other (giving up dog), please describe why?
What type of home do you live in?
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Please select
House
Apartment
Condo
Townhouse
Duplex
Mobile Home
Other
I own/rent my home
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Please select
Rent
Own
Other
If Other (type of home and/or do not own/rent), please describe situation:
If you rent, please include your landlords name and contact info:
What is your $ limit for a major vet bill?
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Name and phone number of the Vet you plan to use
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Do you have a pool or spa?
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If so, is it fenced? Will the dog be allowed access unsupervised?
I understand there is an adoption fee of $400-550 depending on the age of the dog.
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Please select
Yes
No
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