EmailMe Form - NorCal Cocker Rescue Adoption/Foster Application

Date of Application: *

MM / DD / YYYY

I would like to: *

Adopt a NorCal dog

Foster a NorCal dog

Your Name *

Your Address *

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

Phone Number (home) *

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

Phone Number (cell) *

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

Email Address

Is there a particular dog that interests you?

List dog's name

Have you already met this dog? If so, where or when did you meet the dog? *

Are you only interested in this particular dog? *

What exactly are you looking for in a dog; i.e. male/female, color, size etc. *

What characteristics or personality of this dog or any other dog are you most interested in. *

Are there any "deal breakers" about a dogs behavior or medical condition that would keep you from adopting a particular dog? *

Household Information:

What kind of home do you reside, i.e. single family, apartment, condo, duplex, mobile home? *

How long have you lived at this residence? *

Do you own or rent? (Renters must provide a letter from their landlord stating you are able to have the type of pet you want to adopt.) *

Do you have a yard? If so what kind of fence does it have (describe - include type and height) ? *

Do you have a pool? If so, is it fenced? (All pools must be fenced with at least mesh fencing) *

Does everyone in your household know about and support your intentions to adopt a dog? *

How long will your dog be alone during the day? *

Where will your dog be when you are gone? *

If you travel, who will take care of your dog? *

Will your dog be around small children, under age 8? *

Cockers are not always a good match for a home with small children. Depending on the personality and temperament of the dog we are always cautious about adopting out cockers to families with small children or children that visit often.

Who will take care of your dog if something happens to you and/or your family and you are no longer able to care for a dog? *

Please always contact us first if you are no longer able to care for your dog. We will always take our dogs back.

List everyone living in your household, including you. Please include name, age, and relationship. *

Please provide telephone and/or email addresses of two personal references whom we may contact (only one can be a family member). *

Please let your references know that we will be calling so they are not surprised to receive a call from an unknown phone number.

What age ranges would you be interested in adopting (check all that apply). *

<1 year old

1-3 years old

4-9 years old

10+ years old

Are you looking for a cuddly/lap dog that needs a lot of attention and wants to play or one that is more independent and is happy being left alone and can entertain themselves? *

What activiites do you do that your dog will be involved in? *

How many times a day and for how long would you be able to walk your dog? *

How would you handle a dog that pulls or is not trained to walk on a leash? *

All dogs, including cockers, need exercise. We do not recommend dog parks and prefer that you walk your dog.

Would your dog be required to sleep or stay in a crate? *

The majority of our dogs are not crate trained. We do not recommend crating cockers. We use baby gates to separate them from different areas of the home.

Where will your dog sleep? Would your dog sleep in a dog bed or in another room, away from you? *

Would you allow your dog to be on the furniture or on your bed? *

Is housetrained a deal breaker for you? *

How will you handle a dog that has accidents in your home? *

We work hard to housetrain all our dogs, however some are easier than others and ALL will have accidents in your home, until they become accustomed to their new surroundings.

How would you handle with a shy, skittish or fearful dog? *

How would you handle a dog that may guard their food or toys? *

How would you handle a dog that responds to being on a leash by barking, lunging or growling? *

How would you handle a dog that is protective/possessive of their owner and may react by barking, lunging or growling? *

How would you handle a dog that is fearful or scared of other dogs? *

How would you handle a dog that has separation anxiety and will cry/ whine or bark? *

Are you willing to take your dog to a groomer on a regular basis, as needed? *

Cockers need regular grooming as they are prone to allergies, ear infections and collecting foxtails and stickers.

What kind of dog food will you feed your dog? *

Cockers are prone to ear infections and skin problems. Often these problems are caused by allergies to food or treats with wheat, flour, white/brown rice, corn or by-products. One of the first 3 ingredients should be a protein. We recommend Natural Balance Fish/Potato.

Are you aware of the proper way to clean a cockers ears? *

Cockers are very prone to ear infections and must have their ears cleaned.

Dogs with medical challenges still make great pets. Would you consider adopting a dog with any of the following: *

What experience to do you have with pet health/behavior issues? *

Current Pets *

Please list all animals currently living in your household. Include species, name, breed, and age.

Are all the pets in your household spayed or neutered? *

Previous Pets *

Please list all pets you've had in your adult life, how long you had them, and what happened to them.

How do (will) you train and discipline your pets? *

LAST BUT NOT LEAST, PLEASE TELL US WHY YOU WANT A DOG. *

NorCal Cocker Rescue (NCCR) evaluates all applicants on a case by case basis and does not guarantee that all prospective adopters will be approved. We reserve the right to choose the adoptive families we feel are most suited to our dogs' needs at the time of application.
In addition, NCCR reserves the right to redirect applicants to a dog that better fits their lifestyle in order to have a successful adoption. Disapproval simply means that NCCR does not feel it has the right cocker for the applicant at the present time; it is not a reflection on the applicant's character. If concerns present themselves at any time during the adoption process, NCCR also reserves the right to reevaluate your application.

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