How did you hear about AuCaDo Rescue Michigan Illinois Ohio?

Have you read and understood the "About The ACD Breed" page on our website?

Do you have ACD experience? If not, why are you interested in adopting this breed? Explain why you would be a good ACD rescue parent.

Name:

Age:
Spouse/Partner's Name:

Spouse/Partner's Age:

E-mail address:
Address:

City:
County:
State:

Zip:

Home Phone:
Cell or Alternate Phone:
Employer:
Employer Address:
Work Phone:
Work Hours:
Do you work from home? Would you take your ACD to work?
Spouse/Partner's Employer:
Spouse/Partner's Employer Address:
Spouse/Partner's Work Phone:
Spouse/Partner's Work Hours:
Does your spouse/partner work from home or take an ACD to work?:
Number of children living at home:
Ages:
Do you have young children visit on a regular basis? (i.e. grandchildren, babysitting)? If yes, ages of children:
Are you expecting a child, or planning a family in the future? If yes, will the ACD remain in the home?
How long have you lived at this address:
Previous Address if less than 2 years:
Number of years there:
List all members living in your home and their ages:
Is everyone in your home agreeable to adopting a rescued dog and training a rescued dog? If not, who and why?
For whom are you adopting the pet? If someone else, please explain for whom. Do they know?
Does anyone in your home have any known allergies? If so, please explain.
In the event of your sudden demise, who would immediately care for your adopted rescue?
Have you made a written provision for your existing pets in a will or other legal document?
Which of the following terms best describes your current living situation? Own House, Rent House, Own Condo, Rent Condo, Rent Apartment, Own Modular Home, Rent Modular Home, Living with Parents, Living with Others:
If renting, landlord's name and phone number:
Social environment (city, suburban, country)? Briefly explain:
If so, what is the limit of pets allowed per household?:
Does your city or county have a limit of pets per household? If so, what is the limit of pets allowed per household?:
Do you have a doggie door?
Does your home have a backyard?
Is your yard fenced? If so, what is height of fence?
Do you have an invisible style fence?
If other kind of fence, please describe:
Is fence permanent?
Is edge of fence buried to prevent tunneling?
Is there a pool? If so, how will you keep the dog safe?:

Adoption and Care Information:

Will dog be left alone during the day? If so, where will dog be kept?
If so, for how long?
Specifically, what will be the dog's living situation? (ex.: run of the house, outside kennel, garage, basement):
If outside, describe kennel, house, etc.:
Is this heated and cooled?
Where will the adopted dog sleep?
Will you attend obedience training with your adopted dog?
If not attending obedience training with your adopted dog, how much time will be devoted to daily training?
If you have a preference of a male or female, please specify:
Age range:
Why do you want this rescued dog? What are your expectations?
What activities are you going to engage in with your adopted dog?
How long will you keep this dog? What if there is a major lifestyle change, will the dog be given up?
Are you willing to adopt a dog with special medical needs, such as daily eye drops, special diet or daily medication?
What do you consider behavioral problems?
Are you willing to adopt a rescue dog with behavioral issues, such as house training, jumping on people, barking, etc.?
What is your method of disciplining a dog?
Do you own a crate, and what are your thoughts about crating?
Will you be able to finish the house breaking training by using a crate?
Under what circumstances would you give up this dog? (Divorce, Marriage, Children, Relocation, New Job, Losing Job, Dog develops behavior issues, Dog becomes ill, etc.)
Other Pets:
Are there other pets living in your home? (if not, skip this section):
If so, what brand food do you feed?
If you have an animal now, have you ever introduced it to a new animal? If yes, how did your pet react?:
List breed(s), age(s), and sex(es)of current/past 2 pets:
Are all other pets current on all vaccinations?
Are other pets spayed and/or neutered?
If no to either above, please explain:
If necessary, will you spay or neuter your current dog?:
Are other pets on heartworm preventative?
If yes, brand:
If no, explain:
Veterinarian's Name (that you plan to use for your new pet):
Vet's Phone:
File name of each pet and owner, at the vets office:
Have you attended obedience training with your current or previous pets? If so, trainer's name:
Do any of your current pets have behavioral issues? Or, have you had a pet with issues? If so, what issues and how do you handle it?
List last 3 pets you've owned (if not mentioned above), age, breed, up to date on vaccinations, spayed/neutered & if still owned:
General Information:
Please list any rescued dogs posted on our AuCaDo Rescue Michigan Illinois or Ohio available pages that you are currently interested in:
Are you willing to travel to Michigan, Illinois or Ohio to pick up your adopted rescue dog? If yes, which one(s)?
Have you applied to adopt from another rescue group? If yes, which group?
Please list any breed, Humane Societies, Training Clubs, and similar organizations you support or in which you are affiliated:

Do you understand that often times the complete history of a rescued dog may not be known? Is this acceptable?
Please provide the name, email address and phone number of three (3) references.
Relative Reference:
Non-Relative Reference:
Neighbor:


I declare that the information I have provided in this application is complete and correct. I further declare that I am financially and physically able to care for a rescued dog. I understand that proper food and veterinarian care may be costly, and I am able and willing to meet the needs of my adoptive dog. I understand the requirements and grant permission for Home Checks at random both prior to and following adoption. I submit that if the Adoption Application or the Home Check reveals falsification or misrepresentation of any facts on my part, AuCaDo Rescue Michigan Illinois or Ohio reserves the right to either refuse adoption or to nullify the adoption and reclaim said rescued dog from my premises, without reimbursement of the adoption donation. I release AuCaDo Rescue Michigan Illinois and Ohio from any liabilities I may incur from the adoption process.

By submitting this application online, you are agreeing to the above declaration.

Please print your name again, to be used as a signature on this form.
Signature:
Date: