Adoption Application

Please take the time to complete all the questions. This will help us to determine if this dog is the best match for your household.

This form should only be filled out by persons 18 years of age and older.

What is your Email Address?

What is your name?

What is your street address?

What is your City, State and Zip Code?

Home Phone

Work Phone

Are you applying to Foster or to Adopt?

Foster a dog

Adopt a dog

Which Dog are you interested in adopting?

Number of Adults in home?

Ages of Adults?

21-35

36-45

46-55

55 and up

Number of Children in home?

Ages of Children?

What type of home do you live in?

Do you:.

Own	Rent/Lease

If you rent or lease, your landlord's approval in required. What is your landlord's name, address and phone number?

Do you have a fenced yard?

yes

no

If yes, please describe yard and fence:

What characteristics are you looking for in your new dog?

What characteristics would you like to avoid in your new dog?

Do you own any other pets?

yes

no

If yes - please list the types, breeds, ages, whether they are spayed/neutered, and any other information you would like about them:

Please list one vet reference, one groomer reference and 2 personal references:

There is an adoption fee associated with SDSR rescue dogs (see dog's page for amount). We do not operate for profit but are not yet a non-profit organization, either. Your adoption fee is not tax deductible. Do you agree to pay a non-refundable adoption fee for this dog, should you be a good match together?

yes

no

One of the terms of the adoption contract will be that this dog remain in your possession for the rest of it's life. Should you be unable to care for it, for any reason, the dog is to be safely returned to SDSR at your cost. Do you agree with these terms?

yes

no

Additional Comments:

Thank you for considering a rescue dog and completing our on-line application!

San Diego Spaniel Rescue is an all-volunteer organization. You should hear from us within a day or two, but if you don't, please allow us some leeway. You may followup at any time with a phone call or email, too.

We look forward to talking with you!

By submitting this application you agree that you are age 18 or older. You also agree to receive the monthly SDSR email newsletter.

Adoption Application Please take the time to complete all the questions. This will help us to determine if this dog is the best match for your household. This form should only be filled out by persons 18 years of age and older.

Adoption Application

Please take the time to complete all the questions. This will help us to determine if this dog is the best match for your household.

This form should only be filled out by persons 18 years of age and older.