Savin'Em All Adoption Application

The answers you give on this application will help us find the best possible match between you and the dogs available through Savin'em All Rescue. Our adoption fee is $250 plus a transport fee of $150 for all dogs making a total of $400. Our goal is to not lose money and our adoption fee covers all vetting costs, including pull fees, spay/neuter, all shots including bordatella, deworming, heartworm screening, heartworm and flea preventative,grooming and any other costs which may be incurred. They are transported from Ohio, this is costly. Dogs in NH in foster care originally came from Ohio, so the transport fee applies there as well. Transport/Adoption fees only apply if you adopt.
   A home visit may be required before any adoption is finalized. You must be 21 to adopt! The process does not take long, so please only submit an application when you are ready to adopt, we do not hold dogs, ever.
  Thanks for understanding.

* Denotes a REQUIRED FIELD

Contact Information

* Full Name:

* Street Address

* City

* State

* Zip Code

Age:

* Phone Number

Work Phone:

Cell Phone:

Best Time to call:

* Email Address

* Confirm Email Adress:

* What specific dog are you interested in?

References
We require a vet reference. If you don't have a vet, list a personal reference. Your reference should not be a relative. Please call your vet in advance and give permission for them to give out information for the reference check. Also, be sure to give us the name the vet has on file.

References: We require a vet reference. If you don't have a vet, list a personal reference. Your reference should not be a relative. Please call your vet in advance and give permission for them to give out information for the reference check. Also, be sure to give us the name the vet has on file.

* Your Vet's name/Alternate Reference:

* Address:

* Telephone:

Household Information

How many adults in the household?

How many children?

List names, ages and sex of children:

List any regular visitors to your home, both human and animal, with which your new dog must get along with:

Do you own other dogs?

Yes

No

How many?

Are they spayed/neutered?

Yes

No

List breed, sex and age of each dog:

How many dogs have you owned in the last five years?

Do you still own the dogs?

Yes

No

If not, what happened to the dog(s)?

Do you own cats:

Yes

No

How many?

Do you own other animals (rabbits,parrots, etc)?

Yes

No

If yes, please list:

Do you have livestock?

Yes

No

If yes, please list:

Do you own your own home?

Yes

No

If you rent , do you have the landlord's permission to keep a dog?

Yes

No

Please give the Landlord's name and telephone number:

Do you live in a:

If "Other" for residence, please describe:

How long have you lived at this address?

Are you planning to move in the foreseeable future?

Yes

No

Do you have a fenced yard?

Yes

No

Select type of fencing:

If "Other" fencing type, please describe:

If you have a fence, please list height:

Does the fence completely enclose the yard?

Yes

No

Do you have a seperate kennel run?

Yes

No

Give the kennel size:

Finding the RIght Dog for You

Have you owned a dog before?

Yes

No

Where will the dog spend the day?

If "Other" selected, please describe:

Where will the dog spend the night?

If "Other" selected, please describe:

How many hours a day, on the average, will the dog spend alone?

How many hours a day, on the average, will the dog spend in a crate?

If applying for a puppy, how will you handle potty breaks during work or prolonged absences?

Will you commit to taking your dog/puppy to obedience school?

Yes

No

* Your signature:

* Date:

Filling out this application in no way guarantees your adoption of a dog from Savin'Em All Animal Rescue.

* Indicates Response Required

Savin'Em All Adoption Application

Contact Information

References We require a vet reference. If you don't have a vet, list a personal reference. Your reference should not be a relative. Please call your vet in advance and give permission for them to give out information for the reference check. Also, be sure to give us the name the vet has on file.

Household Information

Finding the RIght Dog for You

References
We require a vet reference. If you don't have a vet, list a personal reference. Your reference should not be a relative. Please call your vet in advance and give permission for them to give out information for the reference check. Also, be sure to give us the name the vet has on file.