ADOPTION APPLICATION - Page Two
 

Dogs in foster care are carefully evaluated by our dedicated volunteers, and we ask many questions of prospective adopters so that we can make just the right match between dog and adopter. The information you supply will help us do that. (Please review our privacy policy). Please note that the adoption fee for a dog in ESRA's foster care program is $250, except for Springers in the Seniors for Seniors program, where the adoption fee may be reduced or waived.

If you have any trouble with this form, please let us know.

Questions regarding an application that has been already submitted should be directed to adopt@springerrescue.org If you are not initially contacted within seven days, please e-mail us.

Bold indicates required information - we cannot process your application without it!
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CONTACT INFORMATION
 

Name:
 
Address:
 
City:
 
State:
Zip*:
    
 
Home Phone:
Work
Phone:
Cell
Phone:
 
Email:
    NOTE: You must advise us of any email address change after you apply to adopt, or we may not be able to forward on to you new information of available dogs we feel may be of interest to you.

Have you applied to adopt or been approved
to adopt through any rescue organization?

 Yes No

Have you ever been denied approval to
adopt through any rescue organization?

 Yes No
If so, please provide us the name of that
organization and their contact person.

YOUR FAMILY & HOME
Names of all persons in the family applying to adopt (if there are children, please list their ages).
Do you live in a house, apartment, condo or mobile home?
Do you Own or Rent? Own Rent
If you rent, is a dog of 40-60 lbs.
approved by your landlord?		 Yes No
How long at this residence?
Do you have a fenced yard? Yes No
Size of yard?
Type of fencing materials used?
Fence height?
Do you have a pool and/or spa? Yes No
Do you have a patio? Yes No
If yes, are there shaded areas? Yes No
Do you have a dog run or kennel? Yes No

GENERAL QUESTIONS
What are your reasons for wanting a Springer?
Brief history of previously owned Springer/s if any
Brief history of other previously owned dog/s if any
Do you own any other animals?
Describe what, age, and if spayed/neutered.
IF YOU PRESENTLY OWN OTHER DOG(S): Do you feel you know your dog(s) over-all temperament well enough to know that he or she will accept a new dog in the home, and will you be able to handle any dominance behavior that may surface during the acclimation period of the new dog in the home, particularly concerning "like" sexes?
IF YOU PRESENTLY OWN OTHER PETS: Some English Springers, like other hunting breeds, may have a strong hunting instinct. If you have concerns for the safety of other family pets, you may not want to adopt this breed. If you do wish to adopt, will you be able to successfully introduce the newly adopted dog to other family pets in a way and manner to keep all animals from harm?
Does anyone in the home have
health problems or allergies?
Have you attended dog obedience classes? Yes No
Will you enroll your adopted dog in obedience classes,
whether a basic or refresher level course?
Will you promptly license your dog with
the licensing authority for your area? 		Yes No
Are you familiar with alpha
and beta dog and pack behavior? 		Yes No
Do you feel you are knowledgeable with dominance behavior, and can successfully deal with a dominant bitch or dog?
Do you know how often dogs need vaccinations,
and what vaccines are necessary?		 Yes No
Are you familiar with heartworm and Lyme disease prevention? Yes No
If so, do you keep any dogs you may now have on preventive medications for heartworm and fleas & ticks? Yes No
Are you familiar with portable dog crates and their uses? Yes No
Will you be crating the dog you adopt?
Number of hours your Springer will be
left alone during the day and where?
Where will your Springer sleep at night?
Where will your Springer stay during working hours?
How active is your lifestyle?
How much time do you have for exercising your Springer?
Are you familiar with the grooming needs of a Springer? Yes No
SEX, COLOR & BREEDING PREFERENCES - We urge you not to lock yourself into a certain sex, color or look. Once neutered or spayed, the behavior of both males and females will equally make for a wonderful pet. What separates them most is their personality. Like people, they come with their own special souls. Receive your English Springer with an open heart and mind. There is one waiting to win your heart, we promise!
Do you prefer a show or field bred Springer? Show Field No Pref.
Are you looking for a male or female? Male Female Either
Are you looking for a specific color?
What is the age range of a Springer you will consider?
Have you considered sharing your heart and home with an older, more "mature" Springer?
Would you consider a "Special Needs" Springer?
Would you consider a Springer mix?
How far would you travel to meet a Springer?
Do you agree your Springer shall be spayed or neutered? Yes No
Dogs end up in shelters, Humane Societies, and county animal control facilities for various reasons. English Springer Spaniels are as susceptible to this as any dog. They are impounded in shelters as owner-surrenders due to various reasons, or picked up off the streets as strays.
Do you agree to give adoption consideration to a shelter impound, and agree to frequently visit your local shelters during your adoption search? Yes No

INTERSTATE ADOPTIONS - Please keep in mind that even though photos can be exchanged, you probably will not have an initial contact with the dog prior to adoption. You must heavily rely on information provided by the shelter where the dog is impounded, by the relinquishing owner, or the foster care home as to the rescue's health and temperament.

Would you consider an interstate adoption, and be willing pay the associated shipping costs which may be involved? The final decision about whether to ship a dog is made by that state's coordinator. Yes No
Name & phone number of your veterinarian or clinic. Also include a FAX number for them:
( Your application may be delayed without this ) Please call your vet's office and specify to them that it is OK to release information to us about your other pet's health care. If they need a written statement from you to release information to us, send it to them.
How did you find out about the ESRA website?
Are you interested in being contacted with information about how you can be further involved with ESRA's rescue activities?
Link to Membership Application		 Yes No
Any further questions or comments?

 
 
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