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New Leash on Life!

American Eskimo Dog Rescue

ADOPTION APPLICATION

San Antonio Area American Eskimo Dog Rescue

ATTN: New Leash on Life! AE Rescue, Carol Raymond

PO Box 262, Somerset Texas 78069

210-410-7334

We appologize for any delays but since we are all volunteers, processing of this application may take approximately a week or two depending on our busy schedules. A number of people that are working on different aspects of this application may contact you for additional information before you are called by an foster parent to arrange a home visit or "picture walk" of your home for possible transition help. Pending the results of this visit, a dog may be placed with you, after you meet with the dog in the foster parent’s home to see personalities/behaviors etc.

Your Name:

Age:

Application Date:

Address:

City:

    State/Prov:

Postal Code:

Mailing Address, if different from above

Address:

City:

    State/Prov:

Postal Code:

Email Address:

Daytime/Evening Phone:

Cell Phone:

Your Occupation:

Spouse’s name, age, and occupation:

Number of Other Person's living in your home:

Sex:

    Age:

Sex:

    Age:

Sex:

    Age:

Sex:

    Age:

Sex:

    Age:

Sex:

    Age:

New Leash on Life! AE Rescue will contact your veterinarian. Please contact him/her and give permission to discuss your past pet history prior to our call.

Veterinarian:

Vet Clinic Name:

Address:

City:

State/Prov:

Postal Code:

Telephone:

Hours:

Please list types, sexes, neutered/spayed and ages of current pets

Name:

Age

Sex Neutered/Spayed

Weight

Breed

DHLPP/Bordetella

Rabies

Type of Heartworm Preventative

Overall Health

* Provide month and year (mm/yy) of last DHLPP, rabies and heartworms check

New Leash on Life! AE Rescue will also contact your Non-Related Personal References. Please provide two and contact him/her prior to our call to let them know who we are and why we are calling. ;)

Name:

Phone Number:

Relationship:

Yrs. Known:

Name:

Phone Number:

Relationship:

Yrs. Known:

Why are you considering an American Eskimo Dog as opposed to other breeds?

Have you or anyone living with you ever owned an American Eskimo
Dog? If so, explain:

Where will the American Eskimo Dog live? Explain fully:

Where do your current pets live? Explain fully:

How will you exercise your American Eskimo Dog? How often? Explain fully:

Do you have a fenced area, yard or kennel? If so, what are the dimensions? Describe the area:

When you must transport the American Eskimo Dog, how will the dog be transported?

When you must transport your current pets, how are they transported?

How are your pets maintained when you are on vacation or out of town?

Will you agree to attend at least one session of obedience classes with you American Eskimo Dog?

To help us with an easier transition/placement, which dog are you primarily interested in? AND in case we have another compatible Eskie or dog, that may fit as well, please describe the characteristics that you have attracted you to that little sweetie. ;)

Describe the characteristics that are required and the characteristics that are desired in your American Eskimo Dog:

Required:

Desired:

Where did you hear about New Leash on Life! AE Rescue?

From time to time, we may need help with certain rescue needs. We have listed just a few ways to help…: Sometimes it is just a one time need and we just CAN’T do it because of location, work requirements or other circumstances, but would like to make sure that these doggies have all the chances we can give them to be adopted by wonderful families like your own. Would you like to help our rescue? How would you feel comfortable in doing this? Please explain below.

Short Transport: <from shelter to vet clinic/kennel facility>

Transport <from foster/kennel to main facility>

Donations/Supplies

Donations/Sponsoring an Eskie:

Short term Fostering: <Eskies in out of area waiting for transport to foster long term homes>

Long term Fostering: <Eskies waiting for forever homes>

Fundraising Events:

Home Visits:

Dog Assignments

Web Site Maintenance

Other expertise ;) <that you may have, that we didn’t list.>

Additional Information and Comments:

Do you understand that if you are ever unwilling or unable to keep an American Eskimo Dog received through New Leash on Life! AE Rescue, the dog MUST be returned New Leash on Life! AE Rescue?

Donations
*All our ‘New Leash on Life’ dogs are spayed/neutered, vet checked, up to date with shots and evaluated before they are placed. These expenses can vary for each adoptable; we do not have an adoption fee, however, we ask that donations begin at $200 unless previously discussed with New Leash on Life! AE Rescue directors.

*Do you understand the need for these donations and the fact that all donations are NON-REFUNDABLE? Yes: No:

Signature: ________________________________________________ Spouse Signature: ___________________________________________________

Date________________________________________________________________________________________________________________________

To expediate the adoption process and put a hold on the Eskie/Rescued dog that you are the most interested in: email adoption application to: eskiesrus@nlol.net

But please mail a signed application within 5 days of email to:

New Leash on Life! AE Rescue Adoption Application

ATTN: Carol Raymond

PO Box 262, Somerset Texas 78069