Benny – Gunner’s Run Rescue

Description

Benny is our newest rescue pup. His 6 month owner surrendered him due to having to move and is unable to take care of him anymore.

He is newly vetted.

Adoption Application

Name of the dog you are interested in:

Your First Name:

Your Last Name:

Your Age:

Date of Birth:

Occupation:

Company Name:

Your Spouse's First Name: (optional)

Your Spouse's Last Name: (optional)

Your Spouse's Age (optional)

Your Spouse's Date of Birth: (optional)

Your Spouse's Occupation: (optional)

Your Spouse's Company Name: (optional)

Your Street Address:

City:

State:

Zip:

Phone Number:

Work Phone Number: (optional)

Other Number: (optional)

Email:

Adoption Questions

What type of animal are you looking for (Select or list all that apply from list below):

Companion

House Pet

Outdoor Pet

Guard Dog

Gift

Other

If this pet is a gift, who is it for: (optional)

If Other, please specify here: (optional)

Does person know they are getting a pet as a gift: (optional)

Yes

Additional Info: (optional)

Do you currently own any pets:

Yes

If yes, how many:

If none, please put 0.

List your Pets

Please list them below (Select or fill in all that apply):

Species/breed:

Name:

Gender:

Male

Female

Spayed/Neutered:

Inside/Outside Pet:

Age:

Years Owned:

Is this pet current on all shots:

Yes

Is this pet currently on heartworm preventative / and if so what kind:

Please list any additional pets in the same format in the field below:

Household and Additional Information:

During the past 5 years, how many litters of puppies or kittens were produced by animals you owned or maintained:

How many of these litters were intentional on your part:

What happened to them:

Do you own or rent (Select or list all that apply from list below):

Apt

House

Condo

Duplex

Mobile/Court

Other

If Other, please specify here:

If renting, are pets allowed:

Yes

Is a pet deposit required:

Yes

Deposit amount per pet:

Is there a size/weight limit:

Yes

If so, what is the limit:

Landlord/Building name:

Landlord phone number:

Does everyone in your household want and agree to adopt this pet:

Yes

If not, who does not:

Do you plan to chain this dog in your yard:

Yes

Do you have a fenced yard:

Yes

If so, how high is your fence:

What type:

If you do not have a fence please explain how you will handle your dog or puppy's bathroom & exercise:

Do you want this pet to be spayed or neutered:

Yes

Have you ever had a dog diagnosed with Parvo, distemper, or Heartworm Disease:

Do you plan to use Heartworm Prevention:

Yes

If so, what kind:

Will this dog be left home alone:

Yes

If so how many hours a day:

Days a week:

Where will the pet be kept when you are away from home:

Where will this pet sleep at night:

If you are over the age of 70, what provisions will you give the dog if you are deceased or no longer able to care for it:

How many adults are living in the home:

How many children are in the home:

Please list ages of children living in the home:

Do you plan to have children in the future:

Yes

Does anyone in your household have allergies to animals:

Yes

Does anyone in your household have asthma:

Yes

Are you or your spouse a student:

Yes

Do you travel:

Yes

If yes, how often:

How will this animal be cared for while you are traveling:

How long have you lived at your current address:

Are you planning to move within the next 12 months:

Yes

If so, where:

Have you ever adopted from a rescue group or shelter:

Yes

If yes, who and when?

Have you ever had an animal up for adoption or gotten rid of an animal for any reason:

Yes

If so, why, and what did you do with the animal:

Have you ever taken an animal to a shelter/pound:

Yes

If so, where and why:

Is size important to you:

Yes

Are you willing to adopt a dog with health problems:

Yes

How much are you willing to spend on this dog per year:

How will you keep this dog on your property:

Have you ever taken your puppy/dog to Obedience Training:

Yes

Are you willing to take this puppy/dog to Obedience Training if necessary:

Yes

Are you willing/able to purchase/use a crate or cage if needed or advised:

Yes

Can you keep this pet away from any other pets for one week:

Yes

Where will this animal stay at night:

Are you willing to provide adequate medical care if this dog should become sick or injured:

Signature and Confirmation

A member of Gunners Run Rescue may visit your home (with an appointment) after adoption, is that okay?

Yes

I confirm that all the information in this application is correct and complete to the best of my knowledge. Typing your name below is equivalent to your handwritten signature.

Please type the date of your signature:

Please type any questions, additional info or concerns in the field below:

Reviews

There are no reviews yet.

Be the first to review “Benny”