Airedale Terrier Rescue & Adoption

Personal Information

Email Address

First and Last Name(s) of Adults in Household

Address

City

State

Zip Code

Country

Daytime Phone Number

Evening Phone Number

Cell Phone Number

Fax Number

Occupation

Usual Schedule / Hours of work per week

Does your occupation require travel time? Yes No

How many nights are you away from home in a month? 1-3 days 4-6 days more than 6 days

Your Home

Please Describe the type of home you live in.

Do you own or rent? Own Rent

Do you have written permission for a dog? Yes No N/A

How long have you lived at yoru current residence? Less than 1 year 1 to 5 years 6 to 10 years More than 10 years

Landlord's Name

Landlord's Address

Describe the fenced area that you will use to keep the dog safe. Include the type of fencing, its height and the size of the fenced area.

Does a door from the house open directly to the fenced yard? Yes No N/A

Do you have a swimming pool? Yes No

Can the dog get into the pool from the dog yard? Yes No

Your Family

List all household members, including frequent visitors, and their approximate ages (Humans only -- You will be asked about pets later in the form)

If you have children, how many activities are your children involved in outside the home (such as sports, arts, etc.)?

To which of these activities will you take the dog along?

Do all family members want an Airedale Terrier? Yes No

Please explain about the family members who do not want an Airedale Terrier.

Why do you feel an Airedale Terrier would work well in your home?

Is this your first Airedale? Yes No

What do you know about Airedale? Include titles of books read or other sources of information.

Aware of grooming needs? Yes No

Are you aware grooming expenses average between $40 to $60 every six weeks? Yes No

Are any of the household members allergic to dogs? Yes No

Are you aware that Airedales often pose a clean house challenge with muddy footprints and sloppy wet beards? Yes No

Generally speaking, what kind of temperament would best suit your household? Check all that apply. Energetic, always on the go Loves to walk, run or hike Sweet and cuddly Patient and tolerant of kids Couch potato 80% of the time Protector of the house, barks loud Devil dog, needs constant watching or will find things to get into

Who will be the primary person responsible for the Airedale?

Have you ever attended a dog obedience class? Yes No

What classes have you taken with your other dogs?

Have you ever trained other animals besides dogs (such as horses, etc.)? Yes No

Please Explain

Will you obedience train? Yes No

The Airedale

Which do you prefer? Male Female I have no preference.

Why do you prefer that sex?

Would you consider the opposite sex if one is more readily available? Yes No

Age Preference:

Where will the dog stay during the day?

Where will the dog stay at night?

Describe a normal day in your household (your schedule, activities, etc.)

How long will the dog be alone on an average day?

Where will the dog stay when no one is home?

Will the dog have the run of the house when you are home? Yes No

Describe your plan to provide your dog with exercise. Include type of activity and frequency.

Have you ever had a dog that ran away, was stolen, or hit by a car? Yes No

Please describe the event.

What will you do if the dog marks in the house?

How much do you think it will cost to care for your dog yearly?

Would you be willing to take a dog with minor health problems? Yes No

Would you be willing to take a dog with minor behavior problems? Yes No

Are you familiar with crate training? Yes No

Do you own a crate? Yes No

What type and size of dog crate?

When would you use a crate?

In what room would you put a crate?

What arrangements will be made for the dog during extended absences?

Other Information

List all animals currently in your household. Include animals that visit frequently.
Include: Type of animal, age, sex, Spay/Neuter

Tell us about your previous pets, how long they lived and what ultimately happened to them.
Include: Breed, age, what happened.

Have you ever given up a dog? Yes No

Please explain why you gave up your dog.

You would consider giving up your dog if:

If yours is currently a one-dog household, has your dog ever lived with another large dog? Yes No N/A

How long has your current dog been the only dog of the house?

When will you be ready for your new dog?

Your veterinarian: Please include telephone number, address, city, state/province, zip/postal code

Please contact your veterinarian and inform them of your submission for adopting an Airedale from our organization.
Ask them to release your pet ownership information to our volunteer.

Groomer Reference: Please include telephone number, address, city, state/province, zip/postal code

Have you had any affiliation to other animal organizations (such as volunteer work with a humane society, ASPCA, etc.)?

Yes No

Please list those organizations, contact person and telephone number.

Have you contacted a rescue volunteer in your area? Yes No

Name of the regional rescue organization or individual rescue volunteer you contacted:

Have you ever adopted a dog through Airedale Rescue before? Yes No

Have you adopted companion animals from other shelters or rescue groups? Yes No

Do you understand that rescues are spayed/neutered or have a spay/neuter contract?

Yes No

Do you understand that if at any time you cannot keep the rescue Airedale, it must be returned to Airedale Rescue?

Yes No

Are you aware that if Rescue places an Airedale with you, you will be asked to make a donation? The suggested donation is $300 to $400, which helps defray costs such as shelter fees, veterinary care and boarding and training when necessary. The average cost per dog for 2004 was $422.

Yes No

Do you understand that volunteers from our organization may confirm any information or contact any person provided on this application in regards to your application to adopt an Airedale?

Yes No

Individuals who adopt a rescue Airedale are contacted periodically for an update to help ensure that the Airedale successfully adjusts to its new life. If you adopt a rescue Airedale, do you consent to home visits after adoption?

Yes No

Terms & Conditions

I certify that the information provided on this form is true and correct. I am also financially and physically able to care for this animal. I understand that proper food and veterinarian care can be costly and I am able to meet these requirements. Home checks are made on a random basis following adoption. If upon any home visit or reference check we find that information contained in this application to be false, we retain the right to remove the animal from your premises without a refund of monies paid.

Placing a checkmark in this box signifies your willingness to honor the terms of this application.