DANDIE DINMONT TERRIER RESCUE LEAGUE
Devoted to the rescue and care of all Dandies in need
A 501 c 3 Registered Not for Profit
The Dandie Dinmont Terrier Rescue League – Potential Adopter Profile
Completion of the application does not guarantee placement. The information on this application will help us in determining the best possible match between your family and dogs that are available through DDTRL. It is very important that you answer the questions honestly and completely. The adoption donation is $500.00
Name(s):______Date______Driver’s License Number(s)______
Second form of identification – i.e., Utility Bill______
Street Address______
City / State / Zip:______
Phone Including Area Code: (Daytime)______(Evening)______
E-Mail Address FAX
Have you ever owned a Dandie before? (Yes) (No) If yes, and you no longer have the dog, what happened to it?
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Would you prefer a (Male) (Female) (Doesn’t Matter) Color: (Mustard) (Pepper) (Doesn’t Matter)
Who shares your household? (Live alone) (Spouse) (Parent ) (Children) (Significant Other) (Roommate)
Your age ( ) Spouse’s age ( ) Parent’s age ( ) Children’s ages ( ) ( ) ( ) ( )
Significant Other’s age ( ) Roommate’s age ( )
Are all members of your family agreeable to you having a Dandie Dinmont?
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Do you have any children, grandchildren or other visiting relatives under the age of 6? ______
Do you have other pets? If so, what are they? ______
Are you aware that Dandies require quite a lot of grooming? (Yes) (No)Can you groom yourself or would you need someone to do this for you?
Do you live in a: (House) (Apartment) (Condo) (Townhouse) (Mobile Home)
Do you rent? (Yes) (No) If you rent, do you have permission to have an animal? (Yes) (No)
If you rent, we need to see a copy of your rental agreement that states you may have pets, how many, size, etc.
Do you have? (Balcony) (Deck) (Patio) (Yard) (Pool)
If you have a yard is it fenced with a surface fence ? (Yes) (No) An underground (hidden) electric fence? (Yes) (No)
If you have a pool, is it securely fenced so a dog could not possibly gain access to the pool if dog is unattended? ______
Would you object to a home visit prior to placing a Dandie with you? (Yes) (No)
If a home visit is not possible, would you be able to supply a photo of the yard so we could see that it is safe and secure for a dog?______.
Do you have steps in your home? (Yes) (No) If so how many? Inside______Outside______
Is there someone home the majority of the day? (Yes) (No) If. No, how long would the dog be left alone?______
Where would the dog spend the time alone?______
Will the dog be allowed (In the entire house?) (Only part of the house?)
Where will the dog sleep at night? ______
Do you have a pet door? (Yes) (No) If Yes (House to outside) (House to garage) (Garage to outside)
Are all of your pets spayed/neutered?______If not, why not?______
What is the name and phone number of your vet?______
Would he/she give you a reference? (Yes) (No)
Please provide the name, address, phone number and e-mail address of 3 people who will provide a reference for you.
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Have you ever used a dog crate for training purposes? Do you own a crate (Yes) (No)
Would you be willing to enroll the dog in an Obedience Class? (Yes) (No) If no, why not?______
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What type of exercise would the dog have on a regular basis? ______
Are you willing to sign an Adoption Agreement (Yes) (No)
When you go on vacation, who will take care of the dog?______
If you became ill what provisions would you make for the dog?______
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If the dog has to be transported by plane, or other means of transportation, it is understood that DDTRL will not be held accountable if something should happen to the dog en route to it’s destination.
Under what circumstances would you give up your dog? (Moving / New Job) (Divorce) (Hides / Unsocial) (Bites)
(New Baby) (Large Vet Bills) (Does not get along with other pets) (Illness) (I would never give up my dog)
In case of death or inability to keep the placed Dandie, THE DDTRL ABSOLUTELY MUST BE ADVISED TO ENABLE THEM TO TAKE THE DOG BACK!
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Signature of Potential Adopter