American fox terrier rescue adoption application

This application helps American Fox Terrier Rescue to find the best dog for your lifestyle

Applicant Information

Name:
Address:
City: / State: / ZIP Code:
How many years at this address?
If less than 1 year, previous address:
Day Phone: / Evening Phone:
E-mail Address:
Occupation: / Spouse’s Occupation:

RESIDENTIAL INFORMATION

Own or Rent: / If Renting, do you have written permission from landlord for a dog?
Yard Fully Fenced? / How Large?
Fence Type: / Fence Height:
Door/Doggie Door from House to Fenced Yard?
Swimming Pool? / Accessible by Dog?

family information

List all household members, including frequent visitors & their approximate ages:
Do you plan to add to your family in the next five years?
Would this be your first Wire Fox Terrier? If you haven’t owned a Fox Terrier before, have you ever spent any time with one? How did you learn about Fox Terriers and why did you decide on this breed?
Why do you want a Wire Fox Terrier and do all family members want one?
Anyone allergic to dogs?
Do you know about Wire Fox Terriers and aware of their grooming needs?
Describe your family’s typical day and how your dog(s) fit into that day. Or if you don’t currently have dogs, how you would help your new dog adapt to its new home?
How would you introduce him/her to your rules and expectations, including where and when to go outside?
Who will be the primary person responsible for the Wire Fox Terrier & list daily work hours of primary caretaker?
Do you have any experience with obedience training?
Are you willing to have a member of Rescue visit (by appointment) prior to adoption?

adoption information

Your lifestyle is:
Extremely Active: Moderately Active: Somewhat Active: Not Active:
Are you:
Single: Married: Live with parents: Couple, not married: Military:
Do you prefer a Wire or Smooth Fox Terrier?
Do you prefer Male or Female: / Age Preference:
Temperament Looking for:
How long will the dog be left alone on an average day:
Where will the dog stay during the day?
Where will the dog stay at night?
What activities will you share with your dog? (Please list – walking, hiking, sports etc.)
Some rescue dogs are untrained and not housebroken. Are you willing to take a dog like this?
What will you do if the dog chews one of your shoes?
What will you do if the dog has an accident in the house?
Would you be willing to take a dog with minor health problems?
Are you familiar with crate training (this is not a requirement)? Would you use a crate and in what instances?
What arrangements will be made for the dog during extended absences?

PET HISTORY

List all animals currently in your household (type, age, sex, neutered/spayed):
List all animals that visit frequently:
Do any of your current animals have medical conditions?
Where and how often are the dogs fed? What brand of dog food?
Are your current dogs up to date on all shots?
What brand of heartworm preventative are you presently using?
If you already have a dog, has he/she lived with another dog recently?
Describe your previous dogs you have owned, how long they lived with you and what ultimately happened to them:
Have you or any immediate family members ever surrendered a dog to a rescue group, humane society or animal shelter? If yes, please explain the circumstances:
Has your ownership of a dog ever caused you to be in a court situation?

References

Name of Veterinarian: / Address / Phone
Name of Groomer: / Address: / Phone
Please list one reference not related to you that is familiar with your current or past pets:
Have you ever adopted through Wire Fox Rescue before?
Do you understand that rescues are spayed or neutered?
Do you understand that if at any time an adopter cannot keep the animal, it must be returned to Wire Fox Rescue?
Are you aware that if Rescue places a dog with you, you will be asked to make a donation which helps defray costs such as shelter fees, veterinary care, etc.?
When will you be ready for your new dog?
If there are no dogs available in your area, are you willing to have a dog transported from another area?
What is your closest major airport?
Please tell us a little about yourself and your lifestyle so that we can match the right Fox Terrier to your home:

VERIFICATION

Individuals who adopt a Wire Fox Rescue dog are contacted periodically by rescue personnel for an update to help ensure that the animal successfully adjusts to its new life. A home inspection will be made prior to adoption and possibly on a random basis following adoption. If upon inspection we find that the information contained in this Application to be false, we retain the right to turn down your application or remove the animal from your premises without a refund of monies paid. Applicant has completely read this application, comprehends it fully and knows that applying does not ensure approval. Untruthful answers or failure to comply with the requirements of this application or the adoption contract can result in the forfeiture of any Wire Fox Rescue dog adopted by Applicant.
By forwarding and submitting this Application, the applicant certifies that the information provided in this Application is true and correct. Applicant further certifies that they are financially and physically able to care for a pet. Applicant understands that proper food and veterinarian care can be costly and are able to meet these requirements.
Date of Application:

Please download this form to your computer. When completed please send form as attachment to:

Disclaimer
There is no guarantee made, expressed or implied, that any person requesting to adopt a dog through American Fox Terrier, Inc. (AFTR) will automatically be approved. All adoptions are subject to acceptance based on a review process that requires collecting information from references and visiting the applicant’s home. Decisions on placing dogs in adoptive and foster homes are based solely on the judgment of AFTR, Inc.’s volunteers and coordinators, and adoption applications may be denied for various reasons. AFTR, Inc. reserves the right to refuse to adopt to anyone without disclosing the reasons and to make all decisions regarding placement or final disposition of any rescued dog in it’s care whether in, or being placed in, a foster or adoptive home or other facility.