Miniature Schnauzers & Friends Rescue
1732 Aviation Blvd #450
Redondo Beach, CA 90278
www.msfr.org
info@msfr.org



Adoption Application

Dog Interested in:_______________________

Today's Date: ___________________________


Pet ownership is a serious responsibility.  The policy of this adoption group is to assure that
each person who adopts a pet is aware of the responsibility, and that each is capable and willing
to accept that responsibility morally, physically, and financially.  It is quite true that not 
everyone who desires to own a pet should have a pet.

The following questionnaire has been designed to aid both you and the adoption group in deciding
if you and/or your family is indeed at this moment adequately prepared to assume the type of
responsible ownership which we are endeavoring to assure for our adoption animals.

Please be sure to answer all questions and feel free to add your own comments.  If a question 
does not apply write N/A.


Name:_________________________________________________________         Age: ___________


Phone: (Day) ________________  Phone: (Eve) _________________   Phone: (Cell) _________________


Email: _______________________________________________  


Name of spouse/signficant other/roommate:_______________________________________________________


Address:_______________________________    City:______________________________  Zip: ___________


Your Occupation:_____________________________  Spouse Occupation: _______________________________


If this relationship were to change, with whom would the dog remain?:___________________________


Do all adults in your household know you plan to adopt a dog?    Yes______  No ______


Who will be primarily responsible for the dogs care? ___________________________________________


What are your reasons for adopting a dog?   A companion for you ________    Your cat/dog ______


Spouse ________  Children _________  Gift (for who?) __________    Other________



Your type of Dwelling (house,apartment,condo) _______________________   Own or Rent ____________

 
If you rent, are dogs allowed? (Yes/No)  ___________    Length of residency ____________________


Can you provide proof that your residency would allows a new dog? (Yes/No)_______________________


Does your residency have restrictions on breed, size or number of animals? (Yes/No) ________


In your selection of a dog what is your preference?     Breed ________________________________


Age________   Long/Short Hair ____________  Sex _______    Temperament ______________


This dog will be: Indoor only ________   Mostly Indoor _________  Mostly Outside ___________


Outdoors only ___________   Other ______________________________________________________________


If you answered indoor only, please describe what outdoor access the pet will have 
(when will it go out, etc.)  _______________________________________________________________________


If you have children, please list their ages: __________________________________________________


Have your children ever been around dogs?  Yes_______   No ________  


Has a dog ever bit your child?     Yes ________  No ________


Do your current pets like dogs?  Yes ________  No _________


Have you ever bred a dog?        Yes ________  No _________


If yes,did you breed for: Fun _______  Show ______ Profit ________  Accidentally happened ______


LIST PETS YOU CURRENTLY OWN:

Type/Breed            Age        Spayed/Neutered?      Kept Inside or Out         Last Vaccination Date  
                                               (Yes/No)
_______________  _______   _______________     ________________     _________________________ 

_______________  _______   _______________     ________________     _________________________

_______________  _______   _______________     ________________     _________________________


LIST PAST PET HISTORY (pets you had since you were an adult and no longer own):

Type/Breed            Age        Spayed/Neutered?      Kept Inside or Out     When did you own this pet 
                                                (Yes/No)                                                and what happened to it?   
                                                                    
_______________  _______   _______________     ______________    _____________________________________

_______________  _______   _______________     ______________    _____________________________________

_______________  _______   _______________     _______________   _____________________________________


In regards to the above questions, what happened to your pet(s)?


Hit by car _____  Old Age ______  Died of disease _______  Gave Away______  Gave to Shelter______


(Explain) ________________________________________________________________________________________

______________________________________________________________________________________________

Other 
______________________________________________________________________________________________

______________________________________________________________________________________________



What outside space is available for the dog?   Fenced yard ___________ Height __________


Type of Fencing?   Chain Link _____________   Block Wall ________________   Wood ______________

Other ________________   Locks on gates? ______________________


Other provided living areas:  Garage ___________   Balcony _________   Unfenced yard _________


Kennel Run ________________________  Other ___________________________________________________


Do you have a: Balcony ____ Pool ______ If yes, is pool secured or separately fenced? ________ Pet door _______ 


Will you have your dog tied up? _______________________________________________________________


Where will your dog sleep during the night:  __________________________________________________


In what areas of the house will the dog be allowed?  ______________________________________


How many hours per day on average will the dog be left alone?

0-4 ____  4-6 _____6-8 __________  8-10 ________  10-12 ________  over 12 ______


Do you have a relative who would adopt the pet if you, for any reason, become incapable of caring 
for him or her? (Note: MSFR reserves the right to approve this individual)

Yes or No, if yes who? ________________________________________________________________________

Please provide name, address and phone number: ________________________________________________

_______________________________________________________________________________________________


Who is your current or last veterinarian (name,address,phone): ________________________________

_______________________________________________________________________________________________  


Will your dog be allowed on the furniture?  Yes___________   No ___________

If not, how will you train your dog not to jump on your furniture?  ________________________

________________________________________________________________________________________________


Would you allow an inspection of your home/yard?  Yes ___________   No __________


How do you plan on housebreaking your new dog? _____________________________________________
(please understand that even dogs that are housebroken will go through an adjustment period)


Are there any reasons that might preclude you from being able to properly care for your new pet? 

If yes, please list reasons: ___________________________________________________________________

__________________________________________________________________________________________


Under what conditions would you not keep your new dog?


Move to a place that didn't allow your new dog _______ Move out of state ____________  


Too much hair ________  Dog grew too big ________  Chewing ________   Barking ________ 


Digging _________  Housebreaking problem ___________  Kids ignored pet ___________  


New baby  ___________  Allergy ___________  Pets didn't get along ________________


Destructive Behavior ________________   Family Changes/New Relationships ______________


Expensive Vet Bills ____________________  Other _______________________________________


If your dog develops behavioral problems, what would you do? _______________________________________


If you have a family changes such as a new baby how would you integrate your new dog? _________________

___________________________________________________________________________________________

___________________________________________________________________________________________


What would you do with your dog if you could not keep it for some reason?  _____________________________

_____________________________________________________________________________________________
 
_____________________________________________________________________________________________


Do you travel a great deal?  Yes _________  No ____________


Where will your pet stay when you are on vacation? ____________________________________


Have you ever trained a dog in obedience class?   Yes _________   No ____________


Will you be able to live with fur on your furniture, stains on your rugs, a warm body on your bed,
 and an animal who may be destructive at times?  Yes __________   No ___________


How did you hear about this pet adoption?

Internet_______  Friend______   PETCO ______ The Herald ______  Other__________________________


ADOPTIONS MAY REQUIRE A HOME DELIVERY OF THE PET, I AGREE AND CONSENT TO HAVE A 
VOLUNTEER DELIVER MY PET TO MY HOME IN THE EVENT MY APPLICATION IS ACCEPTED.  
I ALSO UNDERSTAND THAT SHOULD I BE ACCEPTED TO ADOPT THIS PET THAT THIS 
APPLICATION BECOMES PART OF THE ADOPTION CONTRACT.
 

YES ___________   NO _______________


Signature:  _______________________________________________________   Date: __________________


THANK YOU FOR TAKING THE TIME TO COMPLETE THIS APPLICATION.

PLEASE NOTE: Filling out this application DOES NOT guarantee an adoption. We have thoroughly
evaluated all of the animals in our care, and try very hard to match the right dog to the right person 
and situation.  Adoptions are not on a first come first serve basis. We reserve the right not to adopt.

If we do not call or email you within 3-4 days of receiving your application, it means that either:

   1. The dog was adopted another applicant, or

   2. We felt that the situation presented on the application was not the right situation
      for that particular dog.