Miniature Schnauzer Rescue, Inc. - serving the Pacific Northwest
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Adoption Request Form


We are happy that you are considering bringing a pet into your home. A pet can give years of happiness to its family, help children to learn responsibility, be a playmate and companion. Please fill in the following form so that we can better assist you in finding the right dog.

If you prefer to mail in or fax this information, you can print a copy of our adoption form (pdf file).

Please do not fill out an application until you are ready to adopt.
It is a labor-intensive process to review and track submitted applications. Thank you!
PLEASE NOTE: Due to liability issues, children in the family must be at least 8 years of age.
You must be at least 21 years of age to adopt from Miniature Schnauzer Rescue.

Please answer ALL of the questions. (You will be prompted
to answer questions you may have skipped.)


Name:
Address:
City:
State/Province:
ZIP/Postal code:
Country:
Home number
(with area code):
Work phone number
(with area code):
E-mail address:

Have you ever owned a Miniature Schnauzer? Yes    No
Are you familiar with the Miniature Schnauzer breed? Yes    No
Why do you want a Miniature Schnauzer?
What are you looking for in a Schnauzer? Male    Female   Either
Age or age range (in years):
Would you consider an older dog? Yes    No   Age:
Would you consider a Special Needs dog? Yes    No
Would you consider a Miniature Schnauzer mixed breed? Yes    No
What happened to your last dog?
Have you lost a pet? (not through illness) Yes    No    If yes, explain:
Have you had an animal die due to disease? Yes    No    If yes, explain:
Do you have any other animals? Yes    No
If yes, please list type, age, sex, altered status,
indoor or outdoor.
How many people in the family?
Do you have children at home?
PLEASE NOTE: Due to liability issues, children in the family must be at least 8 years of age.		 Yes    No    If yes, please list number and ages.
Do children visit often? Yes    No    If yes, what ages?
Do you work or are you retired? I work    I'm retired
What type of work do you do?
How many hours per day would the pet be alone? # of hours:
Where will the pet be kept when left alone?
What type of dwelling do you live in? House    Apartment    Condo    Trailer    Other
Do you rent or own? Rent    Own
If you rent, do you have the landlord's permission to keep a dog? Yes    No   Not applicable
Do you have a yard? Yes    No    Is it fenced? Yes    No
What type of fencing? Type of fencing:
Do you intend to keep this dog primarily indoors or outdoors? Indoors    Outdoors
Are you prepared to assume the financial responsibilities of caring for an animal, including inoculations, heartworm preventative, veterinarian care, good quality food, licensing, obedience training, etc? Yes    No
Is this Miniature Schnauzer going to be a gift? Yes    No    For whom?
Do they know they are getting a gift? Yes    No
Do you understand that any rescue Schnauzer that you may adopt through Miniature Schnauzer Rescue will be spayed/neutered? Yes    No
Do you understand that if a dog placed with you is too young for spay / neuter, you will be charged a refundable deposit of up to $500 at the time of adoption? This deposit is refundable upon receipt by MSR of spay / neuter certificate signed by the attending veterinarian. Yes    No
Are you willing to allow a Rescue representative to visit your home by appointment? Yes    No
How did you hear about Miniature Schnauzer Rescue?
Do you accept that there will be an adoption fee for the adopted dog? Yes    No
Please provide your vet's name and number. Vet's name and phone number.
Please give a brief description of your lifestyle and hobbies.
Please include any other information you feel would be helpful.
How soon could you adopt?    

Thank you!

By submitting this application, I certify that all of the information I have provided is true and complete to the best of my knowledge.

We reserve the right to refuse any applicant. Thank you for taking the time to complete this Questionnaire which helps us to make the best possible placement for all concerned.



Why not give a Schnauzer a forever home today?
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