St. Anthony's Canine Rescue & Corgi Matchmaker

Additional adoption info

Adoption Process: Pre Adoption Application, homecheck, two week trial period, contract and followup visit with an adoption donation of $400/up.. Dogs can be seen by private appointment once a pre adoption application has been received and evaluated. You can download a pre adoption application. Recommended by rescue organizations and has lots of experience working with rescued dogs. Certified dog trainer since 2000, serving the southbay area of Los Angeles County.

DOG OWNERSHIP IS A LIFETIME COMMITMENT



Pre-Adoption Application


Date:

Name:

Street

City, State & Zip Code:

Phone: Home: Work:

email address:

If you have a 2nd or vacation home please include that information below:



Occupation: Retired:

Are all adult members in the family open to adopting a dog. We find that often
a wife or husband makes an inquiry, we spin our wheels, arrange a meet/greet and
find out one of the parties doesn't want a dog so we need all adult family members
to be gung ho on adopting a dog.


Adult Family Members Age Range: Under 25 -
26-35 ( ); 36-45 ( ); 46-55 ( ); 56-65 ( ); 66-75 ( )
and beyond

Do you have children: # and ages:
Do you have visiting grandchildren: # and ages:

Type of Dog Wanted:Breed Type: Purebred or Mixbreed

Age Range: Sex: Color

YOUR ENVIRONMENT: House Apt. Condo Mobile
Other:

Fenced Yard: Yes No
Type of Fencing: Brick Wood Chainlink Wrought Iron
Height of Fencing: Highest and lowest in feet

Is your yard totally fenced: no open or ungated areas Yes No
Is your yard attached to the house with an opening directly
the house to the yard Yes No

Type of gates and how many: # of gates: Hgt of gates:
Gates: Chainlink Wood Wrought Iron

Do you have a gardener: Do you have a pool service
and if you have a pool is it fenced in or is it open

Do you have utility meters in your backyard:
If so, does a utility person need to enter the yard
to read the meters?

If you rent do you have your landlord’s permission to have a dog?
Yes No
Have you been required to make a pet deposit in order
to have a pet?

Is there a pet size limit: If so, what is it:

Name and phone # of landlord or rental manager:

Please list other pets: (type/sex/age) Dogs
Cats: Others:

Have you owned other dogs: If you do not still have these
animals, please explain?


Answer the following question with the answer(s) that best suits your thoughts:

It is okay for a dog to be off leash in an unfenced area:

1) When properly trained thru obedience

2) on trail, hiking paths, campgrounds or the beach

3) in my front yard if I'm doing something out there and watching him/her

4. Never, too many unpredictable things can happen

How many hours during the work week would you dog be alone?



WHAT REASON IF ANY WOULD CAUSE YOU TO GIVE UP A FAMILY PET:



Have you had to put a pet to sleep:
If so, what source did you use:
Vet Animal Shelter
If you had your pet put to sleep did you opt for the following:
Let the vet dispose of the remains
Have the pet cremated and retain the ashes
Bury the pet in a pet cemetery

Have any of your present or previous pets been adopted from
animal shelters rescue organizations
If so, how many:

Did you ever acquire a pet through an owner giveup ad in a
local newspaper:
a neighbor friend co-worker

Do your or any family members have allergies?

How often do you walk your dog(s)

How ow often do you scoop the poop in your yard
1X a Day Every other Day Other (Specify)



Do you have a low stress level. Rescued dogs take time to adjust
and some have special needs. It takes patience and can add stress.
Ask yourself if you are up to the challenge.

Name and phone # or address of vet:

Are you a member of any dog club.

Would you be willing to obedience train your dog: If you are applying to adopt a Corgi, it is
necessary for you to be willing to start a basic obedience class after the adoption is
finalized after the two week trial period.

Have you trained a dog before:

Will your dog be a house pet or an outside dog

If both, explain where the dog would sleep at night


Are your animals spayed/neutered Yes No

If not, please explain why:


Do you keep collars and ID tags on your pets at all times:
Yes No If no, explain why:


When you go on vacation what arrangement would you use for care
of your pet(s): Boarding kennel
Keep with family member or neighbor
Petsitting Service Take pet with you

What sparked your interest in adopting the dog you expressed interest in.



If you are applying to adopt a Corgi, please list your familarity or background
with the breed, be it purebred or corgi mix.





Thank you.