How did you hear about Baja Dog Rescue? Name of Dog(s) you would like to adopt *
If you are interested in multiple dogs then please list them in order of preference. If no dog is listed please give us an explanation.
Contact Information Full Name(s) of Applicant(s) *APPLICANTS MUST BE 21 YEARS OR OLDER *
*Please Note that Hotmail and AOL email addresses may have issues receiving emails
Phone Cell Phone * Address
* Work Information Occupation * Occupation of all Household Members if Appropriate Active Duty Military * Military Questionnaire Please provide your Rank or Rate What is your present Duty Station? What is your present command? What is your comand duty's phone number? How long have you been at your present command? When are you up for order to your next command? Last Duty Station? Did you have any animals with you at your last Duty Station? If yes, are the animals with you at your present address? * At the present time do you live in base housing, awaiting on base housing, off-base military housing, home owner or renting? If residing in military housing, please provide a housing office phone number to verify if pets allowed Do you have roommates? If yes, do you have permission from your roommate(s)? If you are currently on shore duty, what provisions will be made for the animal(s) once on sea duty or deployed (i.s. spouse/familiy members)? If on TAD/TDY (i.e. schools, detachments, etc.) from present duty station, what provisions will be made for the animals(s)? When transferred, what will you do if no housing/renting is available in the local area for animal(s)? What is your EAS (Expiration of Active Service)? If you are a reservist and get activated what provisions will be made for the animal(s)? What is your deployment plan for your dog and what do you plan to do if you change duty stations? Household Information Please list all occupants in your household (Name, Age, Relationship, Occupation) * Who will be the primary caregiver for the dog(s)? Who will be financially responsible for the dog? Are all members of your household aware and in agreement about adopting a dog? Primary reason for wanting a dog? Home Type of dwelling: * Rent or own? * May a Baja Dog Rescue volunteer do an inspection of your home? If you are a renter or live in a condo does your landlord/association allow dogs? * Does your landlord/association have any specific rules about dogs? If so, please describe below: Do you have your landlords/association's permission to have a dog? Name of landlord or HOA: Phone: How long have you lived at this address? Any plans to move in the next few years? How many times have you moved in the past five years? What would you do if you moved to a residence where dogs are not permitted? Do you have a pool? Is your pool fenced? How would you introduce a dog to the pool? Who will groom and bathe your dog? Current Pet(s) Do you currently have any pet(s)? Pet #1: Name - Species/Breed - Gender - Age Pet #1: Spayed/Neutered? Pet #1: How long in your family? Pet #1: Pet up-to-date on vaccines? Pet #2: Name - Species/Breed - Gender - Age Pet #2: Spayed/Neutered? Pet #2: How long in your family? Pet #2: Pet up-to-date on vaccines? Pet #3: Name - Species/Breed - Gender - Age Pet #3: Spayed/Neutered? Pet #3: How long in your family? Pet #3: Pet up-to-date on vaccines? Please tell us about any additional pets you have: Previous Pet(s) Have you owned pets previously? Previous Pet #1: Species/Breed - Age - Gender Previous Pet #1: Spayed/Neutered? Previous Pet #1: How long did pet live with your family? Previous Pet #1: History Gave away Sold Lost Took to pound Gave to rescue group/shelter Passed away Other (if other please list below) * other history Previous Pet #2: Species/Breed - Age - Gender Previous Pet #2: Spayed/Neutered? Previous Pet #2: How long did pet live with your family? Previous Pet #2: History Gave away Sold Lost Took to pound Gave to rescue group/shelter Passed away Other (if other please list below) *other history Previous Pet #3: Species/Breed - Age - Gender Previous Pet #3: Spayed/Neutered? Previous Pet #3: How long did pet live with your family? Previous Pet #3: History Gave away Sold Lost Took to pound Gave to rescue group/shelter Passed away Other (if other please list below) *other Please tell us about any other pets you have had previously. Have you ever given a pet away, given it to a shelter or a rescue group, returned it to a breeder or sold it? Have you ever had a pet for a short period of time and it didn't work out? Have you ever had an animal lost or stolen? Have you ever had to retrieve your animal from a pound, shelter, or animal control facility? Have you ever had an animal die as the result of being hit by a car, being poisoned, or dying from unknow causes? If yes, please explain. Have any of of your dog or cats ever had puppies or kittens? If yes, please explain. Have you ever bred a pet? If yes, please explain. Has any member of your family ever experienced animal related allergies? If yes, please explain. * Have you ever trained a pet in an obedience class? Care of Your Pet Who would be responsible for the care of the dog? Where will the dog sleep? Hours per day the dog will be left alone? Where will the dog be left when alone, or when all household members are away from home? If left indoors, where? Do you have a doggy door? Do you have a backyard/patio or a fenced outdoor area? If you patio or backyard is fenced, now many feet is the fence? What kind of fence? Please describe. Have or would you use a pet sitter or pet daycare center? How do you plan to handle the exercise needs of your dog? Please explain. Do you travel frequently? If so, how often and for how long? When you travel how do you intend to provide for the pet while you are gone? If a pet becomes destructive to your home or belongings what would you do? Please explain. Do you have any "must" rules for a pet? Please explain. What provisions would be made for your pet if you had to move locally or out-of-state? What would you do if you had to move to a place that did not allow pets? Do you feel obedience training makes a dog a better companion? If necessary are you willing attend obedience classes at your expense? From the following list, please include the reason(s) you would not keep the dog: Divorce/marriage Family illness Moving New baby Dog grows too big New job Chewing Kids ignore Digging Biting Pets do not get along Barking Shedding Medical bills Allergy Not obedient House training problems Lack of time Dog's illness Financial reasons Other (please explain below) *other What would you do if the dog grew to be bigger than you expected? Return pet to rescue Take the pet to a shelter or pound Keep outside Nothing What energy level are you looking for in a dog? Pets are an investment of your time and money. Can you afford to provide medical care, grooming, proper diet, shelter, and exercise for your dog? How much do you think this dog will cost each year (including food, heart worm preventative, flea control, medical, dental care, supplies, training, grooming, boarding costs)? Are you able to make a long-term commitment to care for your pet for its entire life span, which could be as long as 10-20 years? If the family loses interest in the dog, what are your plans for the dog? Are you adopting this dog for the entirety of its life? Do you agree to provide your own collar, leash or harness, and a personal ID tag for your dog? Do you agree not to surrender this dog to anyone else without notice to Baja Dog Rescue? Do you have a Vet for your current pets or one lined-up for this dog? If so, please provide the Vet contact information below. Please provide us with any other information you feel may be pertinent to considering your application for adoption. ADOPTION REQUIREMENTS (must agree to all terms) Please check each box to indicate you understand & agree to these terms. "I understand this is an application only and Baja Dog Rescue has the sole discretion, with or without cause, to accept or decline this application. Not completing this application fully can cause my application to be denied. All the information I have provided in this application is true and correct. * I understand that I am responsible for providing proper food, shelter, water, exercise, medical care, and humane treatment at all times for the dog. * I have read the above information carefully and have filled out this application honestly. I understand that omission of information and/or failure to answer all questions can result in this application being declined. Also, if an omission or untruth is discovered after an adoption takes place, I understand that Baja Dog Rescue reserves the right to annul the adoption and reclaim the dog. *