Thank you for your interest in Underdog ResQ. Please complete the following form and a representative will respond within 48 hours. Make sure that you see a confirmation after hitting the submit button to confirm that we received your application. Click here to open a pdf version of the application that you can print and mail to us at: Underdog ResQ P.O. Box 35096 Boston, MA 02135 Please complete the Volunteer Application if you are interested in volunteering. * = required field GENERAL INFORMATION Primary dog you are interested in: Any Marty Other dogs you might be interested in: * First Name: * Last Name: * Age range (must be 21 to adopt): 21-25 26-29 30-39 40-60 61-75 76 plus * Occupation: Name of Spouse / Partner / Roommate(s): Spouse / Partner / Roommate Occupation(s): Spouse / Partner / Roommate Age(s): * Address 1: Address 2: * City: * State  AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY * Zip Code: How long have you lived at this address: Previous Address: Home Phone: Work Phone: Cell Phone: * Email: * What is the best way to reach you: Email Home Phone Cell Phone Who will be the primary caretaker of this dog? What will happen to the dog if you are no longer able to care for him/her? * How did you hear about us? YOUR CHILDREN (If Applicable) How many children are there in your household? Ages: How long will your children be left alone with the dog? Are your children used to being around dogs? Yes No Explain: YOUR LIFESTYLE *Why do you want to adopt this dog? * Briefly describe your lifestyle. Are you an active family? Are you couch potatoes? How would a dog fit into your lifestyle? * Do you travel often? If so, what do you plan to do with the dog while you are away? * On average, how long will the dog be left alone each day? * Where will the dog be kept when you are not home? For example, outside in yard, outside in pen, in crate, inside free, or inside in an enclosed area. YOUR HOME * What type of home do you have? Single-Family House Duplex Condo Apartment Trailer Other * Do you have a fenced-in yard? Yes No What size yard? What type of fence? How high is the fence? If you do not have a fenced-in yard, how do you plan to exercise the dog? * If you do have a fenced-in yard, how else will you exercise your dog? * Do you rent your home? Yes No If you rent, do you have permission to get a dog? Yes No Landlord's name? Landlord's phone number? If you own, we will ask you to show us proof of ownership during the home visit. YOUR PETS (If applicable) Please inform us about your current pets: include Type, Breed, Name, Male/Female, whether Spayed/Neutered, Age, Years with your family, and Where does he spend most of his time, temperament with dogs, and temperament with people. It is important that you include answers to ALL of these questions. Please list pets that you have had in the past, (Pets you no longer have in your household): Include Type, Breed, Name, Male/Female, Whether Spayed/Neutered, Age, From what date to what date did you have this pet, Why is this pet no longer with you. It is important that you include answers to ALL of these questions. Please give us information about your veterinarian(s): Include, Name of animal hospital/clinic, Town/State, Phone Number, Is your pet up to date with vaccines, Whose name is the pet(s) listed under, How often do you take your pets to the vetrinarian? It is important that you include answers to ALL of these questions. Are your pets microchipped? YOU AND YOUR NEW DOG * Why have you decided to apply for this particular dog? * Do you plan on taking your new dog to puppy kindergarten or obedience training. If no, please explain why: * How often and how will you exercise your new dog? * Will you crate train your new dog? Would you like more information about this? * Will you allow your new dog on the furniture? * Will you walk your new dog off-leash? If yes, please explain: * Are there any habits that you will not tolerate from your new dog? (For example, barking, chewing, etc.) * How do you plan on disciplining your new dog? (For example, a smack on the nose, positive reinforcement, a firm voice, or a combination.) * Can you financially support your new dog? Are you aware of the many costs involved such as nutritious food, medical expenses and accessories? Do you know anything about the alpha dog or dog pack order? * Do you want us to keep your application on file for dogs that might match your lifestyle in in the future? Do you currently have Pet Insurance? Yes No If you adopt, would you be interested in a 30 day free trial of Sheltercare Pet Insurance? Check out www.sheltercare.com. Yes No Please enter the numbers to right in the text field below:                 Overview       Available Dogs       Courtesy Post Dogs       Are You Ready to Adopt?       Adoption Process       Adoption Standards       Adoption Application       Success Stories      Common misconceptions  before adopting a dog: 1. We’re getting Rex for the kids - they will do all the work. Maybe for the first week or so, but most kids will slack off soon enough and the responsibility will fall on your laps. You are considered to be the owner because you are over the age of 21. If your kids do not walk Rex, then it is up to you that it gets done. As much as we talk to our kids about responsibility and as much as they agree to care for your new dog, we all know that sooner or later most kids will lose interest or get tired. If you can positively answer these questions and concerns, then you may be ready to adopt Rex. View Next >

Underdog ResQ, Inc.            P.O. Box 487            Compound, NY 10517          info@underdogresq.org

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