Complete the adoption form below or print and mail in.

There is an adoption fee that is determined by the age of the dog:

Up to age two: $400

Two to four years: $350

Five to six years: $300

Seven to eight years: $200

Nine to ten: $150

Over ten: $100

Adoption Fee Schedule as mentioned above*

Yes, I agree to the adoption fee scheduleNo, I do not agree to the adoption fee schedule

Applicants work phone #*

Name*

Phone Number*

Email Address*

Best Time to Call*

Day TimesEveningsWeekends

House # and Street Address*

City*

State*

Zip*

How Long at this Address*

If less then 1 year, please give previous address

Type dwelling*

HouseApartmentOwnRent

Occupation of applicant*

Occupation of others in household

work phone #

Please list all occupants of household (including live-in help), and their approximate ages. Please also list frequent visitors *

Who will be assuming the main responsibility for this dog?*

What is the work schedule of the adults living in this household?*

Does everyone listed want an Airedale?*

Which sex do you prefer?*

MaleFemaleEither Sex

Do you have an age limit?*

Do you have a preference for size? Over or under 60 pounds?

Do you have a fenced yard?

YesNoOption 1Option 2

If yes to fenced yard, type of fence and approximate area fenced

If you don't have a fence are you planning on fencing your yard and when?

Does your back door open directly into the fenced yard? If not, is the fenced yard detached from the house so that you have to walk out to it?

Does your yard have a pool? If so, what type; in ground or above ground?

Does the in ground pool have a fence and/or sturdy cover?

Does the above ground pool have a dog proof ladder?

Have you ever owned an Airedale?*

YesNo

What other breeds have you owned?*

Have you ever lost a dog other then through death? If so, how?*

Why did you decide on an Airedale?*

Have you ever given up a dog? *

NoYes

Do you have financial resources to take care of this dog if he or she should become seriously ill and require expensive veterinary care?*

If so, are you willing to expend your financial resources to care for this dog?*

YesNo

If you had to move, would you consider giving up your dog?*

YesNo

For what reasons would you give up your dog?*

Please list all pets you now have (include species, age, and sex)*

Are you ready for a dog now? If not, when?*

Tell me about your last dog*

Has your ownership of a dog caused you to be in a court situation? If it has, how long ago?*

Please list all activities you plan to share with your new dog (i.e., walking, hiking, obedience classes, fishing, camping, swimming, playing fetch, etc):*

Where will the dog primarily live?*

Will your dog have the run of the house?*

How many hours a day is no one home?*

From what areas will the dog be restriced?*

Are you familiar with a dog crate? When would you use a dog crate and in what room?*

Will the dog be allowed on the furniture?*

Will the dog have his or her own chair?*

When you travel where will your dog stay?*

Where will the dog sleep?*

Will you have dog beds/cushions here and there?*

Your Veterinarian Name

Your Veterinarian's Phone #

Your Veterinarian's Address

Comments or Special Stories*

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Home
The Club
Membership Information
Newsletters
Rescue & Adoption
Events Calendar
Photo Gallery
Links
Contact Us
Members Only
Latest News

Latest News

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