Dog Adop App

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A Reason To Believe Animal Rescue, Inc.

Dog Adoption Application

We only adopt to these areas:

Southern or Eastern PA, MD,

NJ north of I-78, and CT

Pre-Application Self-Evaluation Process

Most dogs, with good care, can live to be 10 to 15 years of age or older. Before you adopt, please ask yourself these questions:
- Please consider how old you will be 15 years from now. Will you still be able to care for a dog?
- How many times do you think you might move in the next 15 years? Are you willing to move your dog, too, and restrict your choice of housing to places where pets are allowed?
- What major changes might happen in your life in the next 15 years? Marriage? Children? Retirement? Travel? Relocation due to work? Are you willing to continue spending time, energy and money to care for your dog when taking on new responsibilities or going through life changes?
- Are the other members of your household as interested as you in adopting and caring for a dog? What will you do if your partner, roommate, spouse, children, grandchildren, or parents can't get along with the dog?
- If you are getting a dog for your children, how old will they be in 15 years? Will you still want this pet after the children have grown up and moved out? Do you realistically expect children under age 10 to care for, bathe, trim nails, exercise, train, and clean up after a dog?
- Have you previously owned a pet that didn't live with you for 10 years or more? If so, what happened to it? What will you do differently with this pet to prevent a similar situation from occurring?
- What if a few weeks after adoption the dog develops health or behavior issues? Are you willing (at your own expense) to bring in people with the expertise to help you manage or reverse the situation? Have you looked into pet health insurance?
- Are you expecting the dog you adopt from us to be perfect and adapt to your life within a week? If so, do you think this is a realistic expectation?
- Are you applying for a dog simply because of its looks or breed? If so, have you read the bio and did it seem to fit well with your preferences in a dog? Can you handle it's needs or are you just looking past that and falling in love with a face, hair color or texture, etc?
- Have you read this book yet? If not, please do so before adopting any dog.
Adoption Fee: $250

We are located in rural southwestern West Virginia. Transport fee for long-distance adopters who are more than 100 miles from Lenore WV: $50.

We adopt to southern and eastern PA, MD, NJ, and CT.

For long distance adopters, adoption/transport fees must be paid and adoption paperwork signed and returned to us prior to the dog's transport to you.

Please complete all of the information below. This application helps us assess if it's a good fit. The more honest you are with yourself and us, the better we are at making a good match that you and the dog will be happy with, so take your time as you ponder the questions below.

Completion of this application form does not guarantee that ARTBAR will place one of our pets in your care. Completion of this questionnaire authorizes ARTBAR/Jessica White to verify any information contained herein, including verification of medical records of any present or prior pets treated by the veterinarians listed. Completion of this adoption process is an indication that you have read, understand and agree to abide by our Animal Adoption Agreement and that the information contained within this application is accurate and not misleading in any way. All adoptions are at the sole discretion of ARTBAR/Jessica White.

Please give careful consideration to adopting a dog. Dogs are not toys or short-term commitments. Make sure your lifestyle allows the time, patience, training, and expense this dog will need over the years.

All pets will be spayed/neutered, vaccinated, heartworm tested, and treated for parasites prior to adoption. Microchipping is available at an extra cost. Approved local adopters are expected to travel to southwestern WV (vicinity of Lenore) to pick up their pets.

Adopters in northeastern states, we may be able to work with a local rescue near you to facilitate an adoption and/or return. Per our adoption contract, you are not permitted to surrender any of our dogs to a shelter. You must contact us to return or transfer to an ARTBAR-approved sister rescue near you if the adoption doesn't work out.

WE ALWAYS TAKE OUR DOGS BACK IF IT IS NOT A SUITABLE FIT AND/OR YOU ARE UNWILLING OR UNABLE TO WORK THROUGH ANY ISSUES.

Our contact information is on the adoption paperwork. Vetting history is included in the adoption paperwork. Most of our dogs are strays coming from shelters, so the vetting history typically consists of the vetting we have had done while the dog was in foster with us.
What state do you live in?
We ONLY adopt to these states. Which one do you live in? *

Southern or eastern PA MD NJ north of I-78 CT Other
How did you find out about this dog? *

AdoptAPet Petfinder RescueMe For All Paws Sake Petfinder Facebook
Name of dog you want to adopt *
If you haven't picked out a specific dog on our site, please describe age, weight, and temperament desired and we'll see if we have a potential match to recommend. Please avoid specific breeds, and focus instead on what personality/energy level would best suit your family and lifestyle.
If you are approved to adopt, we can microchip at additional cost. *

Microchip Requested Please notify me of the extra cost for this. Do not microchip
Adopter's Full Name *
Co-Adopter's Full Name
Address *

Street Address

Street Address Line 2

City State

Zip Code
I/We live in a: *

Single family home Duplex/twin Condo/townhome Trailer Apartment
Do you rent or own this property? *

Own Rent - Sorry, but due to the high volume of returns from renters who move and "can't take their dogs with them", our board has decided not to adopt to renters. If you are one of those people who would NEVER dump a dog due to moving, feel free to try to convince us to make an exception. Just be aware that we're very leery of this situation, so it's going to take some convincing. Yes, we've been burned before! You can submit the app to give us all the details about you and use the additional comments box at the bottom to cover this topic.
Adopter's email *
Co-Adopter's email
Phone Number *
Retype Phone Number
Phone type *

Cell Home/Landline Work
Names and ages of all permanent residents of your home (including adults & children) *
Annual household income *

Under $25,000 $25,000-50,000 $50,000-70,000 $70,001 or higher
Vet reference (Please call your vet and give permission to release information to us.) *
List the current pets in your home and include species (dog, cat, etc.) *
Where are your current pets kept? *
Have you had other animals in the past? *

Yes No
If yes, then what happened to them?
Please list your former pets here *
Are you planning to move in the near future? *

Yes No
If moving soon, to what city/state?
Have you ever had or would you ever have an outside dog? Please explain.
When will you be ready to adopt this dog? *

Today This weekend Within a week Within a month Not ready yet, just researching
Are you in contact with any other rescues or shelters about a specific animal? *

Yes, application is pending Yes, just an email inquiry, no app yet No, but I am looking at several online No, I am only interested in this particular animal
Are you going to meet another animal? *

Yes No Maybe
If so, when?
Is anyone in your home allergic to animals? *

Yes No
Does anyone in your home fear dogs? *

Yes No
Does anyone in your home smoke? *

Yes No
Are you familiar with pet regulations in your area? *

Yes No
If you answered no to the question above, please contact your town/county/condo association or HOA and ask them what the regulations and limitations are.
If yes, please describe local regulations, any insurance requirements, and any breed or weight restrictions. *
If you rent, you must show us a written letter from your landlord or a copy of the section of your lease stating that you are allowed to have dogs and showing any limitations. Or you can provide us with your landlord's contact information
below.

If you live in a condo or townhome, you must show us written proof that you are allowed to have a dog there and show any restrictions.
Landlord contact information:
Do you have a pool or body of water nearby? *

Yes No Planning to get one We have a pond, stream, or river on or near our property
If you have a body of water on or near the property, describe how you will prevent your adopted dog from drowning.
Do you have a yard? *

Yard fenced with a vertical fence Yard fenced with invisible fencing Yard, no fence No yard (apartment/condo/townhome)
If fenced, fence height is:

2' high 3' high 4' high 5' high 6' high Invisible/Underground Fence
What will you do if your dog chews furniture or shows other destructive behavior? *
Are you familiar with feeding recommendations for a dog/puppy? Describe. *
Are you willing to take your adopted dog to training classes? *

Yes No Maybe Planning on it
Do you work outside the home? *

Yes No One applicant is home/retired/works from home
If you all work outside the home, how many hours per day are you away? *
How many hours per day will this dog be alone? Explain. *
Have you discussed this adoption with all members of your household? *

Yes No No, because this dog is a gift. Yes, adults have discussed. Kids don't know yet.
We will be speaking to all household residents to confirm everyone is aware of this application process and wants to have a dog added to the family. Please do not submit this application if you are "trying to talk someone into" adopting this dog or think "once they meet the dog, they will want one" or "I'm getting this dog as a birthday present for them." In those scenarios, you are welcome to email us to discuss the dog, but we would like all adults in the home to be involved in that email discussion.
Based on the descritpion in the dog's bio, do you feel pretty confident that you will be likely to adopt this dog upon meeting it? *

Yes No Not Sure
Upon meeting the dog, what would give you cause to not want to adopt it? Please explain. *
Fantasy question: What would your dream dog be like? (If this dog is not a fit, we may be able to recommend another based on what you say here.) *
How much do you feel you can reasonably afford and would be willing to spend on your dog per year (for things like veterinary care, licensing, ID tag, food, toys, crate, other supplies, training, pet sitting, etc)? *
What activity level do you prefer? *

Wild and crazy is cool Leash trained daily jogging partner would be excellent Medium energy, plays a bit then hangs out with you Low energy, walks slowly on leash, total couch potato
Please check all that apply. I want to adopt this dog... *

As a family pet To breed with my dog To train/use for hunting To train/use for agility To train/use as a therapy dog To train/use as an assistance dog for the disabled To use as a guard dog For a jogging/hiking partner To interact with lots of friends/family As a gift for a friend As a companion for my dog(s) As a companion for my cat(s) As a companion for my child/children
Please check all that apply. My adopted dog will...

Be kept outside most of the time Be kept indoors most of the time Be left outside during the work day while we are away Be kept inside while we are away Be crated when we are not home Have free reign of the house when we are not home Be taken to formal obedience classes Be trained by me/us Take frequent car rides with us Be kept on a lead line/cable in the yard Be mostly interacting with adults Be interacting frequently with children under 8 Be interacting frequently with older children Must be housebroken prior to adoption Will be housetrained by us We be walked more than one mile per day every day Will be walked occasionally Tied out during the day while we are at work. Be attending formal group obedience classes with us Be trained by us without the advice of a trainer Have private sessions with a trainer as needed Be attending agility classes Be taking frequent car rides/trips with us Be boarded when we go on vacation Stay with family when we go on vacation Be given away to someone else if we feel it's not a good match for us Be turned in to a shelter if we can't keep it Be going camping with us Be going on boat trips with us Outside free roaming while we are at work. Sleeping in bed with us. Sleeping in a crate at night.
Please take time to think, be honest with yourself and us when answering this question. What are you absolutely NOT willing to deal with at any time during the life of the dog? *

Housebreaking (Note: If it doesn't say housebroken in the listing, our dog is not housebroken.) Chewing Jumping Pulling on leash during walks Counter surfing Obedience training Fear of men Fear of women Fear of children Mouthiness (may sometimes snag your hand or arm instead of the toy in play and will need redirection/training) Growling Barking Rough play with my dog High activity level Food/toy aggression/not willing to share with other dogs Food/toy aggression with people Whining/crying Counter surfing Blindness Limited Sight Deafness Separation Anxiety Diabetes Special Diet Long Term Medication Incontinence / Leaking Urine Taking classes with the dog Gets stressed/carsick when riding in vehicle Doesn't know how to climb stairs Can't climb stairs due to age/arthritis/health issues Heart condition Skin allergies Food allergies Trimming nails Yeast on coat or in ears Ear mites Fleas Ticks Heartworm preventative Annual heartworm/lyme combo testing I will do whatever it takes to help this dog adjust and work with a trainer to help resolve any training needs. I can deal with all of the above.
What would cause you to return a dog? *
If you moved, would you take your dog with you? *

Yes No Maybe, it depends on the circumstances.
What do you feel is a reasonable amount of time for a dog to adjust to life with you/your family? *
How do you plan to integrate this dog into your family? *
What would you do if at any time during the life of the dog your vet diagnosed an expensive health condition? *
Do you plan to get pet health insurance? *

Yes No I wasn't aware this was available. I will look into it. I wasn't aware this was available.
What brand of dog food do you plan to feed? *
Please visit truthaboutpetfood.com to learn more about the quality of pet food.
Grooming (please check all that apply) *

We use a professional groomer We trim dog nails ourselves at home We bathe our dogs at home once a week We bathe our dogs at home once a month We bathe our dogs at home once every few months or whenever their coat feels dirty We bathe our dog twice a year We don't bathe our dog We check ears weekly for infection/yeast/mites We check coat daily for ticks in spring/summer/fall We clean teeth using home methods We take our dogs to the vet for dentals whenever the vet recommends this is needed Prefer a dog that doesn't shed Don't care about shedding We don't check for yeast, ticks, or fleas. We keep our dogs on flea/tick preventative. What's yeast? What causes yeast?
How long have you been looking for a dog? *
Do you plan to take formal obedience classes? *

Yes No
Additional references (if desired)
Do you have any additional comments, questions or concerns? Anything else you would like us to know to help match you up to a dog? *
We LOVE to keep in touch with our adopters. If you are on Facebook and are ok with me sending you a friend request if you adopt from me, please put the link to your Facebook wall here. The link looks something like this: www.facebook.com/yourname
PLEASE READ: The adoption fee of $250 covers fully vetting the dog, which includes: spay (for females), neuter (for males), 4DX test (checks for heartworms and tick-borne diseases), rabies vaccination, distemper combo vaccination, wormer, a dose of flea/tick preventative (which will kill fleas/ticks and provide a month's worth of protection against them) and grooming if needed. If you live outside of WV, it will also cover a health certificate for interstate travel. If you live more than 100 miles from Lenore, WV, there is also a $50 transport fee to help cover our vehicle/gas costs.

You are required to take your dog to the vet within two weeks of adoption for a wellness check and fecal test to make sure all intestinal parasites are gone. You must get your dog licensed according to the state/county you live in. You must also get an ID tag with your phone number on it to put onto the dog's collar at the time of adoption.
We only adopt to these areas:

Southern or Eastern PA, MD,

NJ north of I-78, and CT
PLEASE NOTE: Due to a high volume of inquiries, we only contact adopters who appear to be a good fit for each dog's specific needs and who live within our designated adoption areas. *

I understand
Applicant's Signature *
Co-Applicant's Signature
Date *

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We're sorry but you do not live in our adoption area. Please click here to exit the application.
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