MO Min Pin Rescue Adoption Application

MO Min Pin Rescue Adoption Application
MO Min Pin Rescue Adoption Application
MO Min Pin Rescue is an all-volunteer, 501c3 organization. All of our dogs are cared for by foster families and receive complete medical care, which includes, but is not limited to vaccinations, spaying/neutering, and microchipping prior to their adoption.

This application is designed to help MO Min Pin Rescue and the potential adopter determine whether or not a specific dog is a right fit for you and your household. All potential adopters are required to complete this form prior to adoption. MO Min Pin Rescue reserves the right to deny any applicant for any reason prior to placing the dog and all decisions are final.

PLEASE ALLOW 5-7 days for processing. We do vet checks, and therefore, if we receive the application during the weekend when your vet might not be available, it may take longer. PLEASE check and double-check your information prior to submitting it.
Name of dog you are interested in adopting:*
FULL Name (Both first and last legal name) *

First NameLast Name
Please provide your date of birth:*

MonthDayYear
Date
Address*

Street Address

Mailing address, if different from street address

CityState / Province

Postal / Zip CodeCountry
Cell phone or primary phone number:*

Area CodePhone Number
Alternate phone number:*

Area CodePhone Number
Do you accept text messages?*
E-mail*
Verify E-mail*
verify email address
Do you have a personal Facebook page? If so, what name is it under or what is the URL?*
Employer name:*
Household Information
Are all members of your household in agreement with this adoption?*

YesNoDon't Know
Who will be the dog's primary caregiver?*
Do you live in a*

HouseMobile HomeApartmentCondoOther
Do you own or rent?*

OwnRent
If rent, provide name and phone number of landlord:*
Does your landlord or home owner's association allow dogs? (It is YOUR responsibility to notify them prior to finalizing the adoption)*

YesNoN/A
Are there any restrictions from your landlord, subdivision, or municipality?*

Number of petsSize or weight restrictionsBreed restrictionsNoneN/A
Do you have a fully fenced yard?*

YesNo
Height and type of fence? We do not adopt to homes with electronic/underground fencing. If no fence, type N/A.*
If you do not have a fenced-in yard, how do you plan to supervise your dog's outdoor activity?*
How many adults are in your household?*
How many children are in your household?*
If there are children, what are their ages? If no children in household, type none.*
Have your children been around animals before?*

YesNoN/A
Current/Previous Pet Information
List any pets you own or have owned in the past three years, including their breed, name and age*
Are/were all of these pets are/were spayed/neutered?*
If you are applying for a Min Pin or Min Pin mix, have you ever had a Min Pin before?*

YesNoN/A
Have you adopted from an animal welfare group (rescue/shelter) before?*

YesNo
If yes, what group?*
Have you ever given up a pet before?*

YesNo
If yes, what were the circumstances?*
Name of Vet's office:*
Vet's Phone Number*

Area CodePhone Number
Name of person the vet records are listed under*
Are all of your dogs on heartworm preventative year-round?*

YesNo
Brand of heartworm prevention your dog is on?
Potential New Pet Information
What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato)*
Have you used crate training?*

YesNo
Have you ever house-broken a dog or puppy before?*

YesNo
If the dog has an "accident" in your home, what type of correction do you plan to use? *
How many hours each day will your new pet be home alone?*
Where will your new pet sleep at night?*
How will you supervise the dog's outdoor activity?*
Where will your new dog stay when nobody is home? *
Are you willing to work through your new pet's issues, if any?*

YesNo
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?*

YesNo
Do you understand that a dog can be an 18 year commitment, and can cost at least $500 - $800 per year to care for?*

YesNo
Are you willing to seek a trainer for your dog, to work through any behavioral concerns if necessary?*

YesNoNot Sure
What circumstances would lead you to give up your new dog?*
We ask that you reach out to us first if you are no longer to keep your dog or have a family member or other responsible party able to assume ownership of your pet. We are foster based, and therefore not always able to take back a dog immediately. What is your back-up plan for this animal in the event you are unable to care for him/her anymore? *
I understand that my new dog is an indoor pet and is not to be kept outside.*

Yes
I understand that I assume full responsibility for the welfare of this pet from the date of adoption.*

Yes
I understand that a home visit of your primary residence may be conducted prior to placing the dog in your care.*

Yes
I understand that we will not adopt a pet to anyone under the age of 18.We will not adopt to anyone under the influence of drugs or alcohol. We reserve the right not to place a pet in a home based on the information we have or if we feel the pet is not a match for the person's lifestyle.*

Yes
I understand that a signed adoption contract between myself and MO Min Pin Rescue will be required.*

Yes
I understand that after 7 days, MO Min Pin Rescue will not refund any portion of the adoption fee.*

YES
Should be Empty:

MO Min Pin Rescue Adoption Application

MO Min Pin Rescue Adoption Application

Household Information

Current/Previous Pet Information

Potential New Pet Information