IBR Adoption Application IBR Dog and Puppy Adoption Application ________________________________________ Please be aware before you get our hopes up on saving one of our rescues: • Our adoption fee is $425 for all adult dogs and $475 for all dogs under one year of age. Due to Illinois Department of Agriculture regulations- any puppy too young to spay or neuter will need an additional $100 spay/neuter deposit. Once the adopter provides a receipt of spay or neuter (at their expense) we will refund the $100. Because of the high cost of medical care given to the dogs, our fee is not negotiable. If the adopter does not provide a spay/neuter receipt under 9 months, the deposit is not returned. • Dogs do not reach their full physical maturity until between two and four years of age. They will react as normal puppies. They will chew, jump and may experience submissive urination. • Changing homes is traumatic and they may become unhousebroken, shake or act VERY timid. Dogs may also be very clingy and not want you out of their sight. • MUST be 18 years of older with proof of birth date. • HAVE identification showing your present address. • HAVE knowledge and consent of your landlord. • BE able and willing to allow the time necessary to provide training, medical treatment, and proper care of your dog. • CAN afford to properly feed and maintain your new pet’s health. • MUST be willing to care for your new pet its entire lifetime. • CAN comfortably fit your new pet into your lifestyle. By submitting this form, you agree that the following statements are true to the best of your knowledge. • If the dog is found to be neglected in ANY way, your submittal gives Illinois Birddog Rescue, Inc. full power to reclaim the dog. (This includes keeping the dog current on vaccinations.) • Your pets are to be kept under control at all times, along with proper identification on the pet. • If you are adopting a puppy, you will have it spayed or neutered within six months or pay all cost incurred in having it returned to Illinois Birddog Rescue, Inc. • We reserve the right to refuse an adoption of an animal to anyone. • We will not be held liable for any injuries/damage caused by this dog. • The dog is not to be kept as an outside dog, nor be tied out for any length of time. • If for ANY reason, the adoption is not suitable to your home, the dog must be returned to Lisa Spakowski, President of Illinois Birddog Rescue Inc. Phone # 630-694-1359. • We want to be as certain as possible that the dogs we adopt out find permanent, responsible and loving homes. We certainly hope that we will be able to find a dog that suits your needs and will fit comfortably into your lifestyle. • MOST IMPORTANT OF ALL, THANK YOU FOR YOUR INTEREST IN SAVING A LIFE Enter your first name * Enter your last name * Address * City * Your country and state / province * Country State / Province Zip Code * Cell Number * Enter your email * Which dog(s) are you interested in adopting? * Please check the following reasons why you wish to adopt. * Watchdog Companion Hunting Guard dog for business Child's pet Companion for other pet Other Have you researched this breed? * Select one Yes No Is this your first experience with a dog? * Select one Yes No If you are looking for a hunting companion, please answer the following questions: How often will you take the dog hunting? What type of game do you hunt? Do you plan to train the dog yourself? Select one Yes No If yes, please explain the methods you will use. What type of range would you like the dog to have? Do you participate in competition events such as field trials or hunt tests? Select one Yes No Please include any other information relative to your hunting experience and/or qualities you are looking for in a hunting dog. The dog primarily live: * Select one Inside Outside Where will the dog be kept when you are not home? * Select one In a crate Confined to one room Free roam in house Outside Other Do you have a doggie door? * Select one Yes No If yes, will the dog be allowed access to the yard through the doggie door when no one is home? * Select one Yes No Will the dog be allowed on the furniture? * Select one Yes No Do you own any pets at the present time? * Select one Yes No Please provide the following information on all pets owned in the last 5 years: Name, Breed/Species, Age, and if they are Altered. If you no longer own a pet, please state their whereabouts. * Who is your veterinarian (Please provide a phone number)? * Do we have permission to contact him or her? * Select one Yes No Do you own or rent? * Select one Own Rent Is there a size limit on pets you are allowed? * Select one Yes No Please provide landlord name/number: * How long have you lived at this address? * How many people in your household? * Do all adults agree to the adoption? * Select one Yes No If children are in the household, what ages? * Does anyone in the family have allergies? * Select one Yes No Who will be the primary caregiver for your pet? * In case of emergency, who will care for your pet? * Is your household a smoking environment? * Select one Yes No How many hours will the animal be left alone daily? * Do you have a fenced yard? * Select one Yes No Please note IBR requires fenced in yards--invisible or traditional--so if you answered NO, we will not consider you for adoption. How high, what kind? * How will the dog be exercised? * Do you plan to take an obedience class? * Select one Yes No What types of training methods do you plan to use? Choke chain Prong collar Electronic collar Food rewards Toy rewards Gentle Leader Halter No Pull harness Other If "Other", please explain. What type of food do you plan to feed and why? * Are you interested in learning about different food options? * Select one Yes No Employer or source of income: * If employed, how many years: * Please provide any additional description of the qualities you are looking for in a dog or any additional comments: * Submit
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