APPLICATION FOR ADOPTION OF A RHODESIAN RIDGEBACK RESCUE Thank you for your interest in Rhodesian Ridgeback Rescue. Please complete this form as thoroughly as possible in order to assist us in finding the right dog for your needs. All dogs are spayed and neutered and microchipped before being placed. DATE:_______________________. NAME:_____________________________________________________________________________ ADDRESS: ____________________________________________________________________________ _____________________________________________________________________________________ HOME PHONE: __________________________ E-MAIL: _____________________________ PLEASE LIST ALL HOUSEHOLD MEMBERS: NAME AGE PLEASE LIST ALL HOUSEHOLD PETS: TYPE BREED AGE NEUTERED? PLEASE LIST ALL THE DOGS THAT YOU HAVE OWNED AND THE NUMBER OF YEARS OWNED NAME BREED # OF YEARS OWNED PLEASE CIRCLE THE TYPE OF DWELLING IN WHICH YOU RESIDE FREESTANDING HOME APARTMENT CONDOMINIUM FARM TOWNHOME TRAILER DO YOU HAVE A YARD? YES_______ NO________ IF YES, HOW LARGE IS YOUR YARD?________________________________ IS YOUR YARD FENCED? YES _______ NO _________ IF YOUR YARD IS FENCED, PLEASE DESCRIBE THE FENCE: ___________________________________ DO YOU RENT OR OWN YOUR RESIDENCE? RENT ___________ OWN _______________ IF YOU RENT DO YOU HAVE YOUR LANDLORD’S PERMISSION TO KEEP A LARGE DOG? YES _______ NO ______________ PLEASE CIRCLE ALL THAT APPLY: I WOULD BE INTERESTED IN ADOPTING A: PUREBRED RHODESIAN RIDGEBACK RHODESIAN RIDGEBACK MIX I WOULD BE INTERESTED IN ADOPTING A: MALE FEMALE NO PREFERENCE WHAT AGE RANGE ARE YOU INTERESTED IN ADOPTING? __________________________________ WHERE DID YOU LEARN ABOUT RHODESIAN RIDGEBACKS? WHY DO YOU WANT A RHODESIAN RIDGEBACK AS OPPOSED TO ANOTHER BREED OF DOG? PLEASE DESCRIBE YOUR EXPERIENCE WITH RIDGEBACKS, INCLUDING PERSONAL CONTACT WITH SPECIFIC DOGS, BOOKS READ ETC. HOW WILL A RHODESIAN RIDGEBACK FIT IN WITH YOUR FAMILY LIFESTYLE AND ACTIVITIES? WHAT MAKES YOU A GOOD PET OWNER? HOW WILL YOU DISCIPLINE YOUR DOG? SPECIFICALLY, HOW WOULD YOU DEAL WITH PROBLEMS SUCH AS CHEWING, JUMPING OR DIGGING? WHAT WILL YOU FEED YOUR DOG? ___________________________________________________ WHERE WILL YOUR DOG EAT? _______________________________________________________ HOW MANY HOURS A DAY WILL YOUR DOG BE ALONE? _________________________________ WHERE WILL YOUR DOG STAY DURING THE DAY? _____________________________________ WHERE WILL YOUR DOG SLEEP? _____________________________________________________ DO YOU PLAN ON CRATING YOUR DOG? YES _______ NO ___________ WHY OR WHY NOT? _______________________________________________________________ ARE YOU WILLING TO ENROLL YOUR DOG IN OBEDIENCE TRAINING? YES ______ NO _______ HOW MUCH TIME CAN YOU DEVOTE TO TRAINING YOUR DOG? __________________________ HOW MUCH TIME CAN YOU DEVOTE TO EXERCISING YOUR DOG? _________________________ WHAT DO YOU PLAN TO DO WITH YOUR DOG IF YOU GO ON VACATION? __________________________________________________________________________________ WHAT IS THE LIFE SPAN OF A RHODESIAN RIDGEBACK? ________________________________ PLEASE ESTIMATE THE COST OF MAINTAINING A RIDGEBACK IN TERMS OF EQUIPMENT, VETERINARY CARE AND FOOD EACH MONTH. _______________________________ WHAT VETERINARIAN WILL YOU USE FOR YOUR DOGS HEALTH CARE? NAME ___________________________________________________________ ADDRESS _________________________________________________________ PHONE NUMBER: ____________________________________________________ IS THERE ANYTHING ELSE YOU WOULD LIKE TO TELL US ABOUT YOUR FAMILY OR YOUR INTEREST IN ADOPTING A RHODESIAN RIDGEBACK? PLEASE LIST TWO REFERENCES WHO HAVE KNOWLEDGE OF YOUR RELATIONSHIP WITH ANIMALS AND YOUR ABILITY TO CARE FOR A LARGE DOG. NAME: _______________________________ RELATIONSHIP: ______________________________ CITY: ________________________________ PHONE: ______________________________________ NAME: _______________________________ RELATIONSHIP: ______________________________ CITY: ________________________________ PHONE: ______________________________________ THANK YOU FOR YOUR INTEREST IN RHODESIAN RIDGEBACK RESCUE AND FOR TAKING THE TIME TO COMPLETE THIS APPLICATION: IF RESCUE PLACES A DOG WITH YOU, YOU WILL BE ASKED TO MAKE A DONATION TO HELP DEFRAY COSTS SUCH AS SHELTER FEES, VETERINARY CARE ETC. PLEASE MAIL YOUR COMPLETED APPLICATION TO: RHODESIAN RIDGEBACK RESCUE C/O TINA MOODHART 10436 CRANE CIRCLE, FOUNTAIN VALLEY CA 92708 A donation of $5.00 to Rhodesian Ridgeback Rescue at the time your application is mailed to cover the costs of postage and supplies is appreciated. IF YOU HAVE ANY QUESTIONS, YOU MAY CONTACT ME AT: (714) 964-7225 OR BY E-MAIL AT BSMOODHA@MSN.COM. 5