Adoption Application - Pacific Northwest Cattle Dog Rescue

Our Adoption Process:	Our Adoption Fees:
· Adoption Application · Adoption Team Call · Meet & Greet · Training Consult Call · Home Visit · Application Approval · Adoption Contract · Adoption Fee	· Senior (>8 yrs): $290 · Adult (6 mos-8 yrs): $390 · Puppy (<6 mos): $490

Is there a dog at PNWCDR that you're interested in adopting? *

Would you like your application on file for other dogs?

Name *

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Last

Email *

Email

Confirm Email

Phone *

Physical Address *

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Middle

Last

County *

Mailing Address (if different)

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Middle

Last

Age: *

Applicant must be 18 years or older.

Occupation: *

Applicant must be 18 years or older.

Please list all members of the household

Who will be the primary caregiver(s) for your dog? *

Are all members of household aware that you are considering adopting a dog? *

Yes
No
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Is anyone in the house allergic to dog hair, dander or saliva? *

Yes
No
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If there aren't kids in your household currently, what are your plans for the next 10-15 years? *

We have kids!
We plan to have kids (or grandkids) in our household in the next 10-15 years.
We do not plan to have kids (or grandkids) in our household in the next 10-15 years.
No kids in home, but the dog will be around them regularly.
No kids in home, but the dog will be around them occasionally.
We'll rarely or never have the dog around kids.
Unsure

If you bring a child or baby into the home, what will you do with the adopted dog? *

What is your housing situation? (Check all that apply.) *

Please provide PNWCDR with a copy of the pet policy from your rental agreement or HOA, if applicable.

Landlord's Contact Info

First

Last

Landlord's Email

Email

Confirm Email

Is your landlord aware that you’re considering adopting a dog?

Yes
No
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Do we have permission to contact your landlord? (Don't worry, we won’t reach out without connecting with you first!)

Yes
No
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Do you have a yard? *

Yes, fully fenced
Yes, partially fenced
Yes, unfenced
No yard

Total Fenced Acreage:

Total Unfenced Acreage:

Fence Material:

Fence Height (feet):

Gap Below Fence (inches):

Is the property shared?

Yes
No
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If property is shared, please describe arrangement

Is there a pool or other water on property? *

Do you have plans to move in the coming year? *

My home is: *

very active - people coming and going
somewhat active
usually quiet - visitors are infrequent

Please describe your home, typical household activity and visitors. *

How long will your dog be alone during the day? (Check all that apply.) *

Where will the dog be when you’re not at home? (i.e. at work, at school) *

Where will your dog be when you're at home? (Check all that apply.)

Where will the dog sleep at night? *

How frequently do you travel (for work or pleasure)? How frequently are your travels dog-friendly? 🙂 *

Who will look after your dog when you're traveling and unable to bring them along? *

If you have temporary financial or health problems, who will care for the dog? *

Have you owned a herding breed before? *

What are your favorite qualities of Australian Cattle Dogs? *

List any pets that live with you

Any livestock on your property?

How will you introduce your new dog to your existing animals? *

Have your current animals shared their home with a visiting dog before? If yes, how did it go? *

Please list past animals that you as an adult were responsible for:

Please provide the contact information for your current veterinarian (or the one you plan to use). *

First

Last

First

Middle

Last

Email

Confirm Email

Does PNWCDR have permission to contact your vet? (We'll connect with you first.) *

Yes
No
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Please provide another reference outside of household that we have permission to contact. *

First

Middle

Last

Reference's Email *

Email

Confirm Email

What age & sex of dog are you considering? Check all that apply. *

Preferred energy level of new dog (check any): *

Low -- calm; not interested in sustained vigorous play
Medium -- enjoys socializing, chase or tug; can calm down naturally
High -- very engaged with owner; constantly bringing toys; never seems to tire

Why are you getting a dog? *

What activities do you plan to do with your new dog? *

While some cattle dogs enjoy public spaces with lots of activity and new people/dogs, many thrive in a calmer environment. Are there any activities listed above that your new dog MUST be a part of? *

We do our best to provide our foster dogs with basic training and skills, but most dogs thrive with consistent attention and conditioning. How would you handle the following behavioral issues?

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(These answers won’t make or break your application. It just gives us a starting point to ensure that we find a great match for our adopters and dogs.)

Not coming when called *

I likely won’t keep a dog that exhibits this behavior
I will need help managing this behavior
I’m comfortable managing this behavior:

Pulling on leash *

I likely won’t keep a dog that exhibits this behavior
I will need help managing this behavior
I’m comfortable managing this behavior:

Barking in home or in yard *

I likely won’t keep a dog that exhibits this behavior
I will need help managing this behavior
I’m comfortable managing this behavior:

Urinating or defecating in house *

I likely won’t keep a dog that exhibits this behavior
I will need help managing this behavior
I’m comfortable managing this behavior:

Counter surfing or getting in the trash *

I likely won’t keep a dog that exhibits this behavior
I will need help managing this behavior
I’m comfortable managing this behavior:

Moderate Seperation Anxiety — doesn’t rest when crated or alone in home/vehicle even with distractions; may injure themselves or damage property when alone; barks; whines *

I likely won’t keep a dog that exhibits this behavior
I will need help managing this behavior
I’m comfortable managing this behavior:

Reactive or aggressive with new dogs on-leash *

I likely won’t keep a dog that exhibits this behavior
I will need help managing this behavior
I’m comfortable managing this behavior:

Reactive or aggressive with new dogs off-leash *

I likely won’t keep a dog that exhibits this behavior
I will need help managing this behavior
I’m comfortable managing this behavior:

Reactive or aggressive with new people *

I likely won’t keep a dog that exhibits this behavior
I will need help managing this behavior
I’m comfortable managing this behavior:

Rescource guarding or food aggression with other dogs *

I likely won’t keep a dog that exhibits this behavior
I will need help managing this behavior
I’m comfortable managing this behavior:

Rescource guarding or food aggression with people *

I likely won’t keep a dog that exhibits this behavior
I will need help managing this behavior
I’m comfortable managing this behavior:

Not getting along with other animals in household *

I likely won’t keep a dog that exhibits this behavior
I will need help managing this behavior
I’m comfortable managing this behavior:

Have you ever taken a dog to an obedience or training class? *

Yes
No
Unsure

Name of Trainer *

Location of Trainer *

Will you take your new dog to obedience classes? For most of our dogs we do require formal training with a positive reinforcement trainer. Is this something you'll agree to? If no, why not? *

Will you consult a trainer or behaviorist if your dog develops behavior problems? *

Would you consider a dog with behavioral issues? *

Yes
No
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Would you consider a dog with health issues? *

Yes
No
Unsure

Are you willing to have a representative of PNWCDR do a home check? *

Yes
No
Unsure

If you're planning on using a dog walker, dog sitter or doggie daycare, have you researched the cost for these services in your area?

Yes
No, not yet
N/A

Are you willing to accept the cost of this dog's care and needs for the remainder of their life? *

Yes
No
Unsure

How long do you think it will take your dog to adjust to their new home? *

How long are you willing to wait for your new dog to become adjusted and bond with you? *

Under what circumstances would you consider returning your dog to us? *

Why are you choosing to adopt a rescue cattle dog? *

Anything else you'd like PNWCDR to know?

How did you find out about PNWCDR? *

BY SUBMITTING THIS FORM:

I agree that all information provided is correct to the best of my knowledge.
I agree that a representative of PNWCDR can contact me with further questions.
I understand that submission of this application does not guarantee approval for adoption.

Name of Applicant *

First

Last

Date