American Fox Terrier Rescue Adoption Application This application helps American Fox Terrier Rescue to find the best dog for your lifestyle. Thank you for your time. We'll do our best to find you or your family a new Foxie Friend! Name: Day Phone: Eve Phone: Address: City: State: Zip: Occupation: Spouse's Occupation: Email: Date: 1. Life style: Extremely Active Moderately Active Somewhat Active Not Active 2. Are you Single Married Live with parents Couple, not married Military 3. Have you ever owned a Fox Terrier before? Do you still have the dog or what happened to it? 4. Where/whom did you get your Fox Terrier from? 5. If you haven't owned a Fox Terrier before, have you ever spent any time with one? How did you learn about Fox Terriers and why did you decide on this breed? 6. Preference for Fox Terrier: Sex Age Other SMOOTH WIRE EITHER 7. Do you have any other pets or livestock? Explain 8. What dogs have you owned previously and what happened to them? 9. For what reason(s) would you consider giving up your dog? 10. Have you or any immediate family members every surrendered a dog to a rescue group, humane society or animal shelter? If yes, please explain the circumstances: 11. Has your ownership of a dog ever caused you to be in a court situation? If yes, please explain: 12. Veterinary reference 13. Personal reference of someone who knows you and your current or past pets well. 14. Do you have any children living in the home or are in the home on a regular basis? If so, please give Age 15. Do you live in a house, apartment, duplex, or condo? 16. If you rent, what is your property owner's name and phone number so we can verify that they approve of your having a pet in their rental unit? Landlord's name_________________ Phone Number_________________ 17. Do you have a fenced yard? What type of fencing and how high? 18. Do you have a swimming pool? Is it separately fenced? 19. How often and for how long is there regularly no one at home? 20. Where would the dog be during those hours? 21. Where will the dog stay at night? 22. Who will care for dog on a regular basis? 23. Other persons in household besides those listed in question 1 who will have contact with dog: 24. Does this person approve of getting a dog? 25. On vacations, what would you do with the dog? 26. How will the dog get exercise? 27. Do you plan to do obedience training with the dog if he/she is not already trained? 28. How would you help your rescue Fox Terrier adapt to its new home? How would you introduce it to your rules and expectations, including where and when to go outside? 29. Some rescue dogs are untrained and not housebroken. Are you willing to take a dog like this? 30. Are you familiar with crate training? 31. Would you be willing to take a dog with minor health or behavioral conditions? 32. Have you in your dog owning experience ever had to deal with the following? * Separation Anxiety? If YES, how was this dealt with?' Would this be a reason you would turn down a Fox Terrier? * House Breaking? If YES, how was this dealt with? Would this be a reason you would turn down a Fox Terrier? * Minor aggression - growling? If YES, how was this dealt with? Would this be a reason you would turn down a Fox Terrier? * Moderate aggression - nipping? If YES, how was this dealt with? Would this be a reason you would turn down a Fox Terrier? * Major aggression - biting? If YES, how was this dealt with? Would this be a reason you would turn down a Fox Terrier? * Dog vs. dog aggression? If YES, how was this dealt with? Would this be a reason you would turn down a Fox Terrier? * Dog vs. cat aggression? If YES, how was this dealt with? Would this be a reason you would turn down a Fox Terrier? * Dogs that pull hard on leads? If YES, how was this dealt with? Would this be a reason you would turn down a Fox Terrier? * Digging? If YES, how was this dealt with? Would this be a reason you would turn down a Fox Terrier? * Running away? If YES, how was this dealt with? Would this be a reason you would turn down a Fox Terrier? * Chasing other animals? If YES, how was this dealt with? Would this be a reason you would turn down a Fox Terrier? 33. All dogs must be spayed or neutered as part of the adoption process. Are you willing to do this if not already been done? 34. When will you be ready to take possession of the dog? 35. If there are no dogs available in your area, are you willing to have a dog transported from another area? 36. What is your closest major airport. 37. Would you have a problem with a member of American Fox Terrier Rescue visiting your home? 38. Please tell us a little about yourself and your lifestyle so that we can match the right Fox Terrier to your home Please return completed application to closest American Fox Terrier Rescue volunteer listed at http://www.foxterrierrescue.net/listing.html If a dog is found for you to adopt, the rescue volunteer will request a donation to help defray ongoing costs of helping homeless Fox Terriers such as veterinary bills, spaying or neutering, flea treatments, food and other expenses. http://www.foxterrierrescue.net