True Heart MinPin Rescue, Inc. - Pre Adoption Application

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Note that the adoption donation range for our little ones range from $200 - $300.
This helps with the vet bills that were incurred, and their upkeep during their stay in the rescue.
Be assured that all of our dogs are up to date with all veterinary care prior to you taking them home, and this donation is simply to cover part of their costs while in rescue.

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Thank you for your interest in adopting one of our rescued MinPins or Small Breed Dogs!!
Please complete and submit the form below.

Name:
Address:
City, State, Zip:
Home Phone (incl. area code):
Cell Phone (incl area code):
Employer:
Occupation:
Work Phone:
May we contact you at work?
Email Address:
I am interested in adopting:
What traits do you desire in your pet?
Are you familiar with the traits (personality, medical problems, etc?) of the breed(s) you are interested in?
What types of activities would you like to enjoy with your pet?
For whom are you adopting?
Why are you adopting a pet?
How long have you been looking for a pet?
Have you done research to help you know what breed type best suits your needs? If so, what type of research? What breeds suit you and why?
What is your living situation?	Own Home Rent Home/Condo Rent Apartment
If renting, we must verify with your landlord that you may have this pet before we can allow it to go home with you. Please list Landlord's Name and Phone Number:
How long have you been at your current residence?
Do you expect to be moving within the next year?	Yes No
If yes, to what type of residence?
Do you expect any other type of major lifestyle changes in the next two years?	Marriage New Baby Caring for Elderly Relative Other None
If "Other", please explain:
Your Age:	18-22 years 22-25 years 25-30 years 30-40 years 40-50 years 50+ years
Age, Gender and Relation of others living in your home:
Are all of the above mentioned people agreeable to adding a pet to the household?	Yes No
If no, please explain:
Are any of them allergic to this type of pet?	Yes No
Who will be primarily responsible for the pet?
In what type of area do you live?	City Suburb Rural
Where will your pet spend the day hours (be specific)?
How many hours a day will your pet be alone on week days?
How many hours a day will your pet be alone on the weekends?
Do you have a fenced yard?	Yes No
If yes, what type of fence?	Chain Link Privacy Invisible Other
If "Other", please explain:
If no, how will you ensure your pets safety while outdoors and how will you see that it gets plenty of exercise?
Are you familiar with crate training?	Yes No
Are you familiar with house training?	Yes No
Will you be enrolling your dog/puppy in obedience classes?	Yes No
If no, why not?
Where will your pet spend the night (be specific)?
Describe your work schedule:
Do you currently have other pets?	Yes No
If yes, what kind of other pets?	None 1 Dog 2 Dogs 3 or more Dogs 1 Cat 2 Cats 3 or more Cats Other
Please give names, breed, age, gender, personality and where acquired. Indoor or outdoor?
Do you currently have a Veterinarian?	Yes No (skip to next set of required questions)
Veterinarian:
Vet Full Address (inc. street address, city, state & zip):
Vet Phone Number (incl. area code):
When we call to verify information, whose name is on the Vet Records for your current pet(s)? (Last, First)
Could you please notify your vet that a representative of True Heart Rescue will be contacting them?	No Current Vet Yes No
If you had a pet previously, why do you no longer have it?
Are all of your current pets spayed or neutered?	No Yes No Current Pets
If no, why?
Are all of your current pets up to date on vaccines (Rabies, 5 in 1 Distemper)?	No Yes No Current Pets
If no, why?
Are all of your current pets on heartworm preventative and flea control medications?
If no, why?
Is your current pet(s) inside pets?
Are you aware that the average pet costs in excess of $700.00 per year in just food and vaccinations, and that the average life span is 15 years?	Yes No
Are you committed to providing this pet with necessary medical care and obedience training to ensure its well being in your home for its lifetime?	Yes No
For what reason(s) would you give up your pet(s)?
What would you do with your pet if you did ever have to give it up?
Please list two references' names (other than relatives or significant other), relation and phone number (incl. area code). List Reference 1 here:
Reference 1 Email address (used strictly to process your application in a timely manner):
Please list Reference 2 here(other than relatives or significant other), relation, and phone number (incl. area code):
Reference 2 Email address (used strictly to process your application in a timely manner):
Please write some thoughts telling us what makes you the best possible owner for this pet:
Would you agree to a representative of True Heart Minpin Rescue verifying this information and following up on the placement of this animal?	Yes - Please Verify No - Do Not Verify
If you are interested in a puppy, note that we do not adopt out unaltered puppies. Would you be willing to participate in our "Foster to Adopt" program (fostering the dog until it is altered, then completing the adoption papers) if wanting to adopt one of our unaltered puppies?	No Yes (required to adopt an unaltered puppy) Maybe
Disclaimer: True Heart Minpin Rescue, Inc. is a volunteer nonprofit organization, registered in the state of Kentucky. Our animals are not for sale, they are for adoption. This means a home must be approved before adoption. Approval includes, but not limited to, completing this pre-application form, additional interviews, meeting with the prospective pet, and a signed contract. In addition, True Heart Minpin Rescue, Inc. reserves the right to deny an adoption at any time during the process for any reason.	I have read and understand the above disclaimer. I do not agree with the above disclaimer.
Enter your name below acknowledging the above Disclaimer, and to sign this application prior to submittal.
Where did you hear about us?
If other, we'd love to know where you heard about us:

SPEED UP YOUR APPLICATION PROCESSING TIME!
If you have current, dated medical records of your current pet(s) (including a rabies certificate, distemper vaccine, heartworm preventative, and flea control for each pet (last two from vet, or receipt of online purchase), and dated within the last year, please fax them asap to our Applications Coordinator - DENA; FAX NUMBER: (206) 338-2100

We really appreciate your patience; our adoption process may take 2-3 weeks to complete.
(Please understand that we are volunteers that hold full-time jobs and have our own families,
but be assured that your application is important to us, and we will process it as quickly as possible. )

If you have questions after your submittal, feel free to contact
our Application Coordinator:

Dena
Ph: 206.338.2100

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