Application to Adopt An Airedale Terrier

Ready to adopt an Airedale Terrier? Please print out the following application, fill it out entirely, scan & email it to Alabama Airedale Rescue. Our email address is at the bottom of the application. 

Application for Adoption

Name:_________________________________________   Telephone:______________                                                                          

Address:________________________________________________________________

City:______________________________  State:___________  Zip:________________

Occupation:_______________________________  Work Telephone:______________

Would you prefer Male or Female:__________________     Age:_________________

Have you ever owned an Airedale?_________________________________________

What other breeds have you owned? ________________________________________

Tell us about your current pets.       

Breed                          Age     Sex      Neutered

______________        ____    ____    ________

______________        ____    ____    ________

______________        ____    ____    ________

______________        ____    ____    ________

How and when did you lose your last dog?

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________________________________________________________________________________

Have you ever given up a dog?  ( ) Yes   ( ) No

If Yes, please explain______________________________________________________

________________________________________________________________________

Under what circumstances would you consider giving up your dog?

_______________________________________________________________________

When will you be ready for your new dog?___________________________________

_______________________________________________________________________

_______________________________________________________________________

Where will your dog stay when no one is at home?____________________________

_______________________________________________________________________

For how many hours per day?_____________________________________________

Is your back yard fenced?________________________________________________

Type of fence & approx height:___________________________________________

Is the fence detached from the home so that you have to walk into it or does the back door open directly into it? _______________________________________________

Approx size of the fenced area: __________________________________________

                                          

What type of residence do you have? (house, apt, condo, manufactured home, etc)

Do you own or rent your home? __________________________________________

Living Arrangements:

Where will your dog stay when no one is home during the day?_________________

_______________________________________________________________________

                                                         

For how many hours & how often?_________________________________________

Will your dog have the run of the house? ___________________________________

If your dog is confined, where will he/she stay?______________________________

Will he use a crate? Where will it be located? _______________________________

Where will your dog sleep? _____________________________________________

Will he be allowed on the furniture? ______________________________________

When you travel, where will your dog stay? ________________________________

References:

Your Veterinarian:_______________________________________________________

Address: _______________________________________________________________

City: ________________________________    State: ________  Zip: ______________

Groomer Reference: _______________________  Telephone: ___________________

Address: _______________________________________________________________

City: ________________________________    State: ________  Zip: ______________

Personal Reference: _______________________________ Telephone: ____________

Address: _______________________________________________________________

City: _______________________________    State: ________ Zip: _______________

Are you prepared to make a donation to our rescue organization?  Each ADT takes almost $300 to rescue.  We never turn down an application because of the lack of funds, but we sure could use the help!

Signature: ___________________________________  Date: _____________________

Please Return the completed application to:  ALAIREDALES@yahoo.com

                                         

Thank you for your application.  One of our volunteers will contact you to set up a convenient time for a pre-acceptance visit to your home.  Please understand that follow-up phone calls and house visits are routinely made to insure that all is well with the adopted Airedale.  We reserve the right to refuse placement.