Valley of the Sun Giant Schnauzer Rescue P.O. Box 648 Mesa, AZ 85211 phxgsrescue@hotmail.com Voice mail only 602.212.6775

Application for Adoption Your Name:   DOB:   Spouse's Name:   DOB:   List all others living in household, with ages: 1. 4. 2. 5. 3. 6. Mailing Address: Physical Address: City: State:  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Missippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Ohio Oklahoma Oren Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Island Virginia Washington West Virginia Wisconsin Wyoming Zip:  Email Address: Home Phone:      Work Phone:  Occupation:   How long there: Name of Employer: Spouse's Occupation:  Spouse's Work Phone:  Spouse's Employer: Veterinarian's Name:   Vet Practice Name: Address: City: State:   Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Missippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Ohio Oklahoma Oren Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Island Virginia Washington West Virginia Wisconsin Wyoming Zip:   Vet's Phone:     Vet's Fax:   Please provide info on two individuals not related to you who can serve as references: Name: Phone: Name: Phone: Please provide the name, address and phone # of your nearest living relative: Relative Name: Address: City: State:  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Missippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Ohio Oklahoma Oren Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Island Virginia Washington West Virginia Wisconsin Wyoming Zip:  Phone:   Do you own or rent your home?    SELECT ONE OWN RENT How long have you lived at your current address?    If renting, do you have your landlord's permission to keep dogs?    SELECT ONE NO YES NA Can you provide us with such permission in writing? Please include with application.    SELECT ONE NO YES NA Are you interested in adoption?    SELECT ONE NO YES Are you interested in providing foster care?    SELECT ONE NO YES Fostering is a good way to find out if you really want to live with a Giant Schnauzer!    May we visit your home and check the references to verify the information you have provided?    SELECT ONE NO YES List the pets you've owned in the past 7 years. PRESENT AND PREVIOUS PETS: (Leave blank if none)    PLEASE, LIST NAMES, AGES, HEALTH OF EACH LIVING PET, BREED AND HOW MANY YOU HAVE PRESENTLY. CAUSE OF DEATH FOR DECEASED PETS. If none, why do you want a dog now?    Are current pets spayed or neutered? If not, why?    Why do you want a Giant?    Is everyone in your home agreeable to getting a Giant?    SELECT ONE NO YES The Giant Schnauzer is NOT a hypo-allergenic breed and they DO shed. Is anyone in your household allergic to dogs?    SELECT ONE NO YES Have you ever owned a Giant before?    SELECT ONE NO YES How have you educated yourself about the Giant?    What is your philosophy regarding pets and children?    Describe the grooming care you would provide for your Giant:    What do you anticipate the cost will be to provide basic care for your dog? (Grooming supplies, vet care, dental cleanings, food, license, toys, bed)?    SELECT ONE $100.00 Per Year $500.00 Per Year More Than $500.00 Per Year What do you plan to feed your Giant? Be specific about what brand.    Are you willing to change?    SELECT ONE NO YES Please list your preference regarding - Gender:    SELECT ONE Male Female No Preference - Age:    SELECT ONE Less Than 2 Years 2-5 Years Over 5 Years No Preference - Special Needs Dog:    SELECT ONE NO YES Will you consider something other than your stated preference?    SELECT ONE NO YES Where will you keep your Giant? (please be specific)    During the day?    SELECT ONE Crated Free To Roam Inside House Free To Roam Outside House During the night?    SELECT ONE Crated Free To Roam Inside House Free To Roam Outside House During vacations or while you are away for overnight?    SELECT ONE Petsitter Boarded At Vets Leave With A Friend Crated Free To Roam Inside House Free To Roam Outside House Do you have a safe and securely fenced yard (well maintained: no loose boards, no gaps, holes or protruding nails)?    SELECT ONE NO YES How large is the area that is fenced?    SELECT ONE Patio Very Small Less Than 200 SQ FT Small 10 FT X 30 FT Midsized 20 FT X 40 FT Large 60 X 100 1/4 Acre 1/2 Acre Over 1/2 Acre NA What type of fencing do you have and how high is it? - Type:    SELECT ONE Chain Link Wood Other NA - Height:    SELECT ONE 3 FT 5 FT 6 FT NA Do you have a dog door to this fenced area?    SELECT ONE NO YES NA If you do not have a fenced yard, how do you plan to exercise your Giant, confine the Giant, and provide for his need to eliminate?    Are you committed to walking your Giant?    SELECT ONE NO YES How often and for how long will you walk your Giant?    SELECT ONE Once A Week Twice A Week Once A Month Daily Three To Four Times A Week If you are gone from the home on a daily basis, give a breakdown of your daily routine including sleep, work, meetings, errands, eating out, school functions and any other regularly scheduled events:    What category best describes your household's schedule:    SELECT ONE Work At Home Work Outside Home - Flexible Schedule Retired Fixed Work Schedule Hectic Somewhat Hectic Organized So Organized Its Boring Realistically, how many hours a day will you spend with your Giant (excluding sleep)?    SELECT ONE 1 Hour 2 Hours 3 Hours 4 Hours Or More Are you able to come home in the middle of the day to walk the Giant and/or give it a chance to relieve itself?    SELECT ONE NO YES What is the maximum number of hours your dog will be left alone during a 24 hour period?    SELECT ONE 24 1 2 3 6 8 15 How many of these hours will the dog be confined without a chance to relieve itself?    SELECT ONE 24 1 2 3 6 8 15 Where will the dog spend this time (please be specific):    SELECT ONE Crated Free To Roam Inside House Free To Roam Outside House When you are away from home, will your Giant have companionship?    SELECT ONE NO YES Another Dog YES A Cat YES A Human What will you do if your dog is destructive when left alone?    Are you willing to attend obedience classes with your Giant?    SELECT ONE NO YES Have you ever trained a dog before?    SELECT ONE NO YES Have you ever surrendered a pet of yours to an animal shelter?    SELECT ONE NO YES If yes, why? Give Details.    Have you ever sold or given away a pet?    SELECT ONE NO YES To whom, why?    Are you prepared to keep the Giant groomed for health sake?    SELECT ONE NO YES This can be quite costly if a professional groomer is used. Regular Grooming is necessary for the good health of the Giant....    What circumstances, in your mind, justify giving up/relinquishing a dog?    What circumstances justify euthanizing a dog?    What plans have you made for your dog should anything happen to you?    Does your family know of your wishes?    SELECT ONE NO YES

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