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| Wet Nose Rescue 25 5th Street Feasterville, PA 19053 267-684-6187 www.wetnoserescue.org windog2815@yahoo.com To submit your application to us, the easiest way is to copy the form and paste it to a Word document and then e-mail it to us as an attachment. You can also try pasting it directly into the body of your e-mail if that doesn't work. If you have a problem, call us at 267-684-6187 |
Name_________________________________Date_______________________
Street Address___________________________________________________
City___________________________________State_________Zip__________
Day Phone______________________Cell______________________________
Eve Phone______________________E-Mail____________________________
Dog you are interested in__________________________________________
If there is not a particular dog, tell us a little about what you are looking
for:
Male_____Female_____Either______Breed__________________________
Age:
Mature Adult (over 3 yrs)_________
Young Adult (1 - 3 yrs)________
Adolescent (6 mos. 1yr)________
Puppy (up to 6 mos.)__________ **Note a Puppy under 6 months of age
should not be left alone for more than 4 hours at a time.
What are the most important characteristics you look for in a dog?
_______________________________________________________________
Number of Adults in the home_____Children______Ages______________
Other pets in home_______________________________________________
Have you owned a dog before?_________When_______________________
Do you: Own____Rent/Lease_____Single Home______Townhouse_______
Apartment/Condo_______***Please note, if you rent or lease your home,
you must provide a copy of your lease, or a letter from your landlord
indicating that you are permitted to keep a dog on the premises along
with any size restrictions.
Do you have a fenced area where you reside?_______, if not how will your
dog be exercised?________________________________________________
How many hours per day will the dog be home alone?__________________
Have you ever crate trained a dog?__________________________________
Your present veterinarian:Name____________________________________
Address_________________________________________________________
Phone_________________________Hours they are open________________
we cannot review your application without a phone number for your
veterinarian.
** Please note, If you have not used your vet in 2 years, they may not have
records on you so please provide a personal and work reference instead.
Some vets require permission to release information, if possible please
check with your vet in advance to give permission if required. This helps
speed the process of completing the application.
Last time used & Pet's Name________________________________________
If no vet please provide 2 references with their phone numbers, 1 work, 1
personal who is not a relative, try to include the best times to reach these
individuals.
1.______________________________________________________________
2._______________________________________________________________
How did you find out about Wet Nose Rescue?
Vet_____Shelter_____Pet Store_____Friend______Event_____Internet____
Newspaper______Other___________________________________________
Would you like to know more about: Volunteering____Fostering______
As part of the adoption process, you will be asked to sign a contract in
which you agree to certain conditions including: maintaining regular
veterinary care, any emergency care that could be needed and mandatory
spay or neuter unless determined by a certified vet that it is unable to be
done. If for any reason you are not able to keep the dog, it will be
surrendered back to Wet Nose Rescue.
All dogs shall be given a comfortable living arrangement, fed and watered
and never abused in any way, including negligence. If there is any
violation, all rights of ownership shall be forfeited.
Donation Schedule:
Dogs over the age of 6 months: $75.00 donation, along with a $50.00
deposit for spay/neuter, upon completion, with a vet certificate, the
deposit will be returned unless you wish to donate it to the rescue
organization.
Puppies under 6 months of age: $100.00 donation, along with $50.00
deposit for spay/neuter, upon completion, with a vet certificate, the
deposit will be returned unless you wish to donate it to the rescue
organization.
Any dog/puppy already spayed/neutered prior to adoption would require a
$125.00 donation, proof will be provided to the adopting family.
_________________________________________________________________
Name Date
***Please note that our mission is to help you find the right dog, this
usually requires some time and patience. We will work hard to help you
adopt a new companion but we need your cooperation and understanding
to be successful.
Thank you for interest in rescue, every adoption truly does save a life!
E-Mail address: windog2815@yahoo.com