Adopt Spencer a White - with Black Miniature Poodle / Mixed dog in New | Black, White Male Miniature Poodle Adoption in New Middletown OH | 7080215768 | 7080215768

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Adopt Spencer a White - with Black Miniature Poodle / Mixed dog in New

Location:

New Middletown, OH

Description:

Application: Dog Adoption Application Form Contact Information Full name: Occupation: ______________________________________________________________ Address: ______________________________________________________________ How long at this address:__________________________________________________ Daytime Phone: ___________________________________________________________ Evening Phone: __________________________________________________________ Best time to call: ___________________________________________________________ Email address: __________________________________________________________ Family & Housing How many adults are there in your family (their relationship to you)? _________________________________________________________________________ How many children (ages)? _________________________________________________________________________ What type of home do you live in single family, town home, apartment, farm, etc.? _________________________________________________________________________ Please describe your household: __ Active __ Noisy __ Quiet __ Average If you rent, please give the rules governing pets and the landlord's name and number: (by providing this information you are allowing CHR permission to contact your landlord please inform them of this call so they will speak with us) Does anyone in the family have a known allergy to dogs? _________________________ Is everyone in agreement with the decision to adopt a dog? _________________________ Do you have time to provide adequate love and attention? _________________________ Other Pets What other pets do you have (specify type and number)? Are these pets up to date on vaccines? _________________________________________ Are these pets spayed/neutered? If not. Why?____________________________________ _________________________________________________________________________ Have you every surrendered a pet? If so, why? _________________________________________________________________________ Have you ever had a pet euthanized? If so, why? _________________________________________________________________________ Have you ever lost a pet to an accident? _________________________________________________________________________ How do you discipline your pets and why? _________________________________________________________________________ Veterinarian Do you have a regular veterinarian? __ Yes __ No Veterinarian's name: _______________________________________________________ Clinic Name: _______________________________________________________ Clinic Address: ________________________________________________________ Clinic Phone: ________________________________________________________ (Providing CHR with this information you are allowing CHR to call your vet. Please call your vet and ask them to authorize the release of information to CHR.) About the Dog You Wish to Adopt What is your idea of an ideal dog and why? Desired age: __________ Desired Size: _____________________________________ Desired breed: _______________________________________________________________ Breed you would not adopt:_____________________________________________________ Desired sex: _ Spayed Female _ Neutered Male _ No preference Willing to adopt: __ outgoing/hyper dog __ shy dog __ dog that needs regular medication __ dog that needs training __ dog that needs grooming __ None of these Where will the dog spend the day? (describe) _________________________________________________________________________ Where will the dog spend the night? (describe) _________________________________________________________________________ Number of hours (average) dog will spend alone? _________________________________ Who will have primary responsibility for this dog's daily care? _______________________ Who will have financial responsibility for this dog? ________________________________ Do you agree to provide regular health care by a Licensed Veterinarian? __ Yes __ No Do you agree to keep the dog as an indoor dog? __Yes __No When the dog goes out, how do you plan to supervise it? Fenced yard? Do you agree to contact CHR if you can no longer keep this dog? __Yes __No Are you be willing to let a representative of CHR visit your home by appointment?__Yes __No How did you hear about CHR? _____________________________________________________ Would you be interested in fostering? __Yes __No __Would like to know more Personal References Please list someone who is familiar with both you and your pets. Name: Address: Phone: Relationship (relative, neighbor, friend, etc.): Name: Address: Phone: Relationship (relative, neighbor, friend, etc.): All of the information I have given is true and complete. This dog will reside in my home as a pet. I will provide it with quality dog food, plenty of fresh water, indoor shelter, affection, annual physical examination and vaccinations under the supervision of a licensed Veterinarian. ___________________________ _________ (Signature) (Date)

Breed:

Miniature Poodle

Category:

Dogs

Color:

Black

Sex:

Male

Posted:

November 19 2023 on Adopt-a-Pet.com