Roxana's Rescue

Additional adoption info

Please fill out the form if you are interested to adopt a pet under our care
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1. Which dog(s) are you interested in adopting? Please list as many dogs as you like, in order of preference.
2. Your Name
3. Your Phone Number(s)
4. Your Address
5. Your Email
6. Place of Employment
7. Please describe and list ages of all the people (including yourself) and pets that reside in your home.
8. Who will be the primary care-giver?.
9. Please describe your family’s activity level (e.g. couch potatoes, daily walks, daily runs/hikes, weekend athletes, very active).

10. How long will the dog be alone each day?
11. Please describe a typical day in your dog’s life during the week and on weekends.

12. How much exercise and socialization will the dog receive?
13. Please describe your home; e.g. one bdrm condo, house with fenced yard etc.
14. Is there a safe, fenced area for the dog to go out to eliminate? If not, how will toiletry needs be handled?
15. Where will the dog sleep? Please be specific, e.g. in living room, in garage, in bedroom, in dog house etc.
16. Where will the dog be when you go out? Please be specific e.g., in crate, in yard, run of the house, in garage etc.
17. Where will the dog be when you are home?


18. Please describe your method of training and disciplining your dog.


19. Who will look after your dog when you go on holidays?
20. What vet do you have in mind for your dog?
21. Are you financially able to afford normal and expected veterinary care costs?
22. Are you financially able to afford unexpected and expensive vet care in the event your dog gets ill or injured? If not, what will you do if your dog needs expensive surgery or medical treatment?
23. Do you rent or own your home? If you rent, do you have written permission from your landlord to have this dog?
24. If you rent and must move, what will you do with the dog if your new home does not allow pets?
25. How long have you lived at your current address?
26. Have you ever owned a dog before? If so, what happened to that dog?
27. Under what circumstances do you consider it acceptable to crate a dog?
28. Under what circumstances is it acceptable to leave a dog outside?
29. When do you consider it acceptable to physically punish or hit a dog?
30. What specific foods and brands are you planning to feed your new dog?
31. What would make you return a dog to us?
32. What do you believe you (and your family) have to offer this dog.
33. What is it about the dog you are applying for that appeals to you?
34. Do you plan to provide any formal training/obedience classes for your dog?
35. Why are you interested in adopting a dog at this time?
36. Please describe what your expectations are regarding your new dog's behaviour when they first come to your home.

37. Please describe your ideal dog.