Name:
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Address:
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Phone number(s) and type(s):
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E-mail:
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How did you hear about CSAC?
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Preferred method of contact (phone, email):
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I am applying to be approved for adoption when "the
right dog" is available through CSAC.
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I am applying to be approved to adopt a specific dog
currently available through CSAC. I am interested in (dog's name):
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Why do you want to adopt a dog?
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What do you think are the most important
responsibilities of owning a dog?
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Why do you want to adopt a Cocker Spaniel in
particular?
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How long has it taken you to decide to adopt a Cocker
Spaniel?
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Are you willing to take the time to work with a dog
on housetraining issues, should the need arise?
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Do you understand and accept that changing a dog's
environment may cause the dog to have accidents, especially in the
early days of the adoption?
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If a behavioral problem arises, what steps will you
take to work on it?
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Does any member of the family have any allergies to
animals? If yes, please explain.
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For whom are you adopting the dog (i.e. self, family,
gift)?
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Have you ever owned a pet before? If yes, what kinds
of animals and when?
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Which of these pets do you still own? Please describe
these pets in as much detail as possible (name, type, age, gender,
etc.).
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Is/are the animal(s) spayed/neutered?
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Which pets do you no longer own? What happened to
him/her/them?
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Were these animal(s) spayed/neutered?
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Have you ever given any of your animals away for any
reason? If yes, please explain the reason(s).
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What do you consider a good and valid reason for
giving up a dog?
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What is the name and phone number of the veterinary
hospital where your animal(s) has/have received care and vaccinations?
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Do you have a different vet in mind for your new pet?
If yes, please specify, and kindly say why you are changing vets?
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What kind of veterinary care do you intend to
provide?
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Have you done or do you intend to do any reading in
preparation for a new dog? If yes, please specify.
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Will you consider obedience training for your dog?
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Do you have any experience with obedience training?
If so, please specify.
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Would you be willing to obtain a crate if recommended
for the dog?
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How many people currently reside in your household?
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Is everyone equally enthusiastic about adopting a
dog?
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How would you describe the activity level in your
household?
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Are there children in the home? If yes, what ages?
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If there are children in the home, do any have
experience with animals? Please explain.
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Do children visit your home regularly or
occassionally? If yes, please explain.
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Who will be responsible for feeding the dog and
taking him/her outside?
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In the absence of the primary caretaker, who will
take care of the dog?
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Do you own or rent your residence?
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If you rent, what is the name and phone number of the
landlord?
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Are pet(s) allowed in your residence?
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What type of dwelling do you reside in (single family
home, townhouse, condominium, etc.)?
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Are there any restrictions or covenants where you
live?
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Do you have a fenced yard?
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Please describe the fence (height, material,
gaps/weaknesses).
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If you do not have a fence, do you plan to get one?
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If so, when? If not, why not?
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Would you walk/exercise a dog on or off-leash, or
both?
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Where will the dog be kept (indoors only, outdoors
only, both)? Please explain.
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How much time will the dog spend outdoors? Please
explain.
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Will anyone be home during the day?
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How many hours will the dog be left unattended?
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When you are home, where will the dog be kept?
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When no one is home, where will the dog be kept?
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Where will the dog sleep?
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Are you willing to keep a collar with a tag bearing
your name and phone number on your dog at all times?
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How often and for what reasons do you travel?
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What will you do with the dog when you travel?
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What will you do with your dog if you move/change
housing?
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Are you or your spouse in the military?
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Have you ever bred or raised dogs?
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Have you ever participated in dog shows?
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Will you provide a smoke-free environment for any dog
you adopt? (Please note that this question is asked because many
cockers have allergies and skin problems and should not be placed in a
home where there is smoke).
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Please estimate the cost of the following: Premium
Food (many Cockers have food allergies), Grooming (every 6-8 weeks,
minimum), Vet Care (including vaccinations, heartworm preventative,
ear, eye, and teeth care), and Extras (toys, treats, beds, bowls,
leashes, collars, id tags).
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Are you able to comfortably provide the estimated
care, and are you prepared for possible other costs, in addition to
your estimation (Examples: sickness, accidents, emergency care)?
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Are you aware and do you accept that CSAC requires
that all dogs and cats in the household be spayed/neutered before an
adoption of a CSAC dog can take place?
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Are you aware and do you accept that CSAC requires a
fee of $300 for dogs under the age of eight years and $250 for dogs
eight years and older?
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The average Cocker Spaniel has a lifespan of 12 to 15
years. Are you willing to make a commitment to this dog for the rest
of his/her life?
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Are you willing to provide the necessary love and
attention, as well as the necessary food, vet care, and grooming
required to maintain a happy, healthy Cocker Spaniel?
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If this is a long distance adoption, are you willing
to travel to get the dog (by plane, or car, or both), pay for the
costs of transportation, meet somewhere along the way,
unable/unwilling to travel or assume costs?
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Have you reviewed and do you understand and accept
the CSAC adoption contract?
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If, for any reason, you are unable to keep your dog,
do you agree to notify CSAC immediately?
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If you are unable to keep your dog, do you agree to
return him/her to CSAC without hesitation?
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If this is a long distance adoption, and you are
unable to keep your dog, are you willing to assume the responsibility,
including travel and financial responsibility, for returning the dog
to CSAC?
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Please list any preferences you have in adopting a
dog (age, sex, breed, personality, etc.).
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Please list any concerns or final questions here:
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I have read the above information
carefully and have filled out this application honestly. I understand
that omission of information and/or failure to answer all questions
and sign the application can result in this application being
declined. Also, if an omission or untruth is discovered after an
adoption takes place, I understand and accept that CSAC has the right
to annul the adoption and reclaim the dog.
I give CSAC permission to fully investigate the information provided
as well as contact veterinarians and related officials. If the
application passes this review, I agree to a home and yard visit on a
mutually agreed date by a CSAC representative before an adoption
decision is made.
Furthermore, I understand and accept that the adoption decision
depends upon many factors, including ? but not limited to ? the
compatibility of the family and home to the individual dog and other
applications received on the dog. I understand and accept that it is
CSAC's prerogative to decide which home is most appropriate for the
individual dog, and therefore I will not take issue with the decision.
Unless otherwise indicated by CSAC, I may be considered for another
dog. |
