Adoption Application
She was dearly loved for the last 5 years of her life -- and is missed terribly by Charley and Sally.....
8/23/2001
We have potential adopters complete an application and return it. We review the information and check veterinary and grooming references. If everything checks out, then we make an appointment for the applicant to visit the dogs.
**Please Note -- We do NOT ship any dogs. Potential adopters MUST be willing to drive here and meet us and the dog they are interested in adopting.
Each dog who leaves here has the following:
Vet-checked
Current on DHPP, Bordatella, and Rabies Vaccines
Wormed
Spay/Neutered
Heartworm tested and on monthly preventative
Frontlined, if necessary
Microchipped
Rescue ID Tag
New Lupine Combination Collar
Freshly Groomed
We do not have non-profit status, so donations are not tax deductible. However, we do NOT make any profit from our rescue efforts. We rely on the adoption donations to reimburse us enough so that we are able to continue helping other needy cocker spaniels. We do have set amounts for the adoption donations... they vary according to the age and health of each animal.
We spend thousands of dollars each year providing vet care, medications, heat and air-conditioning, food, toys, bedding, chew bones, and grooming and cleaning supplies, licensing, and other necessities to house and care for these dogs.
Our standard donations -- to APPROVED applicants, only -- is $300.00 for adults between 2 and 8 years of age.
Puppies up to 2 years of age are $400.00
Puppies who are whelped and/or raised in rescue from an early age are $500.00.
Rarely, we get a pregnant momma into rescue and it is very expensive to whelp and properly care for puppies.
Dogs older than 8 years, and those with Special Needs are adopted at reduced amounts, which will vary, depending on the dog. This is NOT to be construed as an offer of dogs for sale.
All dogs are available for adoption to approved homes only.
We reserve the right to refuse to adopt to anyone, for any reason.
Regretfully, we have had to raise our adoption donations in 2005 because of steadily increasing expenses.
We hated to have to raise the donations, but we feel we really didn't have any choice if we were to continue providing the same quality of care that we have for our cockers over the years.
Below is an application. When you return this application for consideration, please be sure to phone your vet and give them permission to speak with us when we call to verify your references. Regarding the signature line -- if you return this application by e-mail, type your name in to the signature line signifying that you agree with everything stated on the application. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED..
Additionally, we do not accept applications that have been filled out for other rescue groups. We have put a lot of time and thought into our questionnaire and it is designed to help us find the type of homes that we want for our rescue dogs. We understand that it is time consuming, but if you want to adopt from us, you must submit a completed copy of our application.
The application may be mailed, faxed, or e-mailed back to us.
Visits are by appointment only, after an application has been submitted and reviewed by the Adoption Committee.
Thank you for your interest.
P.O. Box 6314
Hellam, PA 17406
(717) 757-1691
E-mail: castawaycockers@yahoo.com
Fax: (717) 757-1691
ADOPTION APPLICATION
We sincerely hope we can be of service to you. We ask that you fill out this questionnaire completely. It is designed to help you in finding the Cocker Spaniel most compatible with your lifestyle. Our ultimate goal is to match the right dog with the right home for the enduring happiness of both dog and owner.
Please attach another sheet if you need more space. All adoptions are at the sole discretion of Wanda Kefauver. We reserve the right to refuse adoption to any person, for any reason. If you want to e-mail the application back to expedite things, just type in your name where the signature is required, to indicate your agreement.
Incomplete applications and those without signatures will not be processed.
Thank you.
Applicant Name:
Co-Applicant:
Street:
City:
State:
Zip:
Phone:
E-Mail:
Applicant Employer:
Work Phone #:
Co-Applicant Employer:
Work Phone #:
Referred by:
Why do you want a cocker spaniel? Have you owned one before?
Is this dog going to be a gift?
Are you a hunter, and will this dog be used for hunting purposes?
Is this dog primarily for a child?
Please list the pets you now have in your home?
Type/Breed:
Sex:
Spay/Neutered?
Age:
Owned since?
Comments:
If you now have a pet, when was its last visit to a vet?
What shots has it had in the past year?
(Please specify)
Has it been tested for Heartworm?
When?
Is it on heartworm preventative?
If so, what kind?
Your veterinarian is:
Name:
Street:
City:
State:
Zip:
Phone:
Groomer's name:
Address:
Phone:
Additional Comments:
List previously owned pets:
Type/Breed:
Sex:
Spay/neutered?
Age:
Dates owned:
What happened to them?
Do you own or rent?
Do you reside in a house, apartment, condo, or mobile home?
If renting, please give landlord's name, address, and phone number. We require landlord's written consent for your having a dog. Please include this consent when you submit this application.
Landlord's name:
Address:
Phone:
If you live where there is a Home-Owner's Association, what are the restrictions regarding pets?
If you own your home, please provide the name of the municipality in which you live (township or boro) and a phone number to contact the zoning officer. (If you have multiple pets, we need to be sure it is permitted.)
Phone:
Do you have a securely fenced yard?
How high?
What is it constructed of?
If not, are you willing to fence?
To install a pen or run?
Or to leash walk at all times?
How many adults are in your household?
Ages:
How many children?
Ages:
Do you have much contact with grandchildren or neighborhood/other children?
What are the working hours of the adults in the household?
Where will the dog be kept during the day?
Where will it sleep at night?
Where will it be kept when left alone?
Who will be primarily responsible for the care of the dog?
Does anyone in your home have any allergies?
Where and how do you plan to exercise the dog?
Please describe your lifestyle. Is it active? (e.g. hiking, camping, busy in the community, in and out a lot) OR is it a more relaxed, structured atmosphere?
This dog will be left alone without human companionship, for about _____ hours a day.
Please describe the perfect dog for your home. Taking into consideration that cockers vary greatly in temperament, personality, and activity level, what characteristics do you want in your dog? Please answer in as much detail as possible.
What characteristics are undesirable?
Would you accept a dog that is older?
Are you a hunter and will this dog be used for hunting purposes?
Up to what age are you willing to accept?
Willing to accept a dog that has been abused?
Is not reliable with children?
Has a physical handicap?
Knowing that some rescue dogs have had little or no training, are you willing to take the dog to obedience classes?
Are you willing to housebreak a dog, if necessary?
What housebreaking methods have you used in the past?
Explain your opinions and understanding of "crate training".
What is your understanding of the care a cocker spaniel requires?
Grooming, diet, ears, etc.
If you presently have other dogs and/or cats in your home, explain how you would go about introducing a new dog to your current animals.
What would you do with the animals when you are not there, until they are acclimated to each other?
Should a dog fight occur, how would you handle it/break it up?
How would you handle adjustment/training problems, such as:
Jumping on furniture?
Jumping on people?
Barking?
Chewing?
Are you willing to give the dog at least two to three months to adjust to a new environment?
Cocker spaniels need to be professionally groomed at 4 to 6 week intervals, (depending on the coat). (Approximately $30 to $50) Does this present a problem?
The basic needs of a Cocker (feeding, grooming, vet care) average $800 to $1000 per year. Any special problems could increase this amount. Does this responsibility present a problem?
Our adoption process includes a visit by a representative to your home to meet all members of your family. When would be the best time?
If interested in a particular dog, which one?
If not a particular dog, what gender, color, and age are you looking for?
I understand that there is an adoption donation and the amount will vary from dog to dog. This would include vet fees for spay/neutering, vaccines, heartworm tests, and other vet fees and medications, microchips, ID tags, and grooming and housing expenses. This is necessary so that we can continue our efforts to help other cocker spaniels that may need our assistance. (Other expenses incurred are shelter fees to get the animals released to us, grooming supplies, flea treatments, disinfectants, food, etc...)
I certify that I am at least 21 years of age and that I will be the legal owner of and ultimately, solely responsible for the care and well-being of any dog I adopt from CastAwayCockers (Wanda Kefauver) Cocker Spaniel Rescue.
I have read and understand all 4 pages of this Adoption Application.
Any misrepresentation of the true facts, in this application or in the Adoption Agreeement, will invalidate the Adoption Agreement and will give CastAwayCockers (Wanda Kefauver) the right to reclaim the adopted Cocker Spaniel without refund of any donations.
Applicant Signature:
Date:
Driver's License #:
State:
Date of Birth:
Co-Applicant Signature:
Date:
Driver's License #:
State:
Date of Birth:
