ATRVA Online Application

ATRVA Online Adoption Application

Contact Information:

* Indicates required field

Primary Contact *

First

Last

Street Address *

City *

State *

Zip *

Email *

Phone *

List household members, their ages - include frequent visitors & live-in help: *

Adoption preference:

Sex of dog: *

Age of Dog: *

Are you able to meet ATRVA’s requirements for the care and treatment of an adopted Airedale? (See http://www.atrva.com/adopt-an-airedale.html): *

Size of Dog: *

Are you looking to adopt soon: *

Are you interested in a dog on our website? If so, please list name of dog. *

Would you consider adopting an Airedale Mix? *

Home Information:

Do you have a fenced area? *

*If yes, what is the approximate fenced area and height of fence: *

Comment *

Do you have a swimming pool? *

If you will be away for the night, what arrangement would be made for the dog? *

What kinds of exercise are you able to provide for your dog? How often and for how long each day? *

Are you familiar with using a crate? *

How many hours will the dog be alone during the day? *

Where will the dog stay when no one is home? *

Will the dog be allowed on the furniture? *

Will the dog be provided a bed? *

Pet Information:

Please list all PRESENTLY owned animals and indicate: species (cat, dog, hamster, etc.), age, if spayed/neutered, and whether they live primarily inside or outside. *

Do you now or have you ever owned an Airedale Terrier? *

*If yes, please list by name and indicate: sex; when and how you acquired each Airedale; if they are still part of your household; and if not, how and when they died or otherwise left your care. *

Please list any other/non-Airedale dogs you have PREVIOUSLY owned and indicate for each: the sex; the dog breed; and when and how they died or otherwise left your care. *

Do you now or have you ever owned a shelter or rescue dog? *

Do you have any experience with dog obedience training? Yes or No - If Yes, please explain: *

Have you ever been the subject of legal action owing to a dog in your care? *

*If yes, please briefly explain the cause and result: *

Comments or Special Stories:

What more would you like to tell us about yourself, your experience, or your expectations, which might help us in making an appropriate Airedale match for your household? *

References:

Veterinarian, if you have or have had a pet (Name, address, phone): *

List two references (friends, neighbors, co-workers, etc.)

#1 Personal References (Name, relationship to you, email, phone): *

#2 Personal References (Name, relationship to you, email, phone): *

Please note:

We reserve the right to refuse any person or persons from fostering or adopting a dog from our organization.
ATRVA falls under the auspices of Airedale Terrier Club of America Rescue & Adoption Committee and follows their rescue policy. For more information, please see their website.
House visits are required. You will be contacted by a volunteer to arrange a time.
We may not immediately have the right dog for you. We do our best to match the right family to the right dog.

Adoption fees (effective 1/2018):

8 wks-3 years: $400
4-6 years: $300
7-9 years: $200
10+ years: $100

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