ATRVA Online Application

ATRVA Online Adoption Application

Contact Information:

* Indicates required field

Primary Contact *

First

Last

Street Address *

City *

State *

Zip *

Email *

Phone (please indicate if cell or landline) *

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:

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.
Our volunteer Cathy will acknowledge your application usually within 72 hrs. She uses her personal email. If you have not seen a reply within 72 hrs, please check your spam folder.
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.
We reserve the right to refuse any person or persons from fostering or adopting a dog from our organization.

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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