Chekia Dog Rescue
Application
Chekia Dog Rescue Application
Thank you for your interest in taking in one of our orphans!
Please Note The Following Before Applying:
We do not ship,"railroad", store display, "pet fair", "adopt fair"
or otherwise unnecessarily stress our orphan dogs.
We maintain a legally binding contractual lifetime co-ownership
on our animals, and they may NOT be transferred
to other individuals, to shelters, to other Rescue Groups,
or to anyone else under penalty of law, but must be returned
to us should their co-owner families no longer want them, or
should we deem that the new home is or has become unsuitable.
(This is the same contractual protection used by Guide Dog
and Service Dog organizations.)
Placing the Right pet in the Right home is our priority, and we take
great pains in representing our orphans accurately and honestly. We
appreciate your honest and accurate representations, as well,
in filling out the application below :
1 Today's Date:
2 Your Name:
3. Your E-Mail Address:
4. Your Street Address, City, State, And Zip:
5. Your Phone Number(s):
6. In Which Dog, Or In What Breed Of Dog Are You Particularly Interested?
7. Would You Possibly Consider A Different Dog should Another One Be
Deemed More Suited To Your Lifestyle?
8. Do You Own Your Home Or Rent?
9. If Rent, Do You Have Written Permission From Your Landlord To Have A
Dog? And, What Will You Do If You Have To Move To A Home Where
Dogs Are Not Allowed?
10. Size Of Yard? Fenced? Type & Height Fence?
11. Could A Dog Dig Under Your Fence?
12. Type Of Gates & Latches?
13. Is Anyone Not A Household Member Given Regular Access To Your Yard?
If Yes, Explain:
14. List all Household Members: Name, Sex, Age:
15. Daily Schedules:
16. Is Someone Usually Home During The Day?
17. How Do You Usually Spend Weekends And Holidays?
18. Do You Have, Or Would You Be Willing To Install A "Doggie Door"?
19. Does Everyone In The Household Want A Dog, And Agree As To Which
One?
20. How Much Time Are You Willing To Devote To Grooming Your Dog?
21. How Much Time Are You Willing To Devote To Training Your Dog?
22. Current Pets: Species, Breed, Sex, Age, And Where Do They Spend The
Day, Night?:
23. Past Pets, How Long You Had Them, And What Outcome?
24. Where Will The Dog Spend The Day?
25. Where Will The Dog Sleep?
26. Where Will The Dog Spend Your Vacation Time?
27. How Much Time Will The Dog Be Spending Alone Outside?
28. How Much Time Will The Dog be Spending Alone Inside?
29. Are There Areas Of Your Home That Will Be "Off Limits" To Your Dog?
If So, Explain:
30. Are There Areas Of Your Yard That Will Be "Off Limits" To Your Dog?
If So, Explain:
31. Do You Have Landscaping That Could Be Ruined By A Dog? If So,
Explain:
32. Do You Have A Pool, or intend to get one? If So, How Do You Intend
To Insure Your Dog's Safety Around The Pool?
33. When Did You Begin Your Search For A Dog, And How Did You Determine
Your Criteria ? (Explain Criteria):
34. What is your level of experience with dogs? Would you feel
qualified and willing to take on a dog with a behavioral problem such as:
a. Excessive shyness?
b. Dog aggression?
c. Fear biting?
d. Barrier aggression?
e. Separation anxiety?
f. Housebreaking problems?
35. How Far Are You Willing To Travel To Get Your Dog?
36. Do You See This Dog As Fitting Into Your Lifestyle Five, Ten,
Fifteen Years From Now? Do You Expect To Be Able To Devote The
Same Amount Of Time To The Dog Five, Ten, Fifteen Years From
Now?
37. What Do You Consider To Be Proper Food For A Dog?
38. Would You Be Willing To Follow Our Recommendations
As To Feeding Your Dog?
39. What Do You Consider To Be Proper Discipline For A Dog?
40. Would You Be Willing To Follow Our Recommendations
(Positive Reinforcment) As To Disciplining Your Dog?
41. Are You Willing To Take Your Dog To Training Class To Help You Bond
With And Learn To Communicate?
42. Do You Feel That A Dog Is Just A Dog?
43. What Would You Do If Your New Dog Urinated On Your Carpet?
44. What Would You Do If Your New Dog Threw Up On Your Bed?
45. What Would You Do If Your New Dog Showed An Intense Dislike For A
Friend Who Visits You Regularly?
46. What Would You Do If Your Neighbor Called The Police Every Time
Your Dog Barked?
47. What Would You Do If Your Dog Became Ill Or Injured And The Vet Told
You It Would Cost Several Thousand
Dollars To Save Him?
48. Do You Understand And Accept That We Will Require You To
Allow A Home Check Not Only Before you receive a dog,
But At Any Future Time As Long As You Have The Dog?
49. Do You Understand And Accept That We Will Require You To
Keep Us Updated With Your Contact Information For As Long As You
Have The Dog?
50. Do You Understand and accept that We Will Require You To
Return The Dog At Your Own Expense Should You Ever Decide
You Cannot Or Wish Not To Keep Him/Her?
51. Please Provide Us With Contact Info For A Veterinarian You May Use
As A Reference:
52. How Did You Learn About Our Rescue?
53. How Do You Feel About Filling Out This Application?
54. Are you aware of the widespread anti-pet legislation being passed throughout
the country, and especially throughout the state of California due to pressure
and lobbying by heavily funded Animal Rights groups (such as PETA and HSUS)
that are based on the goal of the step by step eradicating of all domestic animals?
Are you prepared to follow thru with the determination to provide a home for
this dog despite whatever such anti-pet legislation comes to be passed in your
local community?
55. Do You Promise That All Of The Answers You Have Given Are True And
Honest?
56. Do You Have Any Additional Comments?
Copy And Paste The Application Below Into A New Email.
If you are unable to do this, we can email the application to you
You're Listening to
"Doggy In The Window"
written by
Bob Merrill
