Big east akita rescue, inc. Adoption application




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BIG EAST AKITA RESCUE, INC.

ADOPTION APPLICATION

Our mission is to find new, loving homes for our rescues.  All Akitas are altered, vet checked and evaluated.  An application is a required part of the adoption process and will help to match the right Akita for your household.  With all the costs involved with rescue, we do request a $300 ($350 if a puppy) adoption donation to help defray our expenses so that we may help more Akitas in need. BEAR is a 501(c)(3) non profit organization and donations may be tax deductible.

Neither BIG EAST AKITA RESCUE, Inc. (BEAR), nor its volunteers, coordinators, representatives, Internet Service Provider and its officers, employees, contractors and representatives; and any other person, firm or corporation involved with the efforts or business of this corporation, shall be held liable or responsible for any claims or causes of action incurred as a result of the provision or restriction of information, services, contacts, adoptions, fostering, veterinary care or by the actions of any and all dogs transferred or referenced herein.

Moreover, there is absolutely no guarantee made or implied that any person requesting to adopt a dog being fostered through BEAR, or posted on BEAR's Website, will be allowed to adopt a BEAR Akita. Rather, all adoption applications are subject to acceptance based on a review process that may require collecting information from references and visiting the applicant's home. All decisions on placing dogs in adoptive and foster homes are based solely on the judgment of the volunteers and coordinators of BEAR and adoption applications submitted through this form can be denied for various reasons. BEAR reserves the right to make all decisions regarding placement or final disposition of any rescued dog in its care whether in, or being placed in, a foster or adoptive home or other facility. In addition, many of the dogs posted on BEAR's Website are under the control of other shelters or owner placements, and BEAR has no control over how these dogs are placed.

By filling out and submitting the adoption application that follows, you attest that you have read the above disclaimer and agree to the terms therein.

Please note that adoption applications only will be accepted from persons 18 years old or older.

PLEASE BE ADVISED WE DO NOT DO ANY SAME SEX ADOPTIONS.



Information




Date:




BEAR Rep you have contacted:




Specific Akita on website you are interested in:




Applicant Name:




Address1




Address2




City




State




Zip




Home Phone




Work Phone




Email Address




Have you contacted another rescue group? 

If yes, please list the group name, contact person and phone number.




No

Describe the type of Akita you are looking for:





Have you owned dogs before?

Yes  No

How many?




Any Akitas?

Yes  No

Any large dogs?

Yes  No

What happened to them?




Why do you want an Akita?




When are you looking to adopt?

Right Away       
In a few weeks  
Over a month   

Did you realize....




Akitas cannot ever be off leash in an open area (such as a park, street, unfenced yard)

Yes  No

Akitas are dog aggressive and normally do not get along with a dog of the same sex?

Yes  No

Akitas have a strong prey drive and can hurt small animals such as rabbits and cats?

Yes  No

Akitas CAN NOT be tied out in the yard?

Yes  No

Akitas blow their coats twice a year?

Yes  No

Akitas are naturally dominant and must go to obedience training with their owner?

Yes  No

Akitas normally live to be 10-15 years old and need a commitment for that long?

Yes  No

Do you still think that the Akita is the right dog for you?

Yes  No

Home & Family




How long at current address?




Do you own your home ?

RentOwn

Plans to move?

Yes  No

When & Where




If renting, does lease permit large dogs?

Yes  No

Landlord phone (area code)?




Size of lot?




Is lot fenced?

Yes  No

Fence material & height?




Crate available?

Yes  No

Kennel available?

Yes  No

Are you willing to buy a crate or kennel?

Yes  No

Number of people in the house & relationship to you?






Number of children & ages?




Are children dog trained?




Anyone allergic to dogs?




Anyone afraid of large dogs?




How do the children react to dogs?




Will the Akita be in contact with other children?  Explain.

Are there grandchildren/stepchildren or relatives w/children that visit frequently? Explain:







Other pets in the house: # of Dogs  # of Cats  

Birds Other

If other dogs in house, provide breed, sex, age & describe temperament:





Potential problems with current pets.




Will the Akita be in contact with any other pets?  Explain:






Expected Routine




How much time will be spent with the Akita on weekdays?




How much time will be spent with the Akita on weekends?




How many hours will the Akita be left alone daily?

0-2 Hrs2-4 Hrs

Do other people come in & out of your home when you are not there?

4-8 Hrs8+ Hrs

Where will the Akita be when you work?




Where will the Akita sleep?




When will the Akita be outside?




Will the Akita be tied out?

Yes  No

How often will the Akita be walked?




Where?




By Whom?




How often will the Akita be played with?




By Whom?




How often will the Akita ride in the car?




Will the Akita be crated or restrained?




Where will the dog be when you are away overnight?




Will you take the Akita to obedience training?

Yes  No

Unusual circumstances the Akita will need to adapt to?




Other comments regarding daily routine.






References




Employer Name




Phone (area code)




Address




City / State / Zip




Years at present job




Occupation




Current Veterinarian




Phone




Local animal control or shelter




Phone (area code)




Current trainer




Phone (area code)




Personal reference




Phone (area code)




Personal reference




Phone (area code)




Applicant Disclosure




Do you feel financially able to care for an Akita for its lifetime?

Yes  No

Do you feel physically able to care for an Akita for its lifetime?

Yes  No

Have the police been at your home for any disturbances?

Yes  No

Do you or anyone in your family have a history of animal, spousal, or child abuse?

Yes  No

Please list any additional information regarding your home that has not been covered

in this document.








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