E-mail Address: * First and Last Name * Street * City: * State/Province: * Zip Code * Home Phone: * Cell Phone: Why are you applying for a rescued dog? * Are you aware that IDOG does not typically ship or transport dogs? * Yes NoAre you the Head of the Household? * Yes NoAre you over 18 years of age? * Yes NoLiving Type * Home Condo Apartment Ranch/Farm Other Living Setting * Urban Suburban Rural Other Living Status * Own Rent Other Years in Residence * Less than 1 Year 1-5 Yrs 5 - 10 Yrs 10 or more Yrs Do you anticipate moving within the next year? * Yes NoIf you Rent do you have permission to have a dog? Yes NoLandlord Name, Address, Phone Number Fencing Type * Chain Link Wood Privacy E-Fence Other Do Not have a FenceIs the fence FULLY enclosed? * N/A Yes NoWhat is the size of the fully enclosed yard? Note: Secure, fully fenced yards are typically required for homes with children under age 12. For some dogs, fences of minimum 5 to 6 ft are required. Do you have a swimming pool? * Yes NoCan the dog get into the pool from the yard? * Yes NoList the Name and Age of household members, including frequent visitors: Name & Relationship: Age: Name & Relationship: Age: Name & Relationship Age: Name & Relationship: Age: Please tell us about your household and your day to day activities. * Is this your first dog, or your first dog as a family? * Yes NoIs any family member allergic to dogs? * Yes NoIf yes, please explain the nature of the allergy. Who will be the primary person responsible for the Doodle? * Daily work hours of primary caretaker (per week) * Have you had experience with a rescue or rehome dog before? * Yes NoIf yes, please provide details: Are you aware that poodles and retrievers have natural hunting instincts and may chase small animals? * Yes NoWhat type of doodle would you consider? Labradoodle * Any Generation LD First Generation (F1) LD First Generation Backcross (F1B) LD Multi Generation LD Dont Want a Labradoodle Goldendoodle * Any Generation GD First Generation (F1) GD First Generation Backcross (F1B) GD Multi Generation GD Dont Want a Goldendoodle Size: * Any Size Standard Medium Mini Sex: * Either Sex Female Male Age Preference * Any Age Less than 4 months Less than 6 months Less than 12 months 12 - 24 months 24 months or older Color: * Any Color Black Blondes & Yellows Reds & Browns Are you applying for a specific dog? Yes NoIf Yes, provide details about the dog. (Name, location) If you are applying for a specific dog and if this dog is not available do you want us to retain your application for future consideration? Yes NoWhat will your doodle need to get along with? Where will the doodle be during the day? How long will the doodle be without human company on an average day?: * --- 0 - 2 hours 3 - 5 hours 6 - 8 hour 9 or more hours Where will the doodle stay when no one is home (ie: at work, shopping etc)?: * --- Crate Confined Indoor Area Free Indoors Outside Where will the dog sleep at night? * What activities will you share with our doodle? * Would you be willing to take a doodle with manageable health or behavioral conditions? * Yes NoAre you familiar with crate training? * Yes NoWhat arrangement will be made for the dog during extended absences? * Describe those pets you currently own or dogs you have owned in the past 10 years : Type of animal and name: Age Sex --- Altered Male Altered Female Unaltered Male Unaltered Female Animal Status --- Current Pet Deceased Other If deceased, cause of death Resides primarily indoors or outdoors? Indoors Outdoors N/AType of animal and name Age Sex - Altered Male Altered Female Unaltered Male Unaltered Female Animal Status --- Current Pet Deceased Other If deceased, cause of death Resides primarily indoors or outdoors? Indoors Outdoors N/AType of animal and name: Age Sex - Altered Male Altered Female Unaltered Male Unaltered Female Animal Status --- Current Deceased Other If deceased, cause of death Resides primarily indoors or outdoors? Indoors Outdoors N/ACheck Box if you have additional animals. Do any of your current animals have medical conditions? * Yes No N/AIf Yes, Please describe: Are all your current animals up to date of immunizations? * Yes No N/AAre you current dogs given heartworm preventative? Yes No N/AAre you current dogs on flea/tick preventative? Yes No N/AHave you ever given up a dog? * Yes NoIf Yes, Please describe situation: If you are unable to care for your pets (death, immobilizing disability, etc.) what arrangements have you made? * If you move, what will you do with the dog? * If yours is currently a one-dog household, has your dog ever lived with another dog? Yes NoCurrent Veterinarian Name, Address, Phone: * Nearest Emergency After-Hours Veterinarian Clinic Name, Address, Phone: List TWO references not related to you: Reference #1 Name: * City, State, Zip * Phone: * Reference #2 Name: * City, State, Zip * Phone: * Have you ever applied to adopt a doodle with the International Doodle Owners Group, Inc. before? * Yes NoWhen? Have you adopted companion animals from other shelters or rescue groups? * Yes NoIf yes, please give details. Do you understand that an adoption fee between $250 -$375 will apply to all dogs? * Yes NoAgreements To provide adequate food, water and shelter for the doodle at all times. * Agree Do Not AgreeTo accept the Doodle as his/her household pet and companion. * Agree Do Not AgreeTo provide adequate grooming. * Agree Do Not AgreeTo provide the Doodle with a fenced yard if possible or to keep the Doodle on a leash whenever outside the confines of a fenced yard. * Agree Do Not AgreeTo never keep the Doodle chained while unattended. * Agree Do Not AgreeTo never leave the Doodle outdoors when no one is home * Agree Do Not AgreeMedical Care The Adopter will assume all veterinary costs including routine yearly exams, shots, and in particular, heartworm testing and medication. * Agree Do Not AgreeTo provide immediate treatment for injury or illness of a serious nature. * Agree Do Not AgreePossession To keep the Doodle in the Adopters personal possession, and to never give away, abandon, sell or dispose of the Doodle in any way. This includes release to family members. * Agree Do Not AgreeTo notify International Doodle Owners Group immediately if at any time the Adopter is no longer able to keep the Doodle for any reason or to care for the Doodle as specified here. Arrangements will be made to return the Adoptee to IDOG. * Agree Do Not AgreeTo notify International Doodle Owners Group immediately if the Adoptee is stolen or lost. The Adopter will make every effort to recover the Doodle and to pay whatever redemption fee may be assessed should the Doodle be impounded. * Agree Do Not AgreeTo never allow the Doodle to be used for purposes of vivisection or experiment. * Agree Do Not AgreeTo never allow the Doodle to be transported in the open bed of a pickup truck or similar vehicle. * Agree Do Not AgreeLicensing and Identification To apply with all applicable laws relating to control and ownership of the Doodle. * Agree Do Not AgreeTo obtain, within one month, the required licenses and a personal identification tag bearing the Adopters name and phone number to be attached at all times to the Doodle s collar. * Agree Do Not AgreeTo contact Micro Chip provider and keep records up to date at all times. * Agree Do Not AgreeFollow-up To allow International Doodle Owners Group (or its representative) to visit the Adopter s home to determine that the conditions of the placement contract are being met, to assure that the Adopter and Doodle are happy with the adoption, to answer any questions and to help the Adopter with any problems that may have developed. * Agree Do Not AgreeTo release the Doodle to International Doodle Owners Group if at any time International Doodle Owners Group finds that the Adopter has not complied with the terms of this contract or has been unable to provide adequate care for the Doodle. * Agree Do Not AgreeLiability To hold International Doodle Owners Group free from any and all liabilities arising once the dog is in your care. * Agree Do Not AgreeTo assume all responsibility for the defense of any action that may arise as a result of the Adopter s ownership of the Doodle. * Agree Do Not AgreeWill keep all adoption specifics confidential. * Agree Do Not Agree
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