WESTERN AUSTRALIAN SHEPHERD RESCUE
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Available dogs: WA, OR, ID, MT
Available Dogs: CO, UT, NM, WY
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Adoption Application
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Adoption Application
*
INDICATES REQUIRED FIELD - you will not be able to submit your application if you do not fill out required fields. If the question does not apply, NA is sufficient.
*
Indicates required field
Name (Guardian)
*
First
Last
Name (Co-Guardian)
*
First
Last
Dog Interested In
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Phone Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Occupation/Employer
*
Veterinarian Reference
*
Veterinarian Phone Number
*
Personal Reference (not a relative or person who lives in the same house)
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Personal Reference Phone Number
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Rent/Own
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Home Type
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House
Apartment
Townhome/Condo
Other
If other, please specify
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Landlord and Phone Number (if applicable)
*
Fenced Yard
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Yes
No
If yes, provide type, heights, approximate yard space
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If no fence, how will dog be restrained outside
*
Number and ages of children in household (full and part-time)
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Number and ages of adults in household (full and part-time)
*
Pets in household, provide types, age, gender, spayed/neutered
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How many hours a day will your dog be alone?
*
Who will care for your dog in case of emergency/vacation/etc?
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Describe a typical day in your dog's life.
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Describe your dog's day and night living arrangements - crate/dog bed/kennel run/outside/inside/free run of house/etc.
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What is your training plan for your dog?
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Basic Obedience
Canine Good Citizen
Good Manners classes
Agility
Nosework
Herding
Lure Coursing
Flyball
Clicker training
Tricks and Games training
No Plan
Self-Training (describe below)
Other (describe below)
Describe self- or other training
*
Activities you participate in that may include your dog
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Walking
Jogging/Running
Hiking
Camping
Swimming
Boating/kayaking
Couch potato and other household chores
Frisbee/fetch/etc.
Biking
Dog sports (agility/nosework/herding/etc.)
Urban Lifestyle - dog parks, brewpubs, restaurants, farmer's markets, dog friendly shopping, etc.
Farm/ranch work
Other (describe below)
Describe Other Activities
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Your level of experience as a dog owner
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Novice/Beginner
Experienced
Expert
Experience comments (not required)
*
Have you had previous experience with rescue dogs?
*
Herding dog breeds
Guardian dog breeds
Other breeds (specify below)
No
Rescue experience (not required)
*
Under what circumstances would you consider surrendering your dog?
*
Gender preference
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Male
Female
No preference
Age preference
*
Senior (over 8 years)
Adult (3-8 years)
Teenager (18 months - 3 years)
Puppy (up to 18 months)
No preference
Temperament preference
*
Mellow Couch Potato
Moderate Energy
Active Go-Getter
Engaged but somewhat laid back
I'm up for any temperament
Other (describe below)
Describe temperament preference
*
Would you consider a special needs dog such as one who requires daily medication?
*
Yes
No
Maybe
When are you prepared to adopt?
*
Now
Later
Date (specify below)
Date of Adoption
*
Do you agree to a home visit?
*
Yes
No
A rescue dog MAY have experienced an unfortunate history of one or more of the following: neglect, abuse, abandonment, loneliness, insecurity, distrust. A period of adjustment (days for some dogs, weeks for others) should be expected. Providing kind, consistent love and care to the new dog will help them learn to trust and relax into their new home. With time most rescue dogs become loyal, affectionate, eager to please, and wonderful companions.
Western Australian Shepherd Rescue's adoption donation ranges from $400-$650 to help with the costs of spay/neuter, vaccinations, heartworm test, microchip ID, and other administrative and foster care costs we incur. Depending on location of the dog, a transport fee may be added to the adoption fee. The rescue donation is due at the time of placement. Submission of your application does not guarantee placement of a dog. Applicants must agree to a home visit if asked for one.
I understand that any misrepresentation of fact may result in the removal of the placed dog from my home.
I understand that Western Aussie Rescue is not responsible for the accuracy of information received about the temperament habits or physical condition of dogs available for adoption. Western Aussie Rescue is neither liable nor responsible for any damage, injury or accident resulting from the placement of this dog. I will accept the responsibilities for the health, housing, feeding, training and companionship of this dog.
Dog's name and description
*
Guardian's signature
*
Date
*
By entering your full name above along with the date it is assumed to be a valid signature as if it was handwritten.
AFTER HITTING "SUBMIT" YOU SHOULD SEE A PAGE CONFIRMING YOUR APPLICATION WAS SUBMITTED. YOUR APPLICATION IS
NOT
SUBMITTED UNLESS YOU SEE THE CONFIRMATION PAGE. IF YOU DO NOT SEE THE CONFIRMATION PAGE CHECK TO MAKE SURE ALL THE FIELD ENTRIES ARE COMPLETE AND HIT SUBMIT AGAIN.
Submit
Home
Adopt!
Available dogs: WA, OR, ID, MT
Available Dogs: CO, UT, NM, WY
Courtesy Listings
Adoption Application
Donate Now!
Support Us!
Fostering
Stories/Info
Success Stories
Memorials
Choosing an Aussie
Why Rescue
Contact WASR