Adoption Application

Please fill out all below information to the best of your knowledge and ability. It is vital for us to capture accurate information about you, your family, your home, and your lifestyle so we can properly match the right Airedale to you and your family. We believe in matching dogs to forever, loving homes!

Please note that our placements require that a physical fenced yard be in place (no electric fences).

(All fields marked with an asterisk [*] are required)

Prior to filling out the form, please read the Sample Placement Agreement. **YOU MUST CLICK ON THE BOX BELOW INDICATING THAT YOU HAVE READ THE AGREEMENT OR YOUR APPLICATION WILL NOT BE SUBMITTED FOR REVIEW!**

Sample Placement Agreement *

Yes, I have read the sample agreement and understand and agree to all of its terms.

NOTE: You must check the box above or your application will not be submitted for review!

Referred By

Name *

First

Last

Address *

Ex. 123 Main St., Apt 4

City *

State *

Zip Code *

Contact Phone *

xxx xxx-xxxx

Alternative Phone

xxx xxx-xxxx

Email *

Your Occupation *

Spouse's Occupation

Please list yourself and all house "regulars" and your ages. *

Self, family members, partners, frequent visitors, live-in help, etc

Have you ever applied to another Airedale Rescue organization? *

If yes, to whom did you apply?

Name of Rescue orgnization

Date of the application?

DD/MM/YYYY format

Please describe the outcome of your previous application

Does every family member want an Airedale? *

Are you ready to adopt an Airedale right now? *

If not, when will you be ready?

Please give a timeframe and/or description of circumstances.

Would you prefer a male or a female Airedale? *

Male
Female
No preference

Would you consider an Airedale mix? *

Would you consider adopting an Airedale with health and/or behavior issues? *

Would you consider attending obedience classes with your new Airedale? *

Have you ever owned a dog? *

Have you ever owned an Airedale? *

If yes to either question above, please list dates.

Ex. 2013-2015

Was your previous dog male or female? *

Male
Female
Have owned both
Not applicable

Please list other dog breeds you have owned *

N/A if not applicable

Are your dogs currently licensed? *

Yes
No
Not applicable

What happened to your last dog? *

N/A if not applicable

Have you ever lost a dog other than through death? *

If you had to move, would you consider giving up your dog? *

Do you own cats? *

Yes
No
No, but there are many in the neighborhood

Is your cat compatible with dogs? *

Yes
No
Not sure/no experience
Not applicable

What other pets do you currently own? *

Please include ages, if applicable

Are your other pets spayed/neutered? *

Yes
No
Not applicable

Has your ownership of a dog ever caused you to be in a courtroom situation? *

Yes
No
Not applicable

If YES, please explain.

Are you familiar with dog crates? *

When do you / have you crated your dog?

If applicable

In what room(s) would the crate(s) by placed?

Do you own your home? *

Yes, we own our house
No, we rent a house
No, we rent a townhome
No, we rent an apartment/condo

If you rent, do you have approval from the landlord to own a dog?

Is your neighborhood: *

Urban
Suburban
Rural

Do you have a fenced-in yard? *

It is a requirement to have a fenced-in yard. If you do not have a fenced-in yard, your application will be discarded. There are NO exceptions.

What kind of fence? *

How high is the fence? *

What is the size of the fenced in area? *

Does at least one door of the house open directly into the fenced-in yard? *

Do you have a swimming pool? *

No, we do not have a pool.
Yes, we have an in-ground pool.
Yes, we have an above-ground pool.

Is your pool separately fenced? *

Yes
No
Not applicable

Does your pool have dog-proof steps? *

Yes
No
Not applicable

Will your new Airedale have "run of the house"? *

…be allowed on the furniture? *

...have his/her own dog bed & blankets? *

In what room will the dog bed be placed? *

In what room will your new Airedale sleep? *

How many hours at a time are there no people at home? *

How many days a week will your dog be left alone? *

In what room(s) will your dog be allowed during the time they're alone? *

When you travel, where will your dog stay? *

Please list a good friend who often visits your home: *

First

Last

Friend's Street Address *

Ex. 123 Main St., Apt 4

Friend's City, State, & Zip Code *

Ex. Merion Station, PA 19066

Friend's Primary Telephone *

xxx xxx-xxxx

Friend's Phone Number Type *

Please list a neighbor or pet sitter: *

First

Last

Neighbor's Street Address *

Ex 123 Main St., Apt 4

Neighbor's City, State, & Zip Code *

Ex. Merion Station, PA 19066

Neighbor's Primary Telephone *

xxx xxx-xxxx

Neighbor's Phone Number Type *

Please list your current or intended veterinarian: *

First

Last

Clinic Name *

Clinic's Street Address *

Ex. 123 Main St., Apt 4

Clinic's City, State, & Zip Code *

Ex. Merion Station, PA 19066

Clinic's Telephone *

xxx xxx-xxxx

Additional Comments: If you have any additional comments, please feel free to place them in the provided area below:

Remember, the more we know about you and your life, the easier it will be to find the right dog for you!

**YOU MUST CLICK ON THE BOX AT THE TOP OF THE FORM INDICATING THAT YOU HAVE READ THE SAMPLE PLACEMENT AGREEMENT OR YOUR APPLICATION WILL NOT BE SUBMITTED FOR REVIEW! If your application is properly completed and submitted, you will see a “Thank You” screen after hitting “SUBMIT”.**

By submitting the above application to Airedale Rescue and Adoption of the Delaware Valley you accept and agree to abide by the Sample Placement Agreement. The submission of this application does not guarantee that an Airedale will be placed in your home.

ARADV reserves the right to deny placement to any applicant for any reason.