Adoption Application – FaerieLand Rescue

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1Important Information

2Contact Information

3Living Arrangements

4Family and Caretakers

5Experience and Preference

6FaerieLand Rescue Obligations

7References

8Veterinary Provider Information

9Payment

Important Information

FaerieLand Rescue is a non-profit, 501(c)(3) rescue that depends on volunteers to match the family to the perfect dog for the family situation.

Processing applications takes time and multiple phone calls and emails. We require a $25.00 processing fee to solidify your commitment of the detailed processing of your application.

This fee is non-refundable, so please take time to read through the specific needs of the dog via their description page.

At the end of this application, you will be able to pay using a credit card.

Contact Information

Please provide your contact details.

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Living Arrangements

Please provide us with some details about your living arrangements.

What is your housing status? *

Own
Rent
Live with parents
Other

Other housing status *

Landlord contact information *

What type of home do you live in? *

House
Townhouse
Condo
Apartment
Duplex/Quadplex
Other

Other home type *

Do you have a fenced yard? *

Yes
No
No, but plan on fencing
Partial

How tall is the fence?

The fence is 3 ft tall

What is the fence made out of? *

Do you have a kennel run? *

Family and Caretakers

Please provide details relating to your family and planned caretaker(s).

How old are you? (You must be 18 or older to adopt)

I am 18 years old

What is your relationship status? *

Married
Single
Domestic partnership
Living with significant other

Do children live at your home? *

What are their ages? *

Who will be the primary caretaker? *

What are the occupations of you and the primary caretaker? *

How many hours a day on average will the dog be home alone? *

0-2 hours
3-6 hours
7-10 hours
10+ hours

When you are gone, where will the dog be kept during the day? *

Where will the dog sleep at night? *

Who will watch the dog if the primary caretaker is unable to? *

For example, during vacation, if the primary caretaker is hospitalized, or if the primary caretaker is gone for an extended time for work.

Experience and Preferences

Please let us know what dog experience and preferences you have.

Do you have other animals? *

Please list their species, gender, age, and breed (If applicable) *

Have you owned a dog before? *

Describe your previous dog ownership experience *

Where did the dog come from? Do you still have the dog? If you don’t have the dog, what happened?

What breed(s) are you interested in? *

Corgi
German Shepherd

What is your primary reason for wanting a German Shepherd or Welsh Corgi? *

Which gender do you prefer? *

Male
Female
No preference

What color do you prefer?

Do you want a purebred or mix? *

Purebred
Mix
No preference

Are there any behaviors or traits that you find unacceptable? *

For example, some dogs don’t play well with other dogs. Some dogs aren’t good with children. Some are noisy, extremely playful, or the exact opposite.

Is there a specific dog you are interested in?

Please list the name and intake number (If available)

FaerieLand Rescue Obligations

Would you be willing for Kathy or a representative to visit your home? *

Do you agree to obey dog laws for your state, county, and city? *

Do you agree to contact FaerieLand Rescue if you no longer keep this dog / puppy? *

Will there be regular veterinary care for this dog? *

Personal References

Please provide references that are not family.

First Reference Name *

First

Last

First Reference Phone Number *

First Reference Email Address

First Reference Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Second Reference Name *

First

Last

Second Reference Phone Number *

Second Reference Email Address

Second Reference Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Veterinary Provider Information

Please share your vet’s information.

Veterinary Office Name

Veterinarian's Name

Veterinary Office Address

Address Line 1

Address Line 2

City

State

Zip Code

Veterinary Office Phone Number

Veterinary Office Email Address

Application Processing Fee

Application Fee *

Price: $25.00

Credit Card *