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2014 Annual Report
Scooby North America Adoption Application
Ownership of a galgo or podenco requires a long-term obligation and a serious responsibility.
This application is intended to evaluate prospective adopters and address the appropriateness and permanence of each dog placed in a home.
A $50.00 payment is required at the time of submission. This fee is non-refundable if your application is denied. If your application is approved, the fee will be deduction from your adoption fee of $650.00.
Fields marked with a
*
are required.
Please fill in all blanks .
** Once application is submitted you can come back scroll down and submit application fee after submitting app
.**
Thank you
About Your Family
Name of Primary Adopter
*
First
Last
What is your average family income?
*
Less than $30,000/year
$30,000 - 50,000/year
$50,000/year or more
Home Phone Number
*
Mobile Phone Number
*
Work Phone Number
*
Name of Co-Adopter:
*
First
Last
Co-Adopter's Mobile Phone Number
*
Co-Adopter's Work Phone Number
*
Home Address
*
Line 1
Line 2
City
State
Zip Code
Country
Is anyone in the family allergic to dogs or cats?
*
Yes, severely and medication does not help
Yes, mildly or controlled with medication
No
Are your children respectful and gentle with animals?
*
Yes
No
Not Applicable/No children
Email
*
Name of emergency contact
*
Emergency contact Phone Number
*
Number of adults in your home
*
1
2
3
4
5 or more
List children's names and ages
*
About Your Home
What is the average activity level in your home?
*
Quiet
Moderately active
Very active
Type of home
*
Single family home (detached)
Duplex or triplex
Condo or townhouse
Apartment
Mobile Home
Other
How long have you lived in your current home?
*
Less than 1 year
1 - 5 years
More than 5 years
If you rent/lease do you have permission to get a dog?
*
Yes
No
Not applicable
If you rent/lease, please provide the name of your landlord or property manager
*
Landlord/property manager's Phone Number
*
Do you have a yard that is fenced all around?
*
Yes
No
If yes, please describe fence height and type
*
If no, please describe how your dog will be let out for exercise and potty breaks?
*
Describe the area in which you live
*
Urban
Suburban
Rural
Own or rent your home?
*
Own
Rent/Lease
If you own, are there HOA restrictions concerning pets?
*
Yes
No
Don't know
If yes, please list specific restrictions
*
If you rent/lease is there a size, species, breed or weight restriction on pets?
*
Yes, size restriction
Yes, species restriction
Yes, breed restriction
Yes, weight restriction
No restrictions
If yes, list specific restrictions here
*
Please list all legal ordinances in your city/town pertaining to animal ownership (i.e. leash laws, licensing, required vaccinations, etc.)
*
Are you aware that galgos and podencos must always be kept on leash or in completely fenced (6 feet or higher) areas?
*
Yes
No
About Your Other Pets and Pet Care
List your other current pets (name, species, breed, age, sex, spayed/neutered or intact)
*
If you have cat(s), are they allowed
*
Indoor only
Both outdoor and indoor
Outdoor only
No cats
Have you previously owned pets?
*
Yes
No
If yes, please describe why they are no longer with you?
*
Have you ever adopted from another adoption group or shelter?
*
Yes
No
If so, please provide the name and phone number
*
What kind of dental care do you provide your dogs?
*
Do you currently have a regular veterinarian?
*
Yes
No
What last name and pet names are on record with your vet?
*
Is your veterinarian familiar with the special needs of sighthounds?
*
Yes
No
I don't know
Veterinarian's name
*
Veterinarian's Phone Number
*
Veterinarian's Address
*
Line 1
Line 2
City
State
Zip Code
Country
About Your Interest in Galgos or Podencos
How did you hear about Scooby North America?
*
Do all the adults in your home agree to the adoption?
*
Yes
No
What is your reason for adopting?
*
Housepet/companion
Therapy dog
Service dog
Companion for another pet
Other
If other, please explain
*
What arrangements will be made for your dog when you travel or are away from home for an extended period of time?
*
Are you aware that feeding and providing veterinary care for a dog can cost between $500 - $2000/year on average?
*
Yes
No
What type of personality/temperament would fit best with you and your family?
*
If you wish to reserve/adopt a specific dog(s) from our database, please list name(s).
*
If you listed a specific dog, please continue to fill out the preference questions just in case your preferred dog is no longer available and we can try to find another one to show you.
Do you have a preference for gender?
*
Female
Male
No preference
Do you have a preference for coat type?
*
Smooth coat
Wire-haired/long coat
No coat type preference
If you have a preference for age, gender or coat type, please explain
*
It may take SEVERAL WEEKS for a dog to adjust to a new home. Are you prepared to allow this much time?
*
Yes
No
When would you be ready for a dog? (It is advisable to have at least one week available when you first bring a dog home. This helps with the transition.
*
You agree to return your dog to Scooby North America if you are unable to keep it? (** Please note that this is not an escape clause for the adopter to use in the event of medical issues or old age of the dog.) Type your name here to indicate agreement.
*
Are you willing and able to travel to the location where your dog will be arriving? If not, are you willing to pay a volunteer's expense to bring the dog to you?
*
Yes, will pick up the dog myself
No, will pay for a volunteer to bring the dog to me
Can not pick up the dog or pay for a volunteer
Why do you want a galgo or podenco?
*
What research have you done about the breed?
*
How long have you considered adopting a galgo or podenco?
*
Less than 6 months
6 months to 1 year
More than 1 year
Who will be primarily responsible for the care and training of the dog?
*
Approximately how long will the dog be left alone each day?
*
Rarely ever left alone
Less than 4 hours
Up to 9 or 10 hours
If you are away more than 9 hours/day, what accomodations will you make for the dog to relieve himself during the day?
*
I have a doggy door and fenced yard
Pet walker/sitter
Doggy daycare
Neighbor/relative will stop in
Other
If other, please describe
*
Where will your dog spend it's time during the day?
*
Where will your dog sleep at night?
*
Do you have a preference for age?
*
Puppy (less than 1 year old)
Teenager (1 -3 years old)
Young adult (4 - 6 years old)
Adult (7 or more years old)
No age preference
If you have a preferred coat color, please describe
*
A home visit may be required. Do you agree to allow a Scooby North America representative to do a home visit/home interview and make post-adoption phone calls/emails?
*
Yes
No
What do you consider valid reasons for giving up your dog? (Check all that apply.)
*
Moving
Separation Anxiety
Chewing
Digging
Problems housetraining
Having a baby
Barking
Too rough with children
Biting
Killing another animal
Destructive
Vet bills too high
None
Other
If you checked Other above, please explain
*
When you receive your dog, do you agree to be responsible for any and all veterinary costs unless prior arrangements have been made?
*
Yes
No
References - Non Family members
Reference 1
*
First
Last
Reference 2
*
First
Last
Address for Ref1
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number (day) for Ref1
*
Phone Number (evening) for Ref1
*
Address for Ref2
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number (day) for Ref2
*
Phone Number (evening) for Ref2
*
Authorization and Signatures
I / We understand and agree to the need for screening of adopters.
I / We agree to a home visit to be conducted by a trained Scooby North America volunteer.
I / We authorize my / our veterinarian to release information regarding my / our pets to a representative of Scooby North America.
Further, by typing / entering my / our name(s) I / we affix my / our electronic signature(s) acknowledging that the information supplied herein is true and correct.
If the information in this application is found to be false, Scooby North America retains the right to decline this adoption request.
Primary Adopter
*
Date Signed by Primary Adopter
*
Co-Adopter
*
Date Signed by Co-Adopter
*
Please click PayPal button for the $50.00 application fee. The fee is non-refundable if your application is denied. If approved, the fee will be deducted from your adoption fee of $650.00.
Scooby North America reserves the right to approve or disapprove any and all adoption applications.
A 50% deposit is required at the time of approval with the final 50% due when you receive your dog. Adoption fees for all Scooby dogs is $650 flat rate.
The adoption fee is NON-REFUNDABLE.
Transport fees are payable in full at time of booking and follow the rules and regulations as per the airline. This transport fee will vary depending on airlines and can be discussed once the approval process is complete.
Submit
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