IBR Dog and Puppy Adoption Application

Please be aware before you get our hopes up on saving one of our rescues:

By submitting this form, you agree that the following statements are true to the best of your knowledge

Please enter your name:
Please enter your Email Address:
Address: City: State: Zip Code:

Phone (Home): Phone (Work):

Which dog(s)are you interested in adopted?:
Have you had experience or researched this breed? YesNo
Is this your first experience with a dog? Yes No
Please check the following reasons why you wish to adopt:
Watchdog Companion Hunting Guard Dog for Business Child's Pet Companion for other pet Other

If you looking for a hunting companion, please answer the following questions:
How often will you take the dog hunting?
What type of game do you hunt?
Do you plan to train the dog yourself? YesNo
If yes, please explain the methods you will use.
What type of range would you like the dog to have?
Do you participate in competition events such as field trials or hunt tests? YesNo
Please include any other information relative to your hunting experience and/or qualities you are looking for in a hunting dog.

Will the dog primarily live:
Outside Inside
Where will the dog be kept when you are not home? In a crate Confined to one room Free roam in house Outside Other Please explain:
Do you have a doggie door?YesNo
If yes, will the dog be allowed access to the yard through the doggie door when no one is home? YesNo
Will the dog be allowed on the furniture?YesNo

Do you own any pets at the present time? YesNo
Please provide the following information on all pets owned in the last 5 years: Name, Breed/Species, Age, and if they are Altered. If you no longer own a pet, please state their whereabouts.

Who is your veterinarian (Please provide a phone number)?

Do we have permission to contact him or herYesNo

Do you currently live in a...
Do you own or rent?OwnRent
Is there a size limit on pets you are allowed?YesNo
Please provide landlord name/number:

How long have you lived at this address?
How many people in your household?
Do all adults agree to the adoption? YesNo
If children are in the household, what ages?
Does anyone in the family have allergies? YesNo
Who will be the primary caregiver for your pet?
In case of emergency, who will care for your pet?
Is your household a smoking environment? YesNo

How many hours will the animal be left alone daily?
Do you have a fenced yard? YesNo
Please note IBR requires fenced in yards--invisible or traditional--so if you answered NO, we will not consider you for adoption.

How high, What kind?
How will the dog be exercised?

Do you plan to take an obedience class? YesNo
What types of training methods do you plan to use? (Please check all that apply.)
Choke ChainProng CollarElectronic Collar Food Rewards Toy Rewards Gentle Leader Head Halter No Pull Harnesses Other
If "other", please explain:

What type of food do you plan to feed and why?

Dog Food AdvisorPlease compare your dog food.
Are you interested in learning about different food options?

Employer or source of income:
If employed, how many years:

Please provide an additional description of the qualities you are looking for in a dog or any additional comments: