ARM ADOPTION APPLICATION

Name:

Address:

City:

State:

Zip Code:

Work Phone:

Home Phone:

e-mail:

How did you hear about ARM?

Why do you want to own an Aussie?

What plans do you have for your dog? (pet, guard, obedience, herding, agility, therapy, etc.)

Do you consider yourself/family to be active in such a way that it would include your dog?

Describe how you would include your dog:

What dogs do you currently have (breed, sex, age)?

Is/Are your current dog/s spayed/neutered?

Is/Are your current dog/s on heartworm preventative?

What type of heartworm preventative do you use?

How many dogs have you had in the past 5 years?

If you don't have them any more, what happened?

How do your dogs get along with other dogs?

Have you ever trained a dog in obedience?

Are you willing to train your dog in obedience?

Do you own cats?

If yes, do they live indoors or outdoors?

Name of Veterinarian:

Veterinarian's phone number:

List three other references with phone numbers:
1.
2.
3.

Size of your yard:

Fence height:

Fence type:

Is your yard completely enclosed?

If not, please explain how you will handle your Aussie's bathroom an exercise needs:

Is anyone at home during the day?

How many hours will the dog typically be left alone?

Where will the dog spend the night?

Do you own or have you ever used a crate?

If not, are you willing to use a crate?

What do you do with your pets when you go on vacation?

Ages of children that will be in contact with the dog?

Do you own your home?

If not, we will need a letter of permission from your landlord.
Landlord's name:
Landlord's address:

Please specify which dog you are interested in adopting. If not specific, what age/sex/color/size dog are you interested in?

Do all adults in the household want a dog?

Are you willing to let a representative of ARM visit your home by appointment?

If not, why?

Is there any additional information you would like to include in your application?

"If the dog is placed with me/us, I/we agree to cooperate with ARM in its attempt to provide a smooth adoption.  I also agree to contact ARM about problems that may arise in the future.  Should I/we become unable to care for the dog, I/we agree to contact ARM immediately and return the dog immediately for placement elsewhere.

(indicate by answering "Yes, I/we agree" or "no, I/we do not agree")