Adoption Application

GEORGIA POODLE RESCUE (GPR) ADOPTION APPLICATION

A non-refundable adoption application fee of $20 must be submitted with this application via PayPal, check, money order.  We cannot review your application until the funds are received.  PayPal is the fastest way to do this.  If you send a check, then you must wait for us to retrieve the mail at our postal box, deposit the check, and wait for it to clear before we can review your application.

Please review our process and policies on our web site, complete this 10-page application in full, and return to Georgia Poodle Rescue, preferably via email, to georgiapoodlerescue@gmail.com , along with the small non-refundable $20 application fee, payable via PayPal.  Please answer all questions and do not delete anything.  Our goal is to match the right dog to the right home.  Thank you.

Note:  YOU ARE RECEIVING A TRAINED DOG FROM US! 

At minimum, to adopt a dog from us, you must have the following:

·         Be a minimum age of 25 years old

·         For dogs with a poodle/curly coat:  You need appropriate curly-coated dog experience.    We’ll verify this with your vet.

·         For dogs without a poodle coat:  You need appropriate dog experience.    We’ll verify this with your vet.

·         Your home must not have any children under the age of 10 years old now or in the future

·         You must be a permanent resident of the state of Georgia, USA. and live within 1.5 hours of Alpharetta

·         You must be adopting the animal(s) for yourself, not for anyone else, nor can the animal(s) be transferred to another.

·         When fully approved, at the adoption, you will be required to sign our standard contract

 

A Required Adoption Donation/Fee can range from $100 up to $500 per dog, with an occasional dog outside this price range.  This funding is applied towards the care and expenses of ALL our dogs, some who may not be adopted due to age, medical, temperament and/or other issues.  The expenses of all dogs especially includes food/nutrition expenses and medical expenses (including but not limited to spay/neuters, dentals, tooth/eye extractions, blood/heartworm/fecal/disease testing, medications, medical supplies, regular vet exams, after-hour emergency vet exams, casts/splints, amputations, operations, infections).  Your donation/fee will allow us to continue helping dogs with our unique program.

We spend much time with these dogs.  This application is thorough because we care what happens to these dogs and we want you to as well. 

The Benefit We Provide For You:  When you adopt from us, your dog will already have the following:  basic obedience training, leash training, socialization training with other dogs, housetraining, acclimation to a crate-free home environment and training in pack leadership protocols (with instructions to you).

CRATES:  We believe that crates are meant for temporary, short-term training/other purposes, unless you remove the door from the crate as a sleeping area.  Our dogs are trained in a crate-free environment and if crated for more than a few hours may cause them trauma leading to psychological, physical, medical and/or other problems.  By signing this application, you are agreeing that you and no one else will crate any and all dogs you adopt from us for longer than a few hours, and the crate must be kept in an environment where the dog is protected from inappropriate heat/cold/fumes/toxins and be at least twice the size of the dog, allowing it to comfortably turn around and lie down.  Dogs should be part of your family, similar to children.  If you need to temporarily confine a dog rather than let them roam freely in your home, then a room with appropriate ventilation and environment is preferred instead so the dog can walk around.  If you need to permanently confine a dog to a crate or a separate room, then there may be people problem(s) causing the dog problem(s) that needs to be permanently resolved before considering one of our dogs.

DATE:  _______________________________________________________________________________

NAME OF DOG(S) APPLYING FOR OR SIZE/GENDER/AGE OF DOG(S) DESIRED (Please indicate if flexible): __________________________________________________________________________________________

REASON FOR ADOPTING:  _____________________________________________________________________

WHAT TIMEFRAME DO YOU WANT THIS ANIMAL AND WHY:  ___________________________________________________________________________________________

DO YOU WANT TO BE PLACED ON A WAITING LIST UNTIL THE RIGHT DOG COMES ALONG (Y/N)?:  ____________

WILL THERE BE ANY BABIES/CHILDREN UNDER THE AGE OF 10 YEARS OLD ADDED TO YOUR FAMILY IN THE FUTURE? (Y/N) ______

CONTACT INFORMATION FOR ADOPTER(S)/CARETAKER(S)

First and Last Name:  ___________________________________________________________________

Physical Address:  ______________________________________________________________________

City, State, Zip:  ________________________________________________________________________

Mailing Address:  ______________________________________________________________________

City, State, Zip:  ________________________________________________________________________

How long have you lived at this address?  _________  Are you a permanent resident of Georgia (Y/N)?  ______

How long have you been a permanent resident of Georgia?  _______ 

Are you a full-time or part-time student (Y/N)? ______

Phone: (Home) _________________(Cell Phone)__________________(Work Phone)________________

Best time and number to reach you at:  _____________________________________________________

Email address where we can contact you:  __________________________________________________

You must be willing to show us your most updated, valid, Georgia driver’s license when we perform the home visit to help ensure you actually are the person who lives at the address we are meeting you at.  Are you willing to do this (Y/N)?  ___

 Name of Employer/Years Employed There/Address/Phone (we may call your employer): _____________

_____________________________________________________________________________________

Approximately how many minutes does it take you to drive to work?  ____________________________

Birth Date:  ___________________________________________________________________________

Spouses First and Last Name:  ____________________________________________________________

Spouses Phone: (Home) ______________ (Cell Phone)_______________ (Work Phone)______________

Birth Date:  ___________________________________________________________________________

Best time and number to reach spouse at:  __________________________________________________

Name of Spouses Employer/Years Employed There/Address/Phone (we may call your employer): _____________

_____________________________________________________________________________________

Spouses email address:  __________________________________________________________________

HOUSEHOLD INFORMATION

Please indicate how many of the following live in your household and the ages of each:

Persons 18 or older and ages of each: ___________________________________________________________________________________________

___________________________________________________________________________________________

Persons under 18 and ages of each: ______________________________________________________________________________________________________________________________________________________________________________________

Are you planning to add any children within the next several years? ____________________________________

Do children visit (Y/N)?  ________________________________________________________________________

If yes, what are the ages of the visiting children and how often do they visit? ______________________________________________________________________________________________________________________________________________________________________________________

Does anyone in your home/visitors have allergies to pets (Y/N)?  If yes, please explain:  _____________________________________________________________________________________

Any past/present Violence, Psychological, or Anger Problems of people in Your Household (Y/N)? _____________________________________________________________________________________

Are all members of the household in agreement about adopting a dog (Y/N)? ______________________

Do you rent or own? ____________________________________________________________________

If you rent, will your landlord/community allow you to have a dog (Y/N)? _________________________

Is there a dog size limitation (Y/N)?  _______________________________________________________

Is there a limitation to the number of dogs you can have at your location(Y/N)? ____________________

How many dogs does your county allow you to own on your premises?  __________________________

Please list all other animals at your household and that you own (type/size/age):  __________________

 ____________________________________________________________________________________

If you rent, please provide your landlord’s and Community’s name, address, and phone number so we may contact them and verify you are allowed to have dogs and the facilities available for dogs:

Landlord Name ________________________________________________________________________

Landlord Address ______________________________________________________________________

Landlord Phone ________________________________________________________________________

Please describe your home (Apartment, Single Family Detached, Duplex, Townhome, Condo, etc.)

_____________________________________________________________________________________

Do you have a fenced-in yard? ________________________________________________________________

How big is the fenced-in portion of your yard? ______________________________________________

What portion of your yard is totally fenced in for this dog? _____________________________________

What is the type and height of the fence? ___________________________________________________

Can the dog get out of the fence between, above, or under the fencing material (Y/N)?  ______

Is everything in the fenced-in portion dog-proof (ie, sharp items, poisonous plants, other) (Y/N)? ______

Will this dog have proper shelter/water/food, shade/sun in the yard per state/federal laws (Y/N)? _____

Will you provide proper indoor hygiene, food, sun, water, fun and veterinarian care for this dog (Y/N)? _

Do you have a pool (Y/N)? ___  If yes, is the pool enclosed in a separate fenced area (Y/N)?  _________

Are you planning on moving within the next 12 months (Y/N)?  _______

Note that a properly fenced area IS required for CERTAIN dogs adopted from us.  Your fence must be five feet or higher to adopt a “standard poodle” or large dog from us.  If you live in a house, your yard must be appropriately fenced.  If you live in an apartment/condo/townhome, any adopted dog from us must always be on a leash when not in your apartment/condo/townhome.  Underground/electronic fencing alone is not acceptable.  Tethering, chaining, or overhead run lines are not acceptable.  All poodles/mixes exercised outdoors off leash must be in a secure and completely fenced in area.  The adopted dogs and all dogs in your household must live indoors with you and not live outside.  When the adopted dog(s) is outside, it must have appropriate access to shade, sun, and water.  To avoid harm, escaping, or theft, it must be supervised by a capable, responsible adult, 21 years of age or older at all times.   NO DOG DOORS and NO FREE-CHOICE DOORS ALLOWED! 

Do you agree (Y/N)?  ______

 

EXPERIENCE

Have you ever lived with a dog before (Y/N)? ________________________________________________

What is the maximum number/breed of dogs you have lived with before? ________________________

_____________________________________________________________________________________

Were you the primary caregiver of this dog(s) (Y/N)? __________________________________________

Have you ever owned a poodle(s) before (Y/N)?  __ When? ____________How Long? _______________

What breed/size/color(s) were these poodle(s)? _____________________________________________

_____________________________________________________________________________________

Do you have existing dog(s)?  Please tell us all dogs and animals you presently care for, including the breeds, sizes, ages, whether they are intact and any other information you feel is important:

 

What responsibility of care do you have with dogs?  Please describe your experience(s) and let us know what happened to all former dogs.  If your last dog died, please indicate the dog’s name/date deceased. 

_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Have any of your dogs past/present ever produced or will produce puppies? (Y/N) __

Have you ever sold or had to give a dog/puppies away (ie, to a shelter, rescue group, another person, other) (Y/N)?  __  Please explain why/when.

__________________________________________________________________________________________

DOG CARE

How will your new animal relieve itself, how often, when and where?

___________________________________________________________________________________________Who will be the primary caregiver of this adopted animal? _______________________________________

Who will be the secondary caregiver of this adopted dog and what is their experience?  _____________________________________________________________________________________

Where will your animal stay if you travel?  _____________________________________________________

Do all adults work full time outside the home (Y/N)? __________________________________________

How many hours each day will your new animal be alone? ________________________________________

How many hours each day will you spend time with your adopted animal? ___________________________

Where will your new animal be kept when it is alone? ___________________________________________

Where will your new animal sleep? __________________________________________________________

Any adopted dog cannot be left in the yard alone (including doggie doors) and must always be supervised.  Please tell us your thoughts on this.  _____________________________________________________________

___________________________________________________________________________________________

What sort of training do you plan on providing for the dog?  Where will the training be held? ______________________________________________________________________________________________________________________________________________________________________________________Who will be training the dog and how often? ___________________________________________________________________________________________With 25+ years of unbiased animal nutrition research and application, the President and Founder of Georgia Poodle Rescue, a scholar, has performed considerable research on nutrition for our dogs and feeds them a diet including raw meat/bones, vegetables, fruit, greens, oils, probiotics, enzymes, vitamins/minerals along with dog food that contains NO MEAT MEAL (turkey, fish, chicken, beef, lamb, etc.), which is a low quality protein, NOR OTHER TYPES OF MEAL, where dangerous ingredients are usually hidden and not listed on the label.   These ingredients have been proven to compromise the health of pets.  We don’t like processed food at all, however, if a person is to feed dog food, then we recommend canned food, however, due to the volume of dogs we care for, we understand convenience and use dry dog food.  This is only so the dogs will never go hungry.  They usually hold out for the special diet mentioned above.  The only dry dog food we can find with no meat meal is Halo brand’s Spot’s Stew dog food.  Good quality canned food without dangerous ingredients or preservatives are more abundant.  We receive no kickbacks from mentioning or using Halo products.  Look at the dog food you are presently feeding or are intending to feed and ensure there is no meat meal or any meal of any kind in it.  In letting us know what you intend to feed your adopted animal(s), please do not answer that you will check with your veterinarian because we want you to educate yourself and want yo to do your own homework and understand the ingredients of the food you are feeding and why you prefer it for your pet.  You can check with a veterinarian for medical advice and check with an animal nutritionist (preferably with PhD education) for nutrition and food advice, but we want YOU to do the research so you can understand the effects the ingredients of the food will have on your animal   We will be holding nutritional seminars in the future either in person and/or in our newsletter.  Are you willing to continue providing a good nutritional regimen and avoid dangerous processed foods to help keep the good nutritional, psychological, internal and physical health of a dog(s) you adopt from us?  Y/N __    Comments:    _________________

_____________________________________________________________________________________

Do you or anyone in your household smoke? ________________________________________________

Do you plan to allow yourself or others to smoke around this animal (Y/N)? __________________________

Are you aware of research/studies showing the dangers of smoking around dogs/animals/people (Y/N)? __

What do you plan to feed your animal?  _______________________________________________________

Will you be grooming this animal? Y/N?  ___    If you, please state your experience, and list the tools you will use; be prepared to demonstrate during a meet and greet.  ________________________________________________________

For a poodle/poodle mix, are you aware that the following grooming at minimum should be performed at least every six weeks, which may range from $75-$150+ every six weeks (hair cut, shampoo, ear hair pluck, nail trim, daily brushing) (Y/N)?   __

Please tell us the name of the groomer you have researched and plan to use, their phone number and address:  _____________________________________________________________________________________

Please tell us the price this groomer plans to charge you and specifically for what types of grooming for the size and breed/breed  mix you are interested in:  _________________________________________________________________________________________

Please tell us what grooming responsibilities you will perform between each professional groom and how often you plan to perform them:  ____________________________________________________________________

Are you interested in learning how to groom your poodle yourself (Y/N)?  _________________________

If you work outside of your home, what hours do you work? ______________________________________

How far would you be willing to travel to pick up the animal?  __________________________________

If we do not have a poodle for you, would you like us to refer you to other poodle groups (Y/N)?  ______

PLANNED DISCOUNTED DOG BOARDING AT AN EXCLUSIVE FACILITY

At present, Blue Willow Farm boards rescue dogs.  In the future, as Blue Willow Farm raises enough money to expand their facility, Blue Willow Farm Is offering all people who adopt a dog from Georgia Poodle Rescue discounted dog boarding for their adopted dogs and for all other dogs in their household for the life of the adopted dogs at the exclusive Blue Willow Farm dog boarding facility.  This facility is located on an organic farm, garden, and equestrian estate and has chosen to limit intake of boarders to only 20 dogs at a time for quality care and fun.  Unlike most other boarding facilities, someone is always with the dogs overnight should your dogs ever need anything.  You will also be helping the poodles and adopted dogs by boarding here because Blue Willow Farm will donate 10% of all dog boarding proceeds to Georgia Poodle Rescue to help feed and care for the dogs.  The web address is http://www.bluewillowfarm.com. 

ARE YOU ABLE TO FOSTER AND/OR VOLUNTEER FOR GEORGIA POODLE RESCUE AND HELP WITH FUNDRAISERS, SHOWS, HOME VISITS, PHONE CALLS, HELP US “PULL” OR LOCALLY TRANSPORT ANIMALS IN NEED FROM SHELTERS, HELP WITH FINDING VETERINARIANS IN DIFFERENT GEORGIA CITIES/COUNTIES THAT WILL GIVE US DISCOUNTS,  AND OTHER IN THE FUTURE? Y/N___  If so, please let us know how you can help!  ___________________________________________________________________________________________

Can you or can you recommend someone else who would be a good candidate to be a foster home for a poodle/mix in the future?  You Y/N __   Please list contact info:  _______________________________

When you adopt a dog from us, your donation/fee includes a one-year basic membership in the exclusive Georgia Poodle Club Incorporated (“Club”), which we are part of, and where we will have literature, classes, meetings, outings and other activities for you and your poodle/mix.  Would you continue this membership at the low $20 per-year annual fee  or make a donation to help support the poodles?  Y/N  __

-Are you able to attend meetings, functions, and/or volunteer for Club or Rescue activities?  Y/N __

-As being part of the exclusive Georgia Poodle Club Incorporated, we would like to stay in touch with you and have a yearly reunion of all who have adopted from us.  Are you willing to attend and participate in this?  Y/N __ 

-Are you willing to keep us updated with pictures/stories of your dog so we can share with others?  Y/N __

REFERENCES

Please provide the veterinarian’s name, firm, address and phone number who we can contact to confirm appropriate dog ownership experience under your name.  Is this also the veterinarian you will use for a dog you adopt from us?  How long have you been associated with each veterinarian if different?  Please tell the veterinarian that a representative from Georgia Poodle Rescue will be calling them. _____________________________________________________________________________________

Please provide the name, address, and phone number of two non-family member references who are also dog owners that we may contact, who are familiar with how you take care of dogs:

#1:_____________________________________________________________________________________

#2: _____________________________________________________________________________________

A home visit is part of our screening process.  Are you willing to have us visit your home (Y/N)?  ____

You must immediately return a dog you adopt from GPR back to GPR if you ever in the future cannot keep/properly care for the dog(s) as in accordance with our policies.  Do you agree to this (Y/N)?  ____

WHEN YOU ADOPT A DOG FROM GPR, WE REQUIRE THE LISTED ADOPTION DONATION/FEE OF UP TO $500 per dog, with an occasional dog outside this price range (depending on the dog’s situation) TO HELP DEFRAY NUTRITIONAL, MEDICAL, GROOMING, AND OTHER RESCUE EFFORTS OF ALL DOGS, ESPECIALLY DOGS WHO HAVE MEDICAL PROBLEMS AND WHO WILL MOST LIKELY BE PERMANENT RESIDENTS DUE TO THEIR AGE OR OTHER ISSUES.  IF YOU CANNOT AFFORD THIS AMOUNT, YOU MAY WANT TO QUESTION WHETHER OR NOT YOU CAN AFFORD APPROPRIATE CARE FOR THIS BREED DOG.  PLEASE COSIDER THIS BEFORE ADOPTING.  DO YOU AGREE TO PAY THIS AMOUNT IF WE DECIDE YOU AND THE DOG ARE A GOOD FIT (Y/N)?  ___

Please give us a monthly estimate on what you plan to pay for veterinarian care (including yearly vaccinations, heartworm/flea/tick/intestinal parasite prevention, medicine, possible operations or sickness), nutritional, grooming, training and other care:  ______________________________

GPR has the final decision in all adoptions and future checks on the poodle.  All rights reserved.

If you have a dog(s), and we perform a home visit/meet and greet with our dog(s), you must ensure that your dogs are in good health and do not have anything contagious when we conduct the home visit and meet and greet with our dog(s).   By submitting this application, you agree to indemnify us and release us from any liability during a home visit.

If we adopt a dog(s) to you, this entire application becomes part of an adoption agreement you are required to sign.

____________________________________________                           ________________________________

 Authorized Applicant Signature(s)                                                         Date


 

THINGS YOU SHOULD CONSIDER BEFORE ADOPTING A PET

Please read and answer the question at the end.

Falling in love with a pet is so easy, and no wonder!  Sharing your home with a furry four-legged fluff friend can be one of life’s greatest joys!  Our pets give us unconditional loyalty, acceptance, provide constant companionship, and can even help relieve stress after a hard day of work!

Adopting a pet, however, is a big decision.  Pets require lots of time, money, and commitment — over 15 years commitment in many cases!  Owning a pet can be rewarding, but only if you think through your decision “before” you adopt your pet companion.

Because you are thinking of adopting from an animal shelter or rescue group tells us you’re a responsible and caring person.  But before you make that decision to bring a furry, four-legged fluff friend into your life, take a moment to think over your answers to these questions:

1)       Why do you want a pet?  It’s amazing how many people fail to ask themselves this simple question before they get a pet.  Adopting a pet just because “it’s the thing to do” or because “the kids have been wanting a puppy” usually ends up being a big mistake.  Don’t forget that pets may be with you from 10, 15, and even 20+ years and you, not your kids, will be the primary caretaker!

2)      Do you have time for a pet?  Animal companions cannot be ignored just because you are tired or busy.  They require food, water, exercise, care, and companionship every day of every year.  Many animals are with a rescue and in the shelter because their former owners didn’t realize how much time it took to care for them.

3)      Can you afford a pet?  The cost of pet ownership can be quite high.  Licenses, training classes, spaying and neutering, veterinary care, medicine, grooming, toys, food, kitty/doggy litter, nutrients and other expenses can add up quickly.

4)      Are you prepared to deal with special problems a pet can cause?  Flea infestations, scratched-up furniture, chewed shoes and other items, accidents from animals who aren’t yet house trained, and unexpected medical emergencies are unfortunate but common aspects of pet ownership.

5)      Can you have a pet where you live?  Many rental communities do not allow pets, and many others have restrictions including but not limited to number, size, and type of animals, fencing, noise, etc.  Make sure you know what the rules, codes, and restrictions of your subdivision, rental unit, complex, neighborhood/other and state and federal laws before you bring an animal companion home to live with you.

6)      Is it a good time for you to adopt a pet?  For example, if you have kids under ten years old, you might consider waiting a few years before adopting an animal companion.  Pet ownership requires children who are mature enough to be responsible.  If you are a student, in the military, or travel frequently as part of your work or your life, waiting until you settle down is wise.

7)      Are your living arrangements suitable for the animal you have in mind?  Animal size is not the only variable to think about here.  For example, some small dogs such as terriers are very active and require a great deal of exercise to be calm.  They usually bark at every noise.  Opposite to this, some big dogs are very laid back and are quite content to lie on a couch all day.  Before adopting a pet, thoroughly do your research.  That way, you’ll ensure you’ll choose an animal who will fit into your lifestyle and your living arrangements. 

8)       Do you know who will care for your pet while you are away on vacation?  You’ll need either reliable friends and neighbors or money to pay for a boarding kennel or pet-sitting service.

9)      Will you be a responsible pet owner?  Having your pet spayed/neutered and microchipped, obeying community leash and licensing laws and keeping identification tags on your pets are all part of being a responsible pet owner.  Of course, giving your pet love, companionship, exercise, a healthy diet and lifestyle, and regular veterinary care are other essentials.

10)   Finally, are you prepared to keep and care for the pet for their entire lifetime?  When you adopt a pet, you are making a commitment to care for the animal for their lifetime.  They will be part of your family.  You wouldn’t give up a child, would you?

ADOPT AN ANIMAL FOR LIFE!

Yes, it’s a long list of questions.  But a quick stroll through an animal shelter and knowing the reality that millions of shelter animals who were once someone’s pets (both purebred and mixed) are terrified in shelters, are being adopted and then returned, and are being euthanized at shelters on a daily basis will help you understand the importance of why you need to realistically answer these questions before you adopt.

Many shelters contain puppies and kittens/victims of irresponsible people who allowed their pets to breed.  But there are at least as many dogs and cats at a shelter who are more than one year old — animals obtained by people who didn’t think through the responsibilities of pet ownership before they adopted the animal.  Please don’t make the same mistake.  Think before you adopt.  Sharing your life with a companion animal can bring incredible rewards, but only if you’re willing to make the necessary commitments of time, money, responsibility, and love for the life of the pet. 

Our vision is to rescue, rehabilitate, shelter, train and find forever, caring, loving, and responsible homes for all sizes of poodles and poodle mixes; as we grow in size and in resources (including funding, space, and volunteers), to also include other animals/owners who need assistance; and to educate about the importance and the necessity of spaying/neutering; as well as provide grooming, training and other resources for these pets and their owners so we can help make pet ownership a better experience for both pets and their owners.

Untrained, improperly trained, and unruly pets are a big reason why many pets end up in shelters.  As such, we differentiate ourselves and give you the added benefit of ensuring our pets are trained in basic obedience.  Also, our dogs are trained in pack leadership protocols “before” they are adopted, along with instruction to the new owner.  We spend a lot of time training and providing good nutrition to our dogs in a unique, nurturing environment.  We feed our dogs a combination of Spot’s Stew and a homemade raw/cooked diet and would like you to continue a diet similar to this to maintain their health.  Knowing this, please tell us what and how are you planning to feed a dog you adopt from us?  _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Please be patient while we process your application.  We have very limited volunteers who have full time jobs and we can use many more volunteers and foster homes to continue the good work we do for the animals.

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