APPLICATION

I WOULD LIKE TO:

FIRST AND LAST NAME

ADDRESS (No PO Boxes)

CITY

STATE

ZIPCODE

HOME PHONE

CELL PHONE

EMAIL

I AM ADOPTING FOR MYSELF MY FAMILY A FRIEND A RELATIVE

Please list the residents in your house: Spouse/Roommate Children Other (describe)

List Children Ages

Please list any other children that your rescue will come in contact with (grandchildren,
neighbors, etc.) and their approximate ages

Your approximate age range 18-29 30-49 50-65 66-74 75+

Applicant’s Employer (Indicate none or retired if applicable)

Position (occupation)

Hours per week

Spouse/Roommate’s Employer's name

Position (occupation)

Hours per week

Is anyone home during the day? Yes No

List hours your dog will be alone

How many days of the week?

I live in an (describe - eg. apt., condo, home, mobile home)

I own my home Yes No

If you rent, please list name/phone of Landlord to verify pets allowed

Is your yard securely fenced (i.e. so that a dog will not be able to get through it, jump over it,
etc.)? Yes No

If yes, please describe height, material,

etc.

Have you ever owned a schnauzer? Yes No

List current pets: Dogs (list breeds, sex, ages)

Briefly describe your pet's personality (energetic, alpha, submissive, etc.)

Are your pets spayed or neutered? Yes No

Do you have a cat or cats? Yes No

Other (describe)
List your former
pet(s)

What happened to them? list how old- eg. ran away, gave away, hit by car, died of illness
(please describe)

My new dog will get exercise running in the fenced yard walking on leash dog
park playing inside other ( please describe)

Will you tie your new dog out in the yard? Yes No

If yes, what will you use?

Do you have an in-ground swimming pool? Yes No

Is it fenced separately?

Do you use an electric or invisible fence? Yes No

Do you have a doggie door? Yes No

Will you leave your dog loose outside (not in a fenced yard) or allow him/her to walk off
leash? Yes No

Your dog will spend days: (eg. crated in house, loose in house, outside, with you, etc.)

Your dog will spend nights: (eg. crated in house, loose in house, outside, with you, etc.)

Please describe what you will do with your dog when you go away (eg.dog will stay home with
a petsitter, stay with a relative, be boarded at a kennel, go with
you
Briefly explain why you would like a miniature schnauzer

Do you have a regular veterinarian? Yes No

Name of Vet and Clinic

Address

Phone number

Do you have an alternate vet or vet specialist you have used? Yes No

Name of Vet and Clinic

Address

Phone number

Personal references (Please NO RELATIVES - use groomer, pet-sitter, co-worker, friend,

neighbor, etc.):

NOTE: two non relatives are REQUIRED, three if no vet reference given

Name #1

Relationship

Address

Phone number

E-mail

Name #2
Relationship

Address

Phone number

Email

If no veterinary reference, please provide a third personal reference (no relatives):

Name #3

\Relationship

Address

Phone number

Information about the dog you would like to adopt, as appropriate:

Do you have preferences? Yes No

If you answered yes, please indicate your preferences (check all that apply)

Gender preference: MALE FEMALE EITHER

Ear Preference CROPPED EARS NATURAL EARS EITHER:

Age range (check all that apply) Puppy 1-5 6 or older Any age

Breed preference PUREBRED SCHNAUZER-MIX EITHER:

Special requirements HOUSETRAINED GOOD WITH KIDS DOGS CATS

NON-SHEDDING HYPOALLERGENIC

SIZE (describe)

OTHER (describe)
ARE YOU INTERESTED IN ADOPTING A PAIR?

NO YES MAYBE

Personality preferences PLAYFUL LAPDOG QUIET ACTIVE COUCH

POTATO

I AM INTERESTED IN A SPECIFIC DOG NAMED

BECAUSE

If I am not selected as the adopter of the above named dog, please leave me on your waiting
list for a future dog with the above preferences Yes No

I AM WILLING TO ADOPT A PET WITH

BLADDER STONES DIABETES DEAFNESS BLINDNESS

WILL CONSIDER SPECIAL NEEDS CASE BY CASE

****Adoption Application is subject to approval****

DONATION: We request a donation for each dog placed ranging from $50-$400 dependent
upon age.

Please realize that dogs need vet care throughout their lives, including yearly vaccinations,
heartworm and flea/tick preventative meds,

etc. If these terms are acceptable to you, please indicate your acceptance by signing below:

I ascertain that I have answered all of the above questions truthfully and that the above
information is correct. I give my permission to contact the above references.

Signature Date

THANK YOU FOR YOUR INTEREST IN ADOPTING A RESCUE SCHNAUZER! If you

have any problems submitting this application, please contact info@schnauzerrescue.net.

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