Lone Star Westie Rescue Online Application

Please read our entire adoption process and take a moment to be sure all questions are answered completely and provide as much detail as possible. We know the application is lengthy, but remember, our reviewing committee does not know you. Details about your home, family, and pets are important and we encourage you to include photos. if you wish. The information you give us will make sure we are matching the right pet and right family together for a happy ending. Please understand that applications that are not complete cannot be processed. By submitting your application, you are not guaranteed a pet. Lone Star Westie Rescue ("LSWR") takes great pride in not just finding a home, but a great home for each of our special pets. With the pet’s best interest in mind, as well as yours, we match people and pets together for long-term relationships and we will try to help you find a great companion soon. LSWR has the right to deny any application, for any reason. Thank you for considering one of our special Westies.

This is and application for: (check all that apply) *

Adoption Volunteering Fostering

If you are filling this out for Adoption and Foster Home, please fill out all blanks you are able to assist with.

Some questions may not be applicable if you are applying for volunteering only.

Applicant:

First Name Last Name

Address

Street Address
Street Address Line 2
City	State
Postal / Zip Code	Country

Daytime Phone

Area Code Phone Number

Evening Phone

Area Code Phone Number

Applicant's Email

Applicant's Occupation & Employer

Co-Applicant:

First Name Last Name

Phone Number

Area Code Phone Number

Co-Applicant's Email

Co-Applicant's Occupation & Employer

How did you hear about us?

Are you Interested in a specific Westie in the Lone Star Westie Rescue Program (please give us the name). If not, please complete the section below:

Preferences:

Age

Gender:

Breed:

Why Do You Want a Westie

Companion for humans Companion for another pet For protection To give as a gift For children

Your Home (check all that apply)

Own Rent I am willing to provide a copy of my lease agreement or a notarized statement from my landlord authorizing me to have a dog Apartment Condo Townhouse House

How long have you lived at your current address?

Do you have secure fence?

Yes No

What type of fence is it?

Chain Iron Picket Board on Board (wood)

Do you have a pool or hot tub?

Yes No

How do you plan to exercise the dog?

How many adults live in your home?

How many minor children live in your home?

List ages of the minor children living in your home:

Who will be the dog's primary caretaker?

Does the primary caretaker have experience with dogs?

Yes No

Is anyone home when the primary caretaker is absent?

Yes No

Is the primary caretaker capable of exercising the dog?

Yes No

How long will the dog be alone during the day?

How long will the dog be alone during the evening?

Where will the dog be housed while alone:

Crated Loose in the house Room confined Yard Other

Where will the dog sleep at night?

Are you willing to house train?

Yes No

Is anyone in your household allergic to dogs?

Yes No

Does anyone in your household have asthma?

Yes No

Does your job require frequent out of town travel?

Yes No

Who will care for the dog when your out of town?

Are you subject to relocation?

If you moved, what would you do with the dog?

Pet Care & Commitment:

For a healthy dog, costs of veterinary care (shots, flea and heartworm preventative), food, toys, and minimal boarding and grooming can cost $300 to $700 per year. In addition, dogs are susceptible to most diseases that afflict humans such as allergies, cancer, heart disease, and arthritis, etc...

Are you prepared to provide medical treatment for such problems, as listed above, as needed.

Yes No

Small dogs can live from twelve (12) to seventeen (17) years. Are you prepared to commit to a dog for his/her entire life?

Yes No

We require all dogs to be altered before adoption. Are you opposed to spaying and neutering dogs?

Yes No

How many other pets do you have and what are they?

If you have ever had a pet die at an early age or from unusual circumstances, become lost or disappeared, please explain the circumstances:

If you have ever sold a pet, given one away or surrendered a pet to a shelter or rescue group, please explain:

Are all your current pets current on vaccinations?

Yes No Do not currently have other pets

Where are your current pets housed?

Inside Outside

Other than house training, have you ever trained a dog? If yes, please explain.

Name of Your Vet

Name of the Vet Clinic

Vet's Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code

Vet's Phone Number

Area Code Phone Number

Is this Veterinarian familiar with pets you have owned?

Yes No

Personal References:

Reference

Name
Relationship
Telephone	State / Province
Postal / Zip Code	Country

Reference

Name
Relationship
Telephone	State / Province
Postal / Zip Code	Country

Reference

Name
Relationship
Telephone	State / Province
Postal / Zip Code	Country

May we visit your home before and after adoption?

Yes No

* I / we agree that if we adopt a dog, we will provide professional vet care, a nutricious diet, and a loving home.

*We also agree that we will return the dog if we can no longer keep it.

*No member of our household has ever been convicted of cruelty to animals.

By entering my name and today’s date in the designated spaces below, I certify that the information in this application is true and I understand that false information will void this application. I also understand that failure to comply with accepted standard of animal care could result in my inability to adopt other animals from Lone Star Westie Rescue.

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LONE STAR WESTIE RESCUE