Dalmatian Rescue of Colorado

Adoption Application

Please fill out the form and press the Submit Application button

It might take up to two weeks to process an application. Thanks for being patient!

Applicant Information

Last Name: First Name: Age:
Home Phone: Work Phone: Cell Phone: Best Time to Call:
Email: Work Email:

Address: City: State: Zip: Country:
Mailing Address (if different than above): City: State: Zip: Country:

Co-Applicant Information

Relationship to Applicant:
Last Name: First Name: Age:
Work Phone: Cell Phone: Best Time to Call:
Email: Work Email:

How did you hear about Dalmatian Rescue? Which DRC volunteer have you corresponded with if any?
Have you previously adopted a dog from Dalmatian Rescue of Colorado? No Yes       If yes, please answer the following section:
Dog's Name: Date of Adoption: Do you still have this dog? No Yes
If not, why?

Why do you want to own a Dalmatian or a Dalmatian wannabe?
Please specify what name/age/sex/color of Dalmatian or Dalmatian wannabe you are looking for (if you have a preference):
Name: Age: Sex: Male Female      Color:

Please explain how you intend to pick up the dog:

Preferred activity level of dog you would like:
Please indicate your level of experience as a dog owner:
Do you have experience with a rescue dog? Yes No

Activities that you participate in that will include your dog: Walking, jogging or biking (how frequently and how far?) Other activities?

How old are children in the home who will be in contact with the dog?
How old are other children who will be in contact with the dog (family/neighbors)?
Does anyone in your family have asthma, or allergies to cats? No Yes If yes, how severe?

Have you ever owned a Dalmatian? Yes No

Do you have other dogs now? Yes No     If Yes, please answer the next section:
Dog #1 - Name: Breed: Age: Sex: Male Female Altered: Yes No
Dog #2 - Name: Breed: Age: Sex: Male Female Altered: Yes No
Dog #3 - Name: Breed: Age: Sex: Male Female Altered: Yes No

If your dog(s) is (are) not spayed or neutered, are you willing to have them spayed or neutered?Yes No

How often are they fed? Once/Day Twice/Day Free Access Type of Food Kibble Canned Raw Enter Food Brand:

How do your current dogs get along?

Have you ever bred a litter? Yes No
Have you ever trained in obedience? Yes No
Willing to take your new dog to training classes? Yes No

Do you own cats? Yes No If yes, how many? Are they used to dogs? Yes No Are they indoor cats? Yes No

What other animals are in the house, i.e., rabbits, gerbils, hamsters, ferrets, etc.:
Have you owned dogs or cats in the past? Yes No
Previous dogs or cats owned:
What happened to them?

PLEASE notify your vet and personal references that we will be contacting them!

Veterinarian Information:
Do you have a veterinary reference? Yes No If yes, please complete Veterinarian information below.
If not, please indicate the reason:
Vet Name:
City: State: Zip: Phone:

PLEASE DO NOT INCLUDE MORE THAN ONE FAMILY MEMBER AS A PERSONAL REFERENCE
Personal Reference #1 Information:
Name: Relationship:
City: State: Zip: Phone:
Email:

Personal Reference #2 Information:
Name: Relationship:
City: State: Zip: Phone:
Email:

Do you own your home? Yes No If yes, How long have you owned your own home?
If not, please send a letter of permission from your landlord to have a Dalmatian or Dalmatian Wannabe.
Please supply landlord's name, address, and phone number:
Name: Address:
City: State: Zip: Phone:

Do you have a fenced yard? If not, why not?
Fence Height: Fence Type:
If 'other' fence type, please specify:
Is fence completely enclosed on all sides and also attached to the house? Yes No
What kind of shade or cover is in the enclosure?

Please describe your yard, including approximate size, level or hilly, grass or other ground cover, etc.

What kind of accommodations do you have for the dog in the cold and in the heat?

Is anyone home during the day? Yes No Hours the dog would be alone:
Where will the dog stay during the day when alone?
Do you have a dog door? Yes No If so, where does it lead to? House Garage

Describe neighbors the dog will be involved with (Do they like dogs? Children (ages), dogs or cats?)

Any problems with neighbors currently? No Yes

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

Do you own and have you used a dog crate? Yes No

Do all parties (if more than one adult in house) want a Dalmatian or Dalmatian wannabe? Yes No

Are you aware that there might be a two-week to one-month adjustment period for any adopted dog?
Are you willing to give the new dog at least a one month adjustment period after adoption? Yes No

Would you consider a second Dalmatian or Dalmatian wannabe at a future date? Yes No

We are always in need of temporary homes for our rescue dogs. Would you be willing to foster
a needy Dalmatian or Dalmatian wannabe if it is compatible with your life style and other pets? Yes No

Any other questions about the breed we can answer?

Click Yes if you agree with the following terms or No if you do not!

I have read and understood The Adoption Process.

Click here for the adoption process.
YesNo

I understand and agree that Dalmatian Rescue of Colorado, Inc. (DRCI) may refuse my adoption contract for any reason whatsoever and that submission of this application is in no way a guarantee of acceptance or placement. I further state and affirm that all information provided by me on this application is true and correct to the best of my knowledge and is subject to verification by DRCI, its officers or assignees and further understand that falsifying information will result in my application being denied.
YesNo

If a Dalmatian or Dalmatian wannabe is placed with me/us, I/we agree to cooperate with Dalmatian Rescue of Colorado, Inc. (DRCI) in its attempt to provide a smooth adoption. I also agree to contact DRCI about problems that might arise in the future. Should the dog need to be placed, or euthanized (prior to normal old age), I agree that I will contact DRCI first and will return the dog to DRCI at a location designated by DRCI. I further agree during the natural life of this dog that I will NOT take this dog to an animal shelter nor sell or give this dog to anyone else without express written authorization from DRCI.
YesNo

Every reasonable effort is made to screen each Dalmatian or Dalmatian wannabe for health and temperament problems before making the dog available for adoption through DRCI. However, DRCI, its officers, board of directors, and agents cannot guarantee the health or temperament of the Dalmatians or Dalmatian wannabes available for adoption other than what is known at the time of adoption. DRCI assumes no liability for any problems arising from an adopted Dalmatian or Dalmatian wannabe in the future.
YesNo

For each Dalmatian or Dalmatian wannabe adopted we request a minimum donation, to help cover expenses incurred, payable at the time of adoption:

YesNo