Irish Setter Club of America, Inc. FOUNDED 1891 Application for Adoption of a Rescue Dog

Irish Setter Club of America, Inc. FOUNDED 1891 Application For Adoption Of A Rescue Dog Thank you for your interest in adopting an Irish Setter. In order for us to find the best match for you and our rescue dogs we ask that you fill out the following application as accurately and honestly as possible. When you have completed the form, please copy and paste it into an email and return it to [email protected] .

Name: ______

Address: ______

City, State, Zip:______

Phone-daytime: ______evening:______e-mail: ______

Please list the members of your household, with ages: ______

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Who will be primarily responsible for the care of the dog? ______

Where will the dog live during the day? ______at night?______

Will the dog have the run of the house, be blocked off parts of the house, use a crate, be tied outside, or live in the yard - please explain?______

Please list other pets, ages and if they are spayed or neutered? ______

______

Have you ever bred dogs? ______Do you plan to? ______

Have you ever crate trained a dog? ______

Have you ever obedience trained a dog? ______Would you be willing to take an obedience course with your dog?______

Is your residence: House _____ Condominium _____ Apartment_____ Are pets allowed? ______

Town _____city _____rural ______Do you: ____ own ____ rent

Do you have a yard? _____ Is it fenced? _____ What type of fencing? ______

How high? _____ Is someone home during the day? _____ If not, how long will the dog be alone (average)? ______

What is the role you see a dog having in your life? Family pet/companion _____ Obedience ______

Agility _____ Therapy work _____ Field /hunting _____

Other (please specify) ______

Have you had dogs in the past? If yes, how many? ______What breeds? ______

What happened to them? ______

If you were unable to keep them, why? ______

How far are you willing to drive, in hours, to look at a dog? ______

Would you consider a special needs dog, such as one that requires daily medication, one who needs obedience training, an older dog?:______

Are you familiar with the costs of veterinary care? _____ Licensing requirements? _____

Vaccinations and heartworm preventative? _____

Name, address and telephone number of your veterinarian: ______

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Are you aware of the grooming requirements of an Irish Setter? ______

Will you groom the dog yourself or use a groomer? ______

Do you prefer: male______female ______either ______

Do you have a preference as to age? ______If so, what age range will you consider?______

Do you have a preference as to the type of Irish Setter? ______If so, do you prefer: Bench ______Field ______

ON A SEPARATE PAGE, PLEASE WRITE A BRIEF DESCRIPTION OF YOU AND YOUR FAMILY, INCLUDING ANY SPECIAL ACTIVITIES THE DOG WOULD BE INVLOVED IN, OR SPECIAL REQUIREMENTS YOU HAVE. ALSO PLEASE TELL US WHY YOU WANT TO ADOPT AN IRISH SETTER.

I certify that the above information is true and I understand that prior to the placement of an Irish Setter in my home the above information will be verified. I also agree to a personal interview with a member of the Western Irish Setter Club if requested to determine the suitability of my facilities to care for an Irish Setter.

Applicants signature: ______Date: ______Normal adoption fee is $250.00.

I would like to volunteer to help the ISCA Rescue in the following manner: Foster home ______

Transportation ______

Fundraising ______

Other (please list) ______

I would like to make the following donation to help Irish Setters in need: ______ALL DONATIONS GRATEFULLY ACCEPTED!