<p> 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] . </p><p>Name: ______</p><p>Address: ______</p><p>City, State, Zip:______</p><p>Phone-daytime: ______evening:______e-mail: ______</p><p>Please list the members of your household, with ages: ______</p><p>______</p><p>Who will be primarily responsible for the care of the dog? ______</p><p>Where will the dog live during the day? ______at night?______</p><p>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?______</p><p>Please list other pets, ages and if they are spayed or neutered? ______</p><p>______</p><p>Have you ever bred dogs? ______Do you plan to? ______</p><p>Have you ever crate trained a dog? ______</p><p>Have you ever obedience trained a dog? ______Would you be willing to take an obedience course with your dog?______</p><p>Is your residence: House _____ Condominium _____ Apartment_____ Are pets allowed? ______</p><p>Town _____city _____rural ______Do you: ____ own ____ rent</p><p>Do you have a yard? _____ Is it fenced? _____ What type of fencing? ______</p><p>How high? _____ Is someone home during the day? _____ If not, how long will the dog be alone (average)? ______</p><p>What is the role you see a dog having in your life? Family pet/companion _____ Obedience ______</p><p>Agility _____ Therapy work _____ Field /hunting _____ </p><p>Other (please specify) ______</p><p>Have you had dogs in the past? If yes, how many? ______What breeds? ______</p><p>What happened to them? ______</p><p>If you were unable to keep them, why? ______</p><p>How far are you willing to drive, in hours, to look at a dog? ______</p><p>Would you consider a special needs dog, such as one that requires daily medication, one who needs obedience training, an older dog?:______</p><p>Are you familiar with the costs of veterinary care? _____ Licensing requirements? _____ </p><p>Vaccinations and heartworm preventative? _____ </p><p>Name, address and telephone number of your veterinarian: ______</p><p>______</p><p>Are you aware of the grooming requirements of an Irish Setter? ______</p><p>Will you groom the dog yourself or use a groomer? ______</p><p>Do you prefer: male______female ______either ______</p><p>Do you have a preference as to age? ______If so, what age range will you consider?______</p><p>Do you have a preference as to the type of Irish Setter? ______If so, do you prefer: Bench ______Field ______</p><p>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. </p><p>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. </p><p>Applicants signature: ______Date: ______Normal adoption fee is $250.00.</p><p>I would like to volunteer to help the ISCA Rescue in the following manner: Foster home ______</p><p>Transportation ______</p><p>Fundraising ______</p><p>Other (please list) ______</p><p>I would like to make the following donation to help Irish Setters in need: ______ALL DONATIONS GRATEFULLY ACCEPTED!</p>