Personal Information
Is there a specific dog or dogs that you may interest you? If
Applicant's Name:
Age:
Street Address City, State and Zip
Email Address
Evening
Phone Number Daytime
Preferred Phone to call and best time to contact you?
Your Employer Name, Occupation and Phone
Home Information
Spouse or Partner's Name
Spouse or Partner's Age
Employer and Phone Number
Do you own or rent your home. Renters we will ask
Please describe the area you live in.
Select
Urban
Suburban
Rural
Type of Area
Please list name, ages and relationships of all
Do you have plans to move in the next year?
Even if you don't have plans at this time for moving in the future what
Do you have a fenced yard? If Yes, please select your fence type.
Select
Yes
No
Other
Select
Chain Link
Privacy
Invisible
If Other is selected, please elaborate.
If you don't have a fence, kennel or run how will
Pets
Pets you currently own and their ages or have owned
How many years have you owned dogs and what do
Are your pets spayed or neutered?
Select
Yes
No
Have you ever adopted a rescue dog before?
Select
Yes
No
Have you ever turned a pet into a shelter or rescue? If so,
English Setter Breed and Care
What brought you to the English Setter Breed?
Do you prefer a male, female or no preference.
Select
Male
Female
No Preference
Select
Yes
No
Do You have a color preference?
Select
Blue (Black)
Orange (Liver)
Tri-Color (Black,Orange and White)
If you have more then one color preference, please
Do You have an age preference. If so what?
Activity Level Preference
Select
Active
Normal
Moderate
Laid Back
No Preference
Select
Yes
No
Probably
Would you consider a special needs English Setter?
Would you consider a Senior English Setter?
Select
Yes
No
Possibly
Where will this English Setter sleep?
During a normal work or school day how many hours
Where will this English Setter be kept when no one is
Who will be the primary caretaker for this English Setter?
Have you ever taken a dog to obedience classes?
Select
Yes
No
Possibly
Do you plan on taking your English Setter to obedience classes?
Select
Yes
No
Possibly
Do you own a dog crate or have experience using one?
If you plan on having children in the future what will
What would make you return your adopted dog?
How did you find Above and Beyond ESR?
Select
Internet Search
Pet Finder
Referred by
Other - Explain
If you were referred to us, by whom? If you found
Veterinarian
Name and Address of your PRIMARY Veterinarian.
Phone Number
Is the account listed under your name?
Select
Yes
No
If no, who's name is it listed under?
From
How long have you been a client?
To
Please identify and provide contact information for any other veterinarians you have used for the past three years.
Phone Number
May we contact your Veterinarian? If No, Why?
Please contact your veterinarian to allow them to speak to us regarding the medical care for your pet(s).
Select
Yes
No
Do you vaccinate at home or use alternative and/or holistic care?
If yes, please explain.
References
List two references you have known for at least 3 years, Excluding Relatives and Veterinarian.
Reference #1: Name, Address,
Reference #2: Name, Address,
Since we are looking for commitment in our adopters, how far are you willing to drive to pick up Note we do not deliver our dogs to adopters.
Above & Beyond English Setter Group expects to interview every Potential Adopter, their references
Please tell us why you think you
To all A and B adopters. This rescue cares about our dogs from the day we hear
My Family and I agree to accept these terms. Please Initial.
Any dog adopted through Above and Beyond English Setter Rescue must be returned to
I agree by Initialing this line that typing my name is the same as signing your name to this legal document.
I give permission to Above and Beyond English Setter Rescue and its Agents to type my name to
Financial and Physical Verification
I hereby certify that I am financially and physically able to care a Setter and for the bedding, toys, crate,
Permission to Investigate
By submitting this application to Above and Beyond English Setter Rescue I grant permission
Signature (Please Type your Full Name.)
Date
Printer Friendly Application --Click Here--
There are times that, Above and Beyond English Setter Rescue may not be able to place a dog in states in the Western U.S. or to some
Above and Beyond reserves the right to refuse any applicant or potential adopter, at any time, whom we Before submitting your application be certain it is fully completed. If not, this
If you do not receive a call within 48 hours from our group, please e-mail our President, Michael Myers or Vice Contacts Page .
We use PetShepherd NC pet tags as our 24/7recovery system for lost dogs. We stand by this
