Here is our application

1. DOGWOOD SPORTING DOG DOG RESCUE
ADOPT/FOSTER APPLICATION FORM
APPLYING FOR: (Name?)Pointer - Forest/Brisco/marianne
Date:
Species: Breed: pointer Age: young
Sex:
What was it about this dog that captured your interest?
we are interested in the Pointe breeds
What do you know about this breed’s mental and physical
requirements?
We have researched the short hair pointer & wirehaired pointer
Have you owned this breed previously? /N
APPLICANT INFORMATION:
Full Name (and Partner, if there is one):
(1)Jim Small
(2)Rosemary Small
Address:521 San Remo Dr
City: Port Moody Province: BC V3H 3S6
Home Phone Number: 604-649-3497 Cell: same
E-mail address:jsmall1943@aol.com

2. Who will have primary responsibility for the animal? Both of us
Driver’s Licence #
HOUSEHOLD INFORMATION:
No. of adults (over 21) in home? 2 Your age (approx.)?
69/64
No. of children in home? Grandchildren Ages? 5/3 Are the
children used to dogs? Y
No. of seniors in home? just us Are seniors used to dogs?
Y
Environment? Urban: Suburbs: Y Rural:
House: Y Condo/Apt: Townhouse/Garden Apt:
Other:
How long have you lived at current address? 21 yrs Own Home?
Y
If renting, do you have landlord approval? Y/N
Landlord’s name: Phone:
How large is the yard? big Is the yard fenced? Y
How high is the fence? about 8 ft If repairs are
needed, will you fix immediately? Y If no, why not?
Are there stairs inside and/or outside? Y
Are you planning to move within the next two years? N
If you are required to move in the future and cannot find a
home permitting animals, what would you do with them?

3. How would you describe your lifestyle:
Sedate Leisurely Moderately Active Y Very Active
How would you describe the pace of your home:
Quiet Y Moderate Busy Hectic
GENERAL QUESTIONS:
Do you want to adopt or foster?___adopt_____Why do you want to
foster or adopt an animal? Our dog is getting older and we want
another one while she is still with us
How long a period of time are you able to foster?
Do you have cats? YHow many?3 Ages? 18/14/1
Are cats used to dogs? Y Are cats indoor or outdoor?
Indoor
Are cats declawed? N If yes, why?
Do you have birds, fish, pocket animals or reptiles? N
If no animals at this time, have you had any in the past 6 years? Y/N
If yes, what happened to them?
Do you have dogs now? Y How many?1 Breeds? Wheaten Terrier
Sexes? F Ages?13 Are the dogs used to other dogs? Y
Do dogs live indoors? Y Will your companion be an indoor or outdoor
dog when you are not home? My husband takes dog with him when
working. Otherwise indoor.

4. Where will your dog sleep? In our bedroom
What brand of food will you feed your dog ? Natural Blance
Have you ever done special training with a dog? Y What type?
Obedience
NB: All our adopters must agree to provide basic obedience training
for their dogs; this can be waived only in certain circumstances.
Are you willing to attend obedience training with your dog? Y
Will all members take part in training? Y If no, explain:
Are you interested in doing tracking or agility with your dog? /N
What form of exercise will you provide the dog and how often? (Hrs.
per day)? Walking daily. Swimming in season.
What outdoor activities do YOU engage in?
Do you hunt? N How often? Where?
How many hours per day will your dog be alone (eg. What is your work
schedule)? Very seldom.
What is your philosophy or method of training a dog?
Treats
Have you heard of Caesar Milan? Y What are the three requirements
he says dogs need?
Do you know of other dog trainers or behaviourists? N

5. Have you ever owned a “rescued” animal before? If yes, describe:yes
We rescued our current of from a puppy farm.
Have you ever had a special needs animal before? If yes, describe:
she was not trained at all
Have you dealt with behavioural issues before? If yes, describe:
we had to train her to come in the house, drink out of a bowl and eat
Have you crate-trained an animal? Was it difficult? N
Have you house-trained an animal? Was it difficult? Y
If necessary, how will you discipline your animal?
Describe your “perfect” dog: breeds, size, age, sex, colour,
temperament, etc. (perhaps one you have owned or seen?)
Is there such a thing as a perfect doc?
What are you expecting from your dog? Companionship
Are all members of your household aware of your plans to adopt or
foster an animal? Y
How often do you go on vacation and what will you do with your
companion animal when you go on vacation?
depends. Usually travel with dog. Otherwise my Mom looks after
For what reason would you return a companion animal? Not planning on
it
If something happens to you, who will care for your animals?
my husband or family

6. Have you ever volunteered for the SPCA or other rescue group?N
Have you applied to any other rescue shelters/groups? Which
ones? N
How did you hear about this animal? Met one of your rescues and would
rather get a rescue dog
Any other relevant information you wish to provide?

7. EMPLOYMENT (include partner if there is one):
(1)Employer: Douglas College (2)Employer: self
employed
Occupation: Mgr Payrol
Occupation: boat surveyor
Work hours? 8 - 4 Work hours? Depends
How many yrs.? 12 How many yrs.?
Can you be contacted at job? Y If yes, phone #604-527-5375
Name of Veterinarian: port Coquitlam Animal Hospital
Address: 2655 Lougheed Hwy, Port Coquitlam
Phone Number: 604-464-6666
REFERENCES:
Name: Mary Graham
Phone Number: 604-469-2250
Relationship mother
Name: John Graham
Phone Number: 604-469-1328
Relationship: Brother
I hereby certify that all information supplied on this application is
true.
NAMES: Jim & Rosemary Small
Date: Oct 13, 2012

8. If insufficient space for answers, please add additional info in an e-mail or below .