Please provide the following information.  This information will be used only for the application process and will remain within the ACES organization.  Thank you for your interest in ACES.

Contact Information

Employment Information


Family Information





 Yes
 No

 Yes
 No

Household Information


 City
 Suburb
 Rural

 Apartment
 Condo
 Duplex
 House
 Other

 Rent
 Own

 Yes
 No


 Yes
 No




 Yes
 No

Pet Information

 Male
 Female
 Either


 Field
 Bench
 Either



 Yes
 No


 Yes
 No

 Yes
 No

What pets live in your home?

Pet One

Pet Two

Pet Three

Pet Four

Pet Five

Pet Six


 Yes
 No






 Yes
 No

 Yes
 No



 Yes
 No



 Yes
 No



 Yes
 No


 Yes
 No

 Read a book on the subject
 Search the web for training advice
 Ask ACES for assistance
 Take the dog to a class
 Hire a trainer for individual behavior counseling
 Purchase recommended equipment to help solve the problem (e.g., gentle leader, chew toys, etc.)

Veterinary Information

Please provide the following veterinary information:


 Yes
 No


 Yes
 No


Personal References

Please list the names, addresses, and phone numbers of two (2) personal references (not related to you) that you have known for at least two (2) years:

Reference 1

Reference 2

ACES Information



 Yes
 No

 Yes
 No



 Yes
 No


Agreements


Please read the 'Adoption Agreement' here.


NOTE: Signing the Adoption Agreement is a requirement for adopting a dog from ACES. If you do not agree with the terms and conditions of the ACES Adoption Agreement, then you should not proceed with the adoption application process.

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 Check

WE RESERVE THE RIGHT TO REFUSE ANY APPLICANT.

The volunteers of Another Chance for English Setters thank you for considering giving a homeless English Setter a new place to live and family to love.