Contact Information
Your Name:
Spouse's Name (If single, type 'single'):
Address:
City:
State/Province:
Zip/Postal Code:
Home Phone:
Work Phone:
Cell Phone:
FAX:
Email Address:
Employment Information
With whom are you (and/or your spouse if applicable) employed?
Household Occupation(s):
Family Information
Ages of all household members? (This will help us match a dog to your household. For instance, some dogs don't do well with children.)
If you have children, what is their experience with dogs?
How do you plan to prepare your children for the arrival of a new dog into the family?
If you plan on having children in the future, what will you do with your adopted English Setter?
Is adopting an English Setter a family decision?
Yes
No
Are any of the family members in your household allergic to dogs?
Yes
No
What are the major activities, hobbies, or exercises you and your family most participate in?
Household Information
How long at current address?
What type of area do you live in?
City
Suburb
Rural
What type of housing?
Apartment
Condo
Duplex
House
Other
Do you rent or own your home?
Rent
Own
If you rent or lease, do you have permission from your landlord to keep an English Setter?
Yes
No
Landlord's Name:
Landlord's Phone:
For the safety of our dogs, ACES requires adopters to have fenced yards, with either physical (traditional) or invisible fencing.
Do you have a completely fenced yard?
Yes
No
Height of fence:
Dimensions of completely fenced area:
Describe your fence (type, construction, dimensions, etc):
If you don't have a fence, would you be willing to install one?
Yes
No
Pet Information
Do you have a preference for the sex of the dog?
Male
Female
Either
Age/energy preference:
Type of English Setter preferred:
Field
Bench
Either
What dogs have you previously owned?
What happened to them? (Please list):
Have you ever taken a pet to a shelter, had to rehome a dog, or handed a dog over to a rescue group before?
Yes
No
If yes, what were the circumstances?
Have you ever adopted a rescue dog before?
Yes
No
Are you aware that it can take up to 6 months or more for your rescued English Setter to adjust to a new home?
Yes
No
What pets live in your home?
Are these animals spayed/neutered?
Yes
No
If No, why not?
What do you know about English Setters as a breed?
How will your rescued English Setters outdoor activities be supervised?
What member of the family will be taking the MAJOR responsibility of caring for this English Setter?
What are your plans and goals for this dog?
Have you ever trained a dog in obedience classes?
Yes
No
Will you take your English Setter to an obedience class?
Yes
No
What types of behavior traits would you be willing to work on correcting?
What types of behavior traits would you NOT be willing to work on correcting?
Will the dog live in the home?
Yes
No
If not, where?
Where EXACTLY will the dog sleep at night and be kept when there is no one at home?
Do you use dog crates?
Yes
No
On an average work/school day, how many hours will this dog be left alone?
If you move, what will you do with your dog?
Would you be able to take care of your adopted English Setter if your home or family situation were to change (e.g., divorce)?
Yes
No
What circumstances would make you return your rescued English Setter to ACES?
Would you be willing to hire a local trainer to help your dog adjust to its new home and/or solve any problems that might arise?
Yes
No
Which of the following would you be willing to do to solve any behavior problems that might arise? (Check all that apply):
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.)
When you go on vacation, where will your dog go and who will care for it?
Veterinary Information
Please provide the following veterinary information:
Name:
Organization:
Address:
City:
State/Province:
Work Phone:
FAX:
Email:
Website:
May we call your Vet and ask how you take care of your animals?
Yes
No
If no, why not?
Are you willing to take full responsibility for your rescued English Setter's medical costs after the adoption is finalized?
Yes
No
What would you consider the limitations for medical care for your rescued English Setter to be?
How will your dog travel to the Vet or other places (e.g., in a car, van, back of a pickup truck, etc.)?
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:
ACES Information
How did you hear about our rescued English Setters, and who referred you to us?
Please tell us a little about yourself and why you feel you could provide a good home for a rescue dog:
Have you considered that having a rescue dog will require changes to your life (e.g., taking the dog out to eliminate more frequently once he/she gets older; making changes to your daily routine etc.)?
Yes
No
Have you applied to any other rescue groups?
Yes
No
What was the outcome of your application?
Since ACES dogs are in foster care all over the country, how far in miles or hours are you willing to drive to adopt your English Setter?
Are you willing to allow an English Setter Rescue representative to visit your home?
Yes
No
If no, why not?
Are there any particular ACES dogs you are interested in?
Agreements
I understand that all dogs must travel home within two weeks of verbal adoption commitment unless other arrangements are approved by ACES Board of Directors.
Please read the 'Adoption Agreement' here.
I have read the ACES Adoption Agreement posted on the website and agree to the terms and conditions therein.
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.
You may pay the $10 application fees by mailing in a check or by PayPal:
Paypal
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.