AireCanada Rescue Network Adoption Application

This is an application - it is NOT - an agreement to adopt a dog. A phone interview, vet reference check, and a home/fence check will follow in most cases. When you and the right dog find each other, a placement contract will need to be signed.

AireCanada volunteers will be glad to answer general questions about the Airedale breed; about how we are funded; about how our rescue organization works; BUT - we will wait to discuss specific Airedales until after you are approved for adoption. Please be patient as this approval process may take some time.

We are all volunteers - not paid employees - who spend countless hours helping unwanted Airedales. All adoptive Airedales are brought up-to-date on vaccines and heartworm preventive, freshly bathed and groomed, and spayed / neutered (except in rare cases when age or health makes that impossible) prior to adoption. The Airedales are temperament tested in an experienced foster home. The foster caregivers have the final say in who is chosen to adopt the Airedale in their care. At the time of adoption there is a requested donation of between $150 and $300 to cover expenses.

The information submitted on this application is confidential and will be used only for the purpose of matching rescued Airedales with new owners.

Pet ownership is a serious commitment that the entire household needs to consider and agree to before the animal is adopted. We want to ensure that each adoptive household is aware of, and willing and able to accept, the physical and financial responsibilities of pet ownership. Not everyone who desires to own a pet is ready to properly care for one. This questionnaire will assist both you and us in determining if your household is prepared to assume the role of responsible caretaker for a rescued animal. Thank you for filling it out!

Submitting this form is only the first stage of adopting an Airedale Terrier; you will be contacted and interviewed by a member of the AireCanada Airedale Rescue Network. The rescue volunteer will make the final decision on if you may adopt, and which Airedale you may adopt. Thank you for caring about rescues.

If you wish, you may expand on your answers in the comments section at the bottom of the form.

 

Just complete this form. Click on Submit when ready to send.

TODAY'S DATE:  
Applicant
First Name:  (required) 		Last Name:  (required)
Co-Applicant
First Name:   		Last Name:  
Your E-Mail  (required) Fax Number   
Street Address  (required)
Mailing Address  
City   Province  
Postal Code  
Day Phone #    Evening Phone #  
How did you find this Application Form?

RESIDENTIAL INFORMATION
House Condo Apartment Ranch or Farm Other(describe)
Years in Residence Less than 1 1-2 years 2-4 years
5-9 years 10-20 years more than 20		 Own Rent
If you rent, written permission for dog? Yes No N/A Landlord (Name, Address, Telephone)
Fencing Type
If other, describe 		Fence Height
Surface of outside dog area Length & Width of Dog Yard
Does a door from the house open directly to the fenced yard?
Yes No N/A		 Dog Door?
Yes No Willing to Install
Do you have a swimming pool? Yes No Can the dog get into the pool from the dog yard? Yes No
Does your town have a leash law?

FAMILY INFORMATION
List all household members, including frequent visitors, and their approximate ages
(Humans only -- You will be asked about pets later in the form)
 Do you plan to add to your family in the next five years?
Yes No
Why do you want an Airedale Terrier?
Do all family members want an Airedale Terrier? Yes No
(If No, Explain)
Describe your family's typical day and how your dog(s) fit into that day (or how you anticipate your new dog fitting in if you don't currently have a dog).
Is this your first Airedale?
Yes No		 Aware of grooming needs?
Yes No		 Anyone allergic to dogs?
Yes No
If this would be your first Airedale, what do you know about about Airedales? Include titles of books read and describe other sources of information.
How do you feel about muddy footprints on carpet & bedspreads?
Do you have an area in your yard the dog can use as a "digging pit?" Yes No
Describe the kind of temperament you are looking for in a dog.
(i.e., calm, energetic, aloof, affectionate, etc.)
What qualities appeal to you about the Airedale?
Who will be the primary person responsible for the Airedale Terrier? Daily work hours of primary caretaker.
Do you have any experience with obedience training? Yes No If so, please specify:
Are you willing to have a member of Rescue visit prior to adoption (by appointment)? Yes No

ADOPTION INFORMATION
Do you prefer
Male Female No Preference		 Would you consider the opposite sex if one is more readily available?
Yes No N/A
Age Preference
What will your Airedale need to get along with? (Check as many as are applicable)
Other Dogs Cats Indoor Birds Small Rodents Poultry Livestock
Children Women Men
Other(describe)
How long will the dog be alone on an average day? Where will the dog stay during the day when alone?
Where will the dog stay at night?
What activities will you share with your dog? (Check as many as are applicable)
Walking Hiking Obedience Classes Agility Flyball Fishing Hunting Swimming
Herding Frisbee Playing Fetch
Other(describe)
What will you do if the dog chews one of your shoes?
 What will you do if the dog marks in the house?
Estimate monthly expenses for each dog: Estimate annual medical costs for each dog:
Would you be willing to take a dog with minor health problems?
Yes No
Are you familiar with crate training? Yes No Do you own a dog crate? Yes No
If yes, what type and size dog crate?
If you would use a crate, in what room would you put the crate?
What arrangements will be made for the dog during extended absences?
Caretaker will come to home Board at Kennel Board with Vet Board with Groomer
Dog will go along Other (Explain)

PET HISTORY

List all animals currently in your household (type, age, sex, neutered/spayed)
(Include animals that visit frequently)

Do any of your current animals have medical conditions? (Describe)
Are your current dogs up to date on all shots?
Yes No		 What brand of heartworm preventative are you presently using?

Describe previous dogs you have owned, how you acquired them (breeder, rescue, shelter, stray, etc.,), at what age, how long they lived and what ultimately happened to them (death due to accident, ill health or old age; placed with another family or shelter and why; lost and circumstances, etc.)

  
You would consider giving up your dog if
Have you ever given up a dog?   Yes No If yes, please explain.

If you were unable to care for your pets (death, immobilizing disability), what arrangements have you made?
If yours is currently a one-dog household, has your dog ever lived with another large dog?
Yes No N/A		 If so, how long has your current dog been the only dog of the house?
When will you be ready for your new dog?  
List name, address, telephone of your veterinarian  

Dog Groomer (Business name/phone number)

PLEASE LIST ONE REFERENCE NOT RELATED TO YOU (Name, Address, Telephone)
If possible, list a neighbor and someone else familiar with your current or past pets
Have you contacted a Rescue Volunteer in your area?   Yes No Name of Regional Club Rescue or Individual Rescue Volunteer you contacted.  
Were there any Airedales available for adoption through your local Rescue?
   Yes No N/A		 Have you ever adopted a dog through Airedale Rescue before?   Yes No
Name of Regional Club Rescue or Individual Rescue Volunteer who provided your previous Airedale.  
Do you understand that rescues are spayed/neutered or have a spay/neuter contract? Yes No Do you understand that if at any time an adopter cannot keep the animal, it must be returned to Airedale Rescue? Yes No
Are you aware that if Rescue places a dog with you, you will be asked to make a donation, which helps defray costs such as shelter fees, veterinary care, etc.?
Yes No

If there is a change in any of the information submitted,
please complete and submit a new application.

Individuals who adopt an Airedale Rescue dog are contacted periodically for an update to help ensure that the animal successfully adjusts to its new life. If you adopt an Airedale Rescue dog, do you consent to home visits after adoption?
  Yes     No
Any other information you wish us to consider in placing one of our Airedales with you?

 

A home inspection will be made prior to adoption and on a random basis following adoption. If upon inspection we find that information contained in this application to be false, we retain the right to turn down your application or remove the animal from your premises without a refund of monies paid.
I certify that the information provided in this form is true & correct. I am financially and physically able to care for a pet. I understand that proper food and veterinarian care can be costly and I am able to meet these requirements. Type YES or NO (required)

 

I acknowledge that I have completely read this questionnaire, comprehend it fully, know that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application or the adoption contract can result in the forfeiture of any Airedale Rescue dog adopted by me. Type YES or NO (Required)

 

PRINT A COPY FOR YOUR RECORDS BEFORE SUBMITTING

 

Signature: _______________________________________ Date: ________________
 
Reviewed By: ____________________________________ Date: ________________

Print for your records and submit electronically

If you have not received an acknowledgment that your form has been received within 24 hours, please contact: AireCanada form response



Thanks to Sidney Hardie for the use of her form! Graphics by Karen Clouston.