ADOPTION APPLICATION

Why are you considering adopting a dog?(Required)
Where will the dog be primarily housed?(Required)
Where would the dog stay when you're not home?(Required)
Household Setting(Required)
Type of Home(Required)
Home Ownership(Required)
Does your yard have a fence?(Required)
If your yard is not fenced, how would the dog be allowed to eliminate?
When the dog is outside, unsupervised, what type of shelter will be provided?(Required)
Which of the below would make you return a dog?(Required)
What are you willing to do to resolve problems?(Required)
Would you return the dog under any of the following circumstances?(Required)
What is your home's typical activity level?(Required)
Individuals who adopt a rescue dog from our organization are contacted periodically for an update to help ensure that the animal succesfully adjusts to its new life. If you adopt a dog, do you consent to home visits before and/or after adoption?(Required)
CONSENT(Required)
If at any time an adopter cannot keep the animal, it must be returned to Yvette Nielsen and/or any other co-owner listed at the time of placement. If the animal is not spayed or neutered at adoption, the adopter is required to alter the animal and provide a veterinary certification of altering to Y-not Save a Sam Rescue by the date specified in the adoption contract - animals unaltered by the contractual date may be seized. In addition, each pet adoption is assessed a non-refundable tax-deductible donation, varying by the animal, to help pay veterinary and other expenses. By selecting "yes" below, I acknowledge I 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 available/adoptable Samoyed rescued/adopted by me.
This field is for validation purposes and should be left unchanged.