Rescue Application
Please complete all fields to be considered
Email address
First Name
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Last Name
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Email
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Why do you wish to adopt a Scottish Terrier?
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Address
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Address Line 2
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City, State, Zip Code
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Home phone number
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Work phone number
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Dog gender preference
Are you willing to take a mix?
Are you willing to take an elderly dog?
Are you willing to take two dogs?
Are you willing to take a special needs dog?
Do you live in an:
What is the number of people in your household?
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Does your lease, homeowners' association or ordinance have restrictions?
If so, what are the restrictions?
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Do you rent or own?
Do you have a fenced yard?
If yes, describe your fence type and height:
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Do you have a pool or other open body of water?
Is the pool/body of water fenced?
Do you have children?
If so, how many and what ages?
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Will any other children come into contact with the dog?
If so, what are the childrens' ages?
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Where will this dog be during the day?
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Where will the dog be at night?
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How many hours will the dog be alone?
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Who would take care of your dog if you were out of town?
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Who will be the dog's primary caretaker?
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Age of applicant?
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Veterinary reference (name, clinic and city)
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Please list all the pets you own, their gender, age, or whether or not they have been spayed or neutered:
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Have you ever owned a Scottish Terrier?
Have you ever owned another breed?
If so, what happened to it or them?
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Please use this space for any additional comments:
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I ACKNOWLEDGE THAT ALL THE INFORMATION CONTAINED ON THIS ONLINE APPLICATION IS TRUE AND CORRECT. I UNDERSTAND AND AGREE TO PAY AN ADOPTION FEE TO HELP DEFRAY MEDICAL COSTS.
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