Application for Adoption

Thank you for your interest in a rescued cocker spaniel / other small or specialty breed dog.

Adopting a dog through a rescue organization is a lot like adopting a child; there is an application to complete and return (via email), reference to be checked (by us) and a home visit/doggie introduction. There is a nonrefundable adoption donation of $$325 for adults and $425 for puppies 14 months and younger to help offset the costs of the veterinary exam, tests and medicines (both therapeutic and preventative), vaccines, obedience training, spay/neuter, other surgeries and veterinary care as well as the dog's room, board and Play Dates at doggy day care for socialization. Pairs of dogs incur the same, if not  greater, costs to rescue as single dogs. We can not offer discounts for adoptions of pairs.

For the price of your adoption fees, you get (1) the dog (2) all vaccines including Rabies (3) house training (4) spay or neuter surgery and (5) socialization in DoggyDayCare and/or in our foster homes to other dogs, strangers and children. It is easy to see that our fees represent a substantial savings over pet stores and breeders.

We do not ship dogs, ever, so please don't even ask us. We adopt within the state of Arizona only, in order to best keep in touch with the dog throughout its life, and to assist with any issues or emergencies related to the dog's well-being.

Simply answer all of the questions, and click on the submit button.

Once I have your completed application, our adoption committee will review it.

If your application is approved, we will check your personal and veterinary references, after which we can arrange to do a home visit at a time when the entire household is there. Please know that we are inspecting only for dog safety and happiness, not housekeeping or affluence.

The process from receipt of your application to the adoption award may be accomplished as quickly as a few days or may take as long as a week. We welcome email status inquiries and will reply within 48 hours. Remember, we all have full time jobs and families as well as doggie care responsibilities, so we really appreciate your understanding if we can't get back to you the same day.

Please get your application in right away, as this dog either has or will have other applicants.

Again, thank you for considering a rescued cocker spaniel/ other small or specialty breed doggie for your new best friend!


Please provide the following contact information:

City   State Zip Code
Major Cross Streets
 Home Phone  
Business Phone
Cell Phone
Is there any particular dog you are interested in? Who?
Number and ages of adults in household?
Number AND ages of children in household?

Is there anyone in your household who may not be capable of understanding that dogs are to be treated with respect and kindness at all times, and therefore might hit or otherwise be unkind to the dog? If so please explain.


Who will be responsible for the care and training of the dog?

Does anyone in your household smoke tobacco products indoors? If so, how often?

Does anyone in your home suffer from allergies and/or asthma? If so, please elaborate: how will the dog affect that household member? If your answer is that there will be no effect, please explain why.

Do you use pesticides routinely to eliminate insect pests? If yes, then do you use pesticides indoors, outdoors or both?

Approximately how long will your dog be alone each day?

If he/she will be alone for extended periods during the day, exactly how will you arrange for the dog to be safe / have its bathroom needs met/ have some companionship during the time while you are at work?

Do you live in a Single Family Home; Apartment; Mobile/Trailer Home, or Condo? Do you own you home?

Do you have a back yard?


Is your yard fenced?


If yes, please describe the type of fencing, area fenced, height of fence, type of gate and type of ground under gate (pebbles, desert landscaping, brick or grass).

Do you have a doggie door? If not, why not?

Are you willing to have one installed in your home?

Are you willing and able to modify your daily schedule to accommodate a dog's needs, such as going outdoors into a fenced area or walking on a leash to perform bodily functions at least 4 times a day?    How?

Are you aware of the importance of keeping a dog on a leash or in a fenced area when it goes outside?

Cocker Spaniels, Dachshunds, other small breeds, and all poodles are primarily house dogs. They can be outdoors for short times in a kennel or dog house/shelter with an attached run. They CANNOT be chained or tied outdoors, nor left outdoors in either a yard or a dog run (think of killer bees, for only one danger) alone and unsupervised. Do you agree to these conditions?

There are local ordinance in all areas of AZ pertaining to owning/housing an animal (i.e., leash laws, required vaccinations, dog licenses, etc); what are those ordinances in your area?

Are you willing to keep a collar with a tag bearing the dogs name, with your address, and phone numbers on your dog at all times?

If for any reason, you are unable to keep your dog, will you agree to return it to this adoption center?

Are you willing and able to accept full care, costs, and necessary burdens and responsibility of owning a dog?

Are you aware that veterinary costs can be very high, even into the thousands of dollars for a severe illness?

How many dogs have you owned in the past ten years?

Please list each dogs' breed, sex, name and age

If you no longer own any of those dogs, please note what became of it:

What other pets do you have?

If you have dogs now, are they spayed/neutered?

Have you ever trained a dog?

If yes, what commands were taught?

 Are you familiar with crate training? Should the adoption be awarded to you, do you agree to crate train your dog for the first several weeks in your home?

Where will your dog sleep at night?

What would be the reasons you would give up a pet?

We believe that people need training to communicate their wishes to their pets in order for the pets to understand what is desired as well as what is unacceptable. Would you be able and willing to obtain obedience training with your dog?

How would you describe your household activity level?

Estimate the number of times per month adults visit your home:

Estimate the number of times per month children visit your home:   What are the ages of these children?

In addition to a regular life at home, would your dog:

Walk routinely with a family member?

Travel with you?

Go to obedience classes?

Be a playmate for your children?

Go to your place of business with you?

Be a playmate for your other pets?

Would you prefer a male or female dog?

What age range would you prefer?

What color(s) are you interested in?


**** Occasionally, a dog with special needs (physical restrictions or health problems or an unusual personality or preferences) is available for adoption. Are you or would you be interested in being considered for such a "special" dog?

Do you currently have a vet?

If yes, please list your veterinarian's name address and phone.

Please list two personal references with phone numbers or email addresses whom you have known for more than two years and who are NOT relatives.

Please tell us why you would like to have a dog and add any comments you feel that would help us better understand you and your home as a potential dog owner.

If you agree that all answers are correct and you agree to the terms and conditions, please type your name here:
  After submitting your application please check your spam folder for any return emails or responses from our volunteers


Copyright 2013 []. All rights reserved.
Revised: 02/08/13