Name

Email

Street Address

City

State

Zip

Home Phone

Cell Phone

Work Phone

Housing: Do you
rent own
apartment house condo mobile home

How long have you lived at this address?

If less than one year:
Previous Address

City

State

Zip


Names and relationships of all other adults in home

Names and ages of all children who live in home or visit regularly

Other pets owned: Breed, age, sex of each

Are your animals spayed/neutered?
yes no

why not?

Do you have a fenced yard?
yes no
How large?


Type of fencing:
cyclone farm style privacy invisible

If no fencing, are you willing to put up a 12x12 kennel?
yes no

Where would you keep the mastiff during the day while you are at home?
outdoor kennel chained in the yard in the house with us laundry room other

Where would you keep the mastiff during the day while you are away during the day?
outdoor kennel chained in the yard crated in the house laundry room garage other

Where would the mastiff sleep at night?
outdoor kennel chained in the yard crated in the house laundry room anywhere it wants other

How would the mastiff be cared for during overnight absences or vacations?
professional kennel garage/back yard; a friend would check in dog sitter stay with a family member at their home other

If a dog destroys something or has an accident on the carpet, what do you do to correct the behavior?

How much time will you be able to spend with the mastiff daily?

Who will be the primary caregiver?

Are all family members gone during the day?
yes no

for how long?

Have you ever owned a dog?
yes no

What happened to it?

What made you choose the mastiff breed?

What made you want to adopt a mastiff from a rescue organization?

Are you prepared for the cost of owning a mastiff?
yes no

What do you think the monthly cost of owning a mastiff would be?

Would you be willing to pay for transportation costs or to travel a reasonable distance to bring a Mastiff from another state?
yes no

Are you interested in giving foster care to a Mastiff while awaiting the mastiff of your choice?
(NOTE: Foster Families may be given priority in adopting the mastiff in their care)
yes no
If you are interested in fostering while awaiting the mastiff of your choice a volunteer form will be sent to you and we will require that you complete it for insurance purposes).
Veterinary Clinic

Name

Phone

Personal Reference

Address

City

State

Zip

Phone

Dog preference
male female puppy young adult adult senior
Any other information you think may be important in helping us to determine the best match for your family:

If you learned about Mastiffs in books, we STRONGLY suggest that you let us know so we can put you in contact with someone in your area or tell you about upcoming dog shows so you can see a Mastiff up close and personal.
PLEASE NOTE THERE IS A NON-REFUNDABLE ADOPTION DONATION OF BETWEEN $350 - $450 DEPENDING ON THE DOG PLACED.

I certify the above information is true and I understand that prior to placement of a Mastiff in my home all of the above information will be verified. I also agree to a personal interview/home visit with all family members present with a Rescue service volunteer to determine the suitability of my facilities to care for a Mastiff.
Signature_________________________________________________ Date
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