Thank you for wanting to adopt a rescued Cocker Spaniel from San Diego Spaniel Rescue!

We appreciate you taking the time to fill out this form.
it will help us in making the best possible match between your home and an available Spaniel.

Our adoption process includes: online application, telephone interview and home visit.
If you are not comfortable with any of these steps, please take a look at your local shelters for available dogs.

You MUST be 18 years of ago or older to fill out this application.

I. Family & Lifestyle E-mail Address: * What is your name? * What is your address (please include city, state and zip)? * What part of town do you live in (if San Diego area address)? What is your home phone number? * What is your work phone number? What is your cell phone number? Which number do you prefer we call you at? * call my Home Phone call my Work Phone call my Cell Phone no preference Please list all adults in your household (age 21+) - include their names, ages, relation to you, occupations and employers (include yourself): * Have all adults in the household agreed on wanting to adopt a Cocker? * Yes No Are there any children (up to age 20) that live there or visit regularly? * Yes No If yes, please list - include their names, ages, relation to you, and whether they live there or visit: Have they been exposed to dogs? Yes No Are any of them afraid of dogs? Yes No If yes, how do you plan on introducing the dog to the child? Do you plan on having children within the next 10 years? * Yes No Who will be the primary person responsible for the care of your new Spaniel? * Does anyone in the household have pet allergies? * Yes No If yes, how do you plan on controlling them if you adopt a Spaniel? II. Home Environment Type of Home: * House Condo Apartment Other Do you own or rent your home? * Own Rent If Rent: What is your landlords name, phone number and address? (Landlord approval and written verification required) How long have you lived at this address? * Do you have indoor stairs? * Yes No If yes, are they carpeted? Yes No Do you have a yard? * Yes No If yes, how big is it? Is it fenced-in? Yes No If yes, what kind of fence and how high is it? Do you have a doggy door? * Yrs No Do you have a pool? * Yes No What steps will you take to ensure your new Spaniel does not enter/or fall into the pool and not know how to get out? About how many hours would the dog be alone during the day? Please be specific: * III. Other Pets Please list all pets currently in the home: Breed, Name, Age, Intact or Spayed/Neutered? * What pets have you owned in the past? If dogs, what breed(s)? * If you’ve never owned a Cocker Spaniel, what do you know about them? * Are/Were all your pets spayed or neutered? * Yes No Are/Were vaccinations current? * Yes No Are/Were they on heartworm preventative? * Yes No If yes, what kind? Are/Were they on flea/tick preventative? * Yes No If yes, what kind? Have you ever adopted a dog before from a rescue group or a shelter? * Yes No If yes, please list what type of animal and which group/shelter? Have you ever given up a dog in the past? * Yes No If yes, what were the circumstances? Please list any and all: Have you ever euthanized a dog in the past? * Yes No If yes, what were the circumstances? IV. Caring for Your New Cocker Spaniel Are you familiar with the grooming needs of Cockers (ear cleaning, clipping, brushing, etc.)? * Are you aware that the typical life expectancy for a Cocker Spaniel is about 12-15 years? * Yes No Do you intend to keep your dog for its entire lifetime? * Yes No Under what circumstances would you give up your Spaniel? * Are you willing to take on the financial responsibility of owning a dog, such as food, vet costs, grooming, etc.? * Yes No How often do you plan to have your Cocker Spaniel groomed? * How do you plan on exercising your Spaniel? * How often do you plan on exercising your Spaniel? * Will the dog be leashed when off of your property? * Yes No Where will your dog be kept during the day, indoors or outdoors? * Indoors Outdoors Both - doggie door access When the dog is outside, will he/she be supervised? * Yes No Will the dog ever be chained? * Yes No If yes, for how long at a time? * Where will the dog be kept at night, indoors or outdoors? * Indoors Outdoors Both - doggie door access Where will the dog sleep at night? (ex. floor, pillow, bed, crate, etc.) and in what room? * Do you plan on taking your new Spaniel to obedience classes or hiring a trainer? * How will you discipline your dog when it does something wrong? * Will you maintain appropriate limits? (ex. not overfeed, limit treats, discipline when necessary, etc.) * Yes No Do you know never to leave a dog unattended in a car? * Yes No Are you aware of things that are harmful, even fatal, to dogs, such as chocolate, antifreeze, rat poison, etc? * Yes No Who will care for your Spaniel while you’re away on vacation? * Will you keep an ID on the dog at all times? * Yes No If required by local ordinance, will you license your dog? (required in San Diego and Orange Counties) * Yes No What brand of food are you planning on feeding your Cocker Spaniel? * V. Spaniel Preferences and Adoption Which Dog are you interested in adopting? * If you are unsure at this point, please fill out the following information to best help us match your new best friend to you: Age Range? Gender? Male Female Either Color? What characteristics are you looking for in a new dog? * What characteristics would you like to avoid in a new dog? * Would you be willing to care for a dog with treatable health problems, such as allergies, ear infections, arthritis, etc? * Would you be willing to care for a dog with special needs, such as blindness, deafness, limp, etc? * How soon are you prepared to adopt? * Are you interested in fostering until you find your perfect match? * Yes No I am Not Sure There is an adoption fee associated with SDSR rescue dogs (see dogs page for amount). Do you agree to pay a non-refundable adoption fee for this dog, should you be a good match together? * Yes No One of the terms of the adoption contract will be that this dog remain in your possession for the rest of its life. Should you be unable to care for it, for any reason, the dog is to be safely returned to SDSR at your cost. Do you agree with these terms? * Yes No VI. References Veterinarian Reference: current vet or previous vet? * Current Vet Previous Vet I have never used a vet Veterinarian Name? * Veterinarian Address? Veterinarian Phone? Veterinarian FAX? Groomer Reference: current groomer or previous groomer? * Current Groomer Previous Groomer I have never used a groomer Groomer Name? Groomer Address? Groomer Phone? Groomer FAX? Personal Reference #1- Name? * Personal Reference #1- Address? * Personal Reference #1- Phone Number? * Personal Reference #1- Relationship to you? * Personal Reference #1- How long have you known this person? * Personal Reference #2- Name? * Personal Reference #2- Address? * Personal Reference #2- Phone Number? * Personal Reference #2- Relationship to you? * Personal Reference #2- How long have you known this person? * VII. Additional Comments: Additional Comments? * Required Form by myContactForm.com

Thank you for considering a rescue dog and completing our on-line application!

San Diego Spaniel Rescue is an all-volunteer organization. You should hear from us within a day or two, but if you don't, please allow us some leeway. You may follow up at any time with a phone call (619/922-0545) or email (by clicking here).

We look forward to talking with you!

By submitting this application you agree to receive the monthly e-newsletter published by San Diego Spaniel Rescue. This will keep you up to date on our available dogs, our success stories, educational tidbits of information and updates on our monthly Spaniel Social, which anyone is able to participate in. SDSR does not share email addresses.