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Now that you have decided to adopt a Dachshund or other rescued dog: PLEASE READ THE FOLLOWING
Please "copy" (drag your cursor over and hit copy) the blank application/questionnaire at the bottom of this page and paste it into an e-mail to badgerdogbren@yahoo.com then complete it including your references and send. NOTE: Incomplete questionnaires cannot be processed. If you have questions regarding this process or need help please contact us. If you do not have e-mail call me at
804 561-1272 and I can schedule an appointment to take your application over the phone. If there is no answer please leave a message and I will get back to you.
Once I have received your questionnaire I will review it (usually within 72 hours) and call your references and Vet. If you are approved I will call you for a phone interview with any other questions I have and or speak with you regarding any questions/concerns you may have. At this time we will set up a time to meet the
dog(s) and meet you and your family. Note: we do not do third party adoptions. We must meet all family members and any other dogs you have the day of adoption. If all goes well you may take your dog(s) home this same day.
Please take note of the adoption fee for your new dog. We do not negotiate on our fees as they are there in order to help recover vetting and other related expenses and allow us to continue our rescue work.
Please note: Rescue NEVER makes any money and we often use our own vacation and or tax return money to pay Vet bills. There is no profit in this and in fact we are typically at a significant loss as the Vet care, food, supplies, etc we provide for our rescue dogs almost always costs more than the fee we ask for. You can go to a shelter and get a low priced or free dog but please do understand when you get that dog home and then to the Vet you will likely end up with a bill higher than the fee we would have asked you for. We always advocate shelter adoptions but please do not be disillusioned about getting a free dog who will be free for long. Here are the typical expenses rescue incurs.
Spay/neuter- 105.00-125.00
Blood work prior to spay/neuter if dog is 5yrs or older or if we suspect an illness-87.00
Dental- 150.00-300.00 (if needed)
Exam- 42.00
shots- 30.00
heartworm check-25.00
heartworm prevention-27.00
deworming-35.00
Frontline- 15.00
Food for a typical 3-4 week stay-30.00 (we use only holistic dog food)
see information on canine nutrition in the "updates" section of this website.
____________________________
Total costs to prepare a dog for adoption can be in the hundreds for each dog!
The above is for only basic care. This does not include heartworm treatment, treatment for other illness or injury, long term rehabilitation etc. Costs can be in the thousands at times for one dog.
Our adoption fees are as follows: note: puppies are extremely rare in rescue
0-6mos $350.00
7-11mos $300.00
1-5yrs $250.00
6-8 yrs $200.00
9-10yrs $150.00
11+ yrs donation only
ask about our seniors for seniors program! Adoption fee is reduced by 50% for approved applicants adopting senior Doxies 8-10 years of age
(mixed breed adults we only ask $150.00 but remember the vet costs are the same no matter the breed)
ADOPTION QUESTIONNAIRE - COPY, PASTE & COMPLETE THEN SEND TO: badgerdogbren@yahoo.com
NOTE: there are lines given to prompt your answers but as this will be returned to me in e-mail form feel free to type as much as you like in your responses. The more information I receive the better I can match a dog to your home/family. A space is provided for additional comments so feel free to provide details about the perfect dog for you or express any questions or concerns you may have.
Thank you and I look forward to helping you find a new friend!
PLEASE NOTE:
WE ONLY ADOPT TO SMOKE FREE HOMES. IF YOU SMOKE INSIDE YOUR HOME YOUR FAMILY INCLUDING PETS AE AT SERIOUS HEALTH RISK.
(SEE OUR HEALTH PAGE FOR MORE INFORMATION) _____________________________________________________________________________
HARMONY HOUNDS RESCUE RANCH
ADOPTION QUESTIONNAIRE
First name__________________
Last name__________________
Address____________________
_________________________
Phone number(s)__________________
e-mail___________________________
How many people live in your home? _________ please state ages and relation________________
How long will your Dachshund be left alone in any given 24 hour period?_________________
Does anyone in the home smoke? ________ If yes, do the smokers smoke in the home? ________
Do you own or rent?____________ If renting do you have permission to have a dog?______
(please be prepared to provide written consent from your landlord if renting)
Do you have an established Vet? _____ If not will you be prepared to have one prior to adoption?
Name, address and phone number of current or intended Vet___________________________________
Have you ever owned a dog before?___________ If yes, what happened to each dog?____________
Have you ever owned a Dachshund? ________ Do you understand the characteristics and temperament of a Dachshund?____________ If you have never owned a Dachshund are you willing to purchase and read a book(s) on Dachshunds or do research on this breed prior to adopting? _______
(please be prepared to explain what you know about this breed during your phone interview)
Do you have pets now?________ If so please tell us about your current pets including the species, breed, age and gender of each.
____________________________________________________________________
Are your animals currently spayed/neutered?__________ If not, explain why____________________
Do you have a fenced yard?__________ If no fenced yard how will you exercise and or contain the dog? _______________
Are you aware that Dachshunds are especially difficult to house train and will need extra encouragement and training? _________ Are you willing to continue the efforts we have started in house training?___________
Please note:
(If you only want a dog who is 100% house trained prior to adoption we cannot ever guaranty this)
Do you have stairs in your home? __________ If so are you willing to gate them off to prevent a back/disc injury from your Doxie climbing stairs? __________
Do you have neighbors who would be bothered by a barking dog?__________ How do you plan to keep your dog from barking?_______________
Will you agree to take your dog in for a yearly health exam and necessary shots?_______________
Will you agree to keep your dog on heartworm preventative?__________
Will you agree to continue basic grooming and dental care?___________
Will your dog live inside or out or both? Please explain where your dog will reside______________
Where will your dog sleep?__________________
Will you consent to a home visit prior to adopting? ______________
What gender of dog are you looking for? Male______ Female____ No preference_____
Do you have a size, coat, color or pattern preference in a Dachshund? Breed preference? (for mixed breeds and other hounds) Please explain:________________________
Are you interested in a particular dog? Please name the dog(s) you are interested in: _____________
What do you plan to feed your new dog?_______________
Are you open to suggestions on canine nutrition?______________
Note: Our rescue dogs are currently fed only premium holistic dog food.
Please explain some circumstances in which you have or would give up your dog:
_________________________________________________________________
Please explain some circumstances in which you would chose to have your dog put to sleep:
__________________________________________________________________
Do you agree to contact HHRR should you no longer be able to keep your adopted Dachshund and allow HHRR to take back and or help you re home this dog?_________
Additional comments/concerns or tell me more about you that will help me to match you with your new dog!
___________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
______________________________________________________________________________
Please provide us with 3 personal references (name & phone number or e-mail) who have known you with a pet.
1. ________________________________
2. _________________________________
3. __________________________________
All the information I have provided on this application is, to the best of my knowledge, true and complete. I understand that falsifying information on this application, or at any other time during the adoption process, disqualifies me from adoption. I am aware that submitting my application does not guarantee that I will receive approval to adopt a dog from Harmony Hounds Rescue and that Harmony Hounds Rescue reserves the right to reject any applicant at any time during the adoption process.
Type your name here to state your acknowledgment: _____________________________
Now that you have read our questionnaire and are ready to adopt please copy, paste then complete and type your name above in acknowledgement and send this to us via e-mail and you will be contacted shortly. If approved we will set up a meeting when a suitable dog is available. On the day of adoption you will be asked to sign an adoption agreement and will pay your adoption fee. We accept cash and money orders made payable to Harmony Hounds Rescue Ranch
Thank you and I look forward to working with you!
Brenda
Harmony Hounds Rescue Ranch (founder)
_________________________________________________________________________
For mini Horses
Complete the questionnaire below
__________________________________________________________________________
Harmony
rescue/sanctuary
(mini hounds & horses)
Please mail to:
Brenda Bryant
8800 S. Genito Rd.
Jetersville, VA 23083
www.harmonyhoundsrescue.com
I am applying to ADOPT a mini horse
Adoption Home Information:
Name: __________________________________________________________________
Address: ________________________________________________________________
(street address, city, state, zip where adopted mini will reside)
Mailing Address (if different than above) ___________________________________________
Home phone: _______________________ Work Phone: _________________________
Email address: ___________________________ Fax :_________________________
Date of birth: _____________
Current Employer: ________________________________________________________
Years with this Employer:_________
Employer’s Address: _______________________________________
Are you a member of any Miniature Horse Club and/or Organization or other breed or other animal shelter/rescue? _______________________________________________________________________ (Please list any, and your involvement)
Do you have animals other than horses? _______________________________________
(list types, breeds, numbers)
Are your current animals spayed/neutered/gelded? ________________________________________
Please state the intended use of your adopted mini: (ex. ride, to pull a cart, show, therapy horse, pet or broodmare/herd stallion) Note: minis should not carry a rider over 40 pounds.
________________________________________________________________________
Do you have children? _________ If yes, will the child(ren) help with adopted mini?____________ What are their ages? _____________________________________
Number of people in household that will be in contact or assist with care of the adopted mini?_________
Have you ever been charged with or convicted of animal abuse? ______ If yes, please explain. _________________________________________________________________
Preferred Type(s) of Mini(s) to Adopt:
These questions are to help determine what animals you would most like to adopt. Feel free to explain any stipulations you may have or any concerns you may have on the lines provided.
Place a check mark next to which of the following you would be willing to adopt:
______ Miniature Mare ______ Miniature Stallion (or Newly Gelded) _______ Miniature Dwarf ______ Miniature with physical disabilities (founder, laminitis, diminished vision, other?)
______ Miniature cross breed (pony or other breed mix over 38")
Would you be willing to adopt a mini which HRS has no background information on?
(This can occur with abandoned or auction horses.)
________________________________________________________________________
Would you be willing to adopt a horse with training issues? If so, please explain your own training experience. ________________________________________________________________________
________________________________________________________________________
Would you be willing to adopt a horse with health issues?_________________________
(explain any health issues you are/aren't comfortable dealing with)
________________________________________________________________________
Would you be willing to adopt an old horse? Over 30?______ Over 25?______ Over 20?_____ Senior undetermined age?______ (check all that apply)
Would you be willing to adopt a horse under one year of age?______________________
Would you be willing to adopt a mare in foal?___________________________________
Current equines
Do you currently own any horses? If so, breeds, sex and number of each? ________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________________________________________________________________________________
If the mini will be kept someplace other than the address given above, please list the name of the facility, address, contact person, and phone number: ________________________________________________________________________________________________________________________________________________
When was the date your equine(s) were last vaccinated? __________________________
What vaccinations did your equine(s) receive? __________________________________
When was the date your equine(s) were last de-wormed? __________________________
What de-wormers do you use annually? _______________________________________ _______________________________________________________________________
What do you feed your current equine(s)? _______________________________________________________________________
Equine Experience
Do you currently own equines or have you owned equines before? (If so, when, for how long, and what types?) ________________________________________________________________________
________________________________________________________________________
________________________________________________________________________________________________________________________________________________
In the past five years, have you given any equines away or sold any equines? If so, please explain.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________________________________________________________________________________
In the past five years, have you had any equines in your care die? If so, please explain.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________________________________________________________________________________
Please describe your experience with handling, caring for, riding, and training equines.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________________________________________________________________________________
Are you actively breeding your equines?_______ If yes, do you have adequate facilities to separate the adopted equine from your breeding herd/stallions?____________________________________________________________
Will anyone other than yourself be feeding the adopted mini? _____________________
How often do you plan on feeding the adopted mini? ________________________________________________________________________
How often do you plan on having a farrier trim the adopted mini?
________________________________________________________________________
How often do you plan on de-worming the adopted mini? ________________________________________________________________________
If you own other equines, do you have adequate facilities to quarantine the adopted mini?
________________________________________________________________________
Will the adopted mini be kept in a barn or pasture? ______________________________
If the mini will be in a barn, how big are the stalls? ________________________________________________________________________
If the mini will be in a barn, how often will it be turned out? ________________________________________________________________________
If the mini will be kept in pasture, how big is the pasture? ________________________________________________________________________
How many other equines are in the pasture? ____________________________________
What kind of fencing do you have? ________________________________________________________________________
Is there debris in the pasture such as (circle one) limbs, metal, glass, trash, other (if other, please describe)?
________________________________________________________________________
Reference Information:
You must provide us with three separate references. One must be a vet, one must be someone who knows your experience with equines, and one must be a personal reference who has been to your home and knows your family. These must be three separate unrelated people.
Who is (or will be) your veterinarian? ________________________________________________________________________
________________________________________________________________________
(please list name, address, phone number, also the approximate distance from your facilities)
Please list the name, address, and phone number of the person who knows your equine experience who will submit a letter of reference for you: ________________________________________________________________________
(Equine professional can be a trainer, farrier, equine dentist)
Please list the name, address, and phone number of the person who will submit a letter of personal reference for you: ________________________________________________________________________
(This must be someone NOT living at the same address. Please list your relationship to this person)
ADOPTION APPLICATIONS WILL NOT BE PROCESSED UNTIL ALL THREE LETTERS OF REFERENCE ARE RECEIVED! ! !
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I the undersigned understand I am applying to adopt a mini(s) horse from Harmony Rescue/Sanctuary (HRS). I understand that I must complete the application procedure and have my home (or boarding facility) approved before being allowed to adopt any mini from HRS. I understand that I may not be able to adopt the mini I want for various reasons.
I understand that if at any time, I can no longer care for the adopted mini, it will be placed back into the care of HRS and my adoption fee will not be refunded.
By signing this application, I agree that I have read and understand the /adoption policies of Harmony Rescue/Sanctuary. I also agree not to hold HRS liable in the event of injury, death or damage to any human, animal or property as a result of activities or actions of the mini(s) I am adopting.
___________________________________________ _______________________
Adopting applicant Date
*Please make sure to attach photos of your barn, shelter, pasture and/or any areas the adopted mini will be in housed or living.
*If there is additional information that you feel is important to share with HRS, attach additional sheets as needed.
*If you would like to make a voluntary contribution to HRS that would be most appreciated!
Donations are made to Harmony Rescue and can be made by check, paypal donation to harmonyhoundsrescue@verizonmail.com or to one of our vets for the medical fund.
Please note: donations are used for both hounds and horses depending on the current need.
Thank you and we look forward to helping you find your next equine friend!
Brenda
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