Dedicated to finding the perfect home for every
homeless Airedale in AZ, NV, NM & UT

Donate to the Southwest Airedale Terrier Rescue Organization

Southwest Airedale Terrier Adoption Application

If you have problems with the on-line application, or prefer not to fill it out, Click here for a printable version of the application.

I/we have read and agree to the Southwest Airedale Terrier Rescue adoption procedure

Yes, I/we have read and agree to the Southwest Airedale Terrier Rescue adoption procedure
No, I/we have NOT read the Southwest Airedale Terrier Rescue adoption procedure and/or I/we do NOT agree to the Southwest Airedale Terrier Rescue adoption procedure

Applicant First and Last Name:

Email Address:

Applicant Age:

Applicant Employer:

Does your occupation require that you travel?

Co-Applicant First and Last Name:

Co-Applicant Email Address:

Co-Applicant Age:

Co-Applicant Employer:

Does co-applicant's occupation require travel?

Names and ages of all other human members of the household:

PRIMARY RESIDENCE:

Primary Residence Street Address:

City:	State:	Zip:

Nearest commercial airport:

Home Telephone:

Applicant Cell Phone:

Co-Applicant Cell Phone:

Why are you interested in adopting a rescued Airedale? Please be as specific and detailed as possible.

Home Environment

Type of dwelling (Apartment, single family residence, duplex, townhome, condo, loft, etc?)

Do you own or rent your home?

If renting, do you have written permission from your landlord to have a dog over 50 lbs?

Landlords Name:

Landlord Phone:

Length of time at current residence?

If less than one year at current residence please provide previous address:

Length of time at previous residence?

Do you have plans to change your residence (moving or vacation) in the next 90 days?

If yes, please describe your plans.

Will your adopted Airedale regularly be taken to any other residences, such as a weekend or vacation home?

If yes, please describe the frequency of visits and whether there is a fully fenced yard.

Where will your dog stay when you travel without your dog?

How often will you travel without your dog?

Please list all current pets (dogs, cats, birds, etc.) in your household.
Indicate type, breed, age, and whether spayed or neutered.
If you have no current pets, please state that.

Please describe how your current pets get along with visiting dogs in your home.

Please describe how your pets get along with dogs when they meet them away from your home.

For applicants with no current dogs, how long has it been since you owned a dog?

Will your adopted Airedale interact regularly with dogs belonging to other family members, friends, neighbors, etc.?

If yes, please describe.

Will your dog have the run of the entire house when you are home?

If no, please describe areas your dog will and will not have access to and reason for restriction:

Does anyone in your household have allergies to animals?

If yes, please describe.

Does anyone in your household have a physical disability or serious health condition(s)?

If yes, please describe.

Who will be primarily responsible for the care of the adopted dog?

Is anyone regularly at home during the day?

If yes, please describe who and how often.

How many hours at a time is no human home?

Where will your dog be during this time?

How many days a week will your dog be left alone?

Where will your dog sleep at night?

Fence Information

Do you have a physical or electronic (invisible) fence that completely encloses part, or all, of your yard?

Area that is enclosed:

Describe the fenced area that you will use to keep the dog safe. Include the type of fencing, its height and the size of the fenced area.

Do you have any dog doors that open directly to the fenced area?

Will the dog have access to a dog door when you are not home?

Do you have a pool?

If you have a pool, is it accessible to the dog when you are not home?

Animal Ownership and Experience

List all the breeds of dogs have you owned, now or in the past (if mixed breed, give your best guess).

Have you ever sold, given away, or surrendered a pet to a shelter?

If yes, please describe circumstances.

Have you ever had a pet that was lost or ran away?

If yes, please describe circumstances.

Have you ever had a pet euthanized?

If yes, please describe circumstances.

Have you ever bred a dog?

If yes, please describe circumstances.

Do you plan to breed dogs in the future?

Are you familiar with the use of a dog crate?

Have you used a crate with a previous dog?

In what room would you put the crate?

When would you use a crate?

Do you plan to groom the Airedale yourself or use a groomer

If you plan to groom the Airedale yourself, describe your experience.

How often will your dog be walked off your property?

Describe the area where you will walk your dog.

What other kinds of exercise or activities will your dog participate in?

How do you plan to train your dog to be a well-mannered member of the family?
Please be as specific and detailed as possible.

Have you or a member of your immediate family ever completed an obedience course with another dog?

If yes, please indicate how long ago and what kind of training.

Describe any other previous experience you or a family member has had in training dogs.

Have you or a family member ever participated in any dog-related activities such as conformation, obedience, agility, flyball, animal-assisted therapy, etc.?

If yes, please describe.

Are you aware that routine costs of maintaining a dog average $800 to $1,200 per year?

If your adopted dog develops a serious illness, injury, or health condition at some point in his or her life, are you prepared to obtain necessary/appropriate medical care?

Airedale Terrier Breed Information and Preferences

Generally speaking, what kind of temperament would best suit your household? Check all that apply.
Energetic, always on the go
Loves to walk, run or hike
Sweet and cuddly
Patient and tolerant of kids
Couch potato 80% of the time
Protector of the house, barks loud
A challenge: needs constant watching or will find things to get into

Are you aware that Airedale Terriers are very active dogs (especially when young) and will require significant daily exercise and ongoing training?

Are you aware that some Airedales will kill cats and will never be able to live with a cat?

Are you aware that Airedale Terriers are large dogs and may jump and knock down children or the elderly?

Does EVERYONE in the family want to adopt an Airedale Terrier?

Some Airedales are accustomed to being allowed on furniture, others are not. For placement information purposes, will your dog be allowed on the bed or other furniture?

Will you have dog beds?

Where?

The Airedale Terriers in our program range considerably in age. Please identify the age range you are primarily interested in adopting:

Do you prefer a male or female Airedale?

Would you consider adopting a senior Airedale?

For applicants with no current dogs: Would you consider adopting a dog who does not get along well with other dogs? (We get many wonderful dogs in our program who need to be an “only dog.”)

Would you consider adopting a special needs dog, such as one with physical or sensory impairments or who requires medication for a permanent but controlled condition?

What is your anticipated time frame for adopting a dog? (We will not hold you to your reply; it is just to assist us in the planning and matching process.)

If Other, please describe:

ADDITIONAL INFORMATION: We encourage you to provide additional information about yourself and your family, including any special activities in which your rescued Airedale would be included. Also, if you have any special requirements or requests for a dog, please let us know so that we can more carefully match a dog to your lifestyle. The more we know about you, your family, and your pets, the better!

Veterinarian Information

Veterinarian Name and Address and Telephone (current and for past five years):

If you currently own pets or have owned pets the past five years and have not listed a veterinarian above, explain why:

If you do not have a current veterinarian, name and address of veterinarian you plan to use.

Would you be interested in volunteering by fostering, transporting, etc.? Please indicate how you would like to help.

I/we understand that the Southwest Airedale Terrier Rescue adoption matchmaking process involves mutual decision-making between the adopter and volunteers and is based on determining which family or individual can best meet the needs of each dog in the program. The volunteers will take my/our preferences regarding age, activity level, etc. into consideration but cannot guarantee that I/we will be matched with a dog meeting those specific criteria.

I/we attest that I have read and understood the Policies for adopting from a Southwest Airedale Terrier Rescue volunteer.

I certify that the information given in this questionnaire is true and correct.

Applicant Digital Signature:

Please type your name and date to signify your agreement to the above

Date:

Co-Applicant Digital Signature:

Please type your name and date to signify your agreement to the above

Date:

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Click here for a printable version of the application. Contact us with your city and state for the correct mailing address.