Application for Beauceron Rescue

About You
References
Important Contacts
About Your Household
Your Pet History
Care and Training
Why A Beauceron
Rescue Preferences
Legal Stuff

Order Number

Primary Adopter

Second Adopter

Emergency Contact

(Nearby friend or relative)

Name *

Name

Name *

Address *

City *

State *

ZIP *

Address *

Phone *

E-Mail *

Occupation *

Employer *

Length of Employment *

Phone

E-Mail

Occupation

Employer

Length of Employment

City, State, & Zip *

Phone *

E-Mail

First Reference

Ideally, this person should be a pet professional (vet, trainer, groomer, etc.) who is familiar with you and your pets

Second Reference

Third Reference

Name *

Address *

City, State, ZIP *

E-Mail *

Phone *

How does this person know you and your pets? *

Profession *

Vet

Trainer

Groomer

Other

Name *

Address *

City, State, ZIP *

E-Mail *

Phone *

How does this person know you and your pets? *

Name *

Address *

City, State, ZIP *

E-Mail *

Phone *

How does this person know you and your pets? *

Your Vet

Shelter or Rescue

If you have adopted or rescued a dog before, please share the contact info for the shelter or rescue group

Vet Name *

Address *

Phone *

Clinic Name *

City, State, ZIP *

E-Mail *

Shelter or Rescue Name

Address

Phone

Contact Name

City, State, ZIP

E-Mail

Tell Us About Your Household

Members of the Household (names and ages) *

Adults Visit: *

Children Visit: *

Activity Level (on a scale of 1=calm to 5=hectic) *

How long have you lived at this location? *

Do you own or rent your home? *

Own

Rent

Do you have a fenced yard? *

Yes

How much time each day will you be able to spend with your dog? *

How much time will other household members spend with your dog?

What brand/type of food do you plan to feed your dog? *

Your Pet History

Please tell us about the pets you have owned in the last ten years. Include their names, species, breed, and anything you think is significant. *

Which of these pets still live in your household? *

Are the pets currently in your household spayed/neutered? *

Do you understand that all ABC rescues are spayed/neutered? *

Are your current pets up to date on vaccinations? *

Describe what you consider to be normal vet care requirements for a dog. *

Under what circumstances do you feel it is appropriate or necessary to re-home a dog? *

Have you ever had to surrender a dog to a shelter or rescue? *

Have you ever had to give away or sell your pet? *

Care and Training

Beaucerons are social pack animals that need to live in close companionship with their family and pack. While moderate time may be spent in an adequate outdoor kennel or dog house, they cannot be kept outside exclusively; they must be able to spend time with their family. A beauceron should never be left chained. Do you agree to these conditions? *

Maximum # of hours each day dog will spend alone *

Do you plan to crate your dog? *

Where will the dog be when it is alone? *

Who will be responsible for the dog's care and training? *

If your dog is destructive when left alone, how will you address that issue? *

What methods will you use to discipline your dog if (s)he misbehaves? (e.g. jumping on people, growling at strangers)

Will you attend obedience training with your dog? *

Have you ever trained a dog? *

Have you ever bred or raised dogs? *

Have you ever participated in dog shows? *

Please describe your experience with dogs, and specifically with large dogs. *

How will you ensure that your dog is always *

Collar tags

Microchip

Other

Why A Beauceron?

Have you ever owned a beauceron? *

Why do you feel that a beauceron is a good match for/addition to your family?

Please tell us why you are looking for a beauceron now, and why you chose the challenge of rescue over a puppy.

Rescue Preferences

It's important to you that a rescue dog: *

Is Good With Children

Is Good With Small Dogs

Is Good With All Dogs

Is Good With Cats

Is Good With Livestock / Farm Animals

Has A Friendly Disposition

Plays With People (Games, Fetch, etc.)

Has A High Energy Level

Has A Moderate Energy Level

Travels Well

Doesn't Jump

Doesn't Chew

Already Has Reliable Obedience

Will Run / Jog With Me

Has Potential For A Specific Sport Or Activity

Other

Gender *

What activities do you expect a beauceron to participate in, with you or with family members? *

Are you interested in one of our current rescues? *

Legal Stuff

Are you willing and able to accept full care, costs, and necessary burdens and *

Are there local ordinances in your area pertaining to owning/housing (i.e. leash laws, required vaccinations, dog licensing)? *

Based on local regulations, how many pets may you legally have? *

Has anyone in your immediate family/household ever been convicted of a charge relating to cruelty to animals or child/spousal abuse? *

Has any such charge ever been filed? *

Is there any such charge pending? *

Thank you for completing this questionnaire.

By typing your name and the date, and clicking "submit," you are attesting that:

- Your answers are truthful and complete to the best of your knowledge.

- You understand that if answers are determined to be false, you will be disqualified from rescue.

- If your answers are determined to be false after a rescue adoption has been completed, the rescue agreement will be null and void: you will be required to return the dog to ABC Rescue, with no refund of any fees or costs already paid.

- If for any reason you are unable or unwilling to keep the dog, you may not give, sell, or assign the dog elsewhere, but MUST return it to ABC Rescue..

Signature *

Date *

National Specialty Web Site

Donate to Support Breed Rescue

Donate to Support the Club

Primary Adopter

Second Adopter

Emergency Contact

First Reference

Second Reference

Third Reference

Your Vet

Shelter or Rescue

Tell Us About Your Household

Your Pet History

Care and Training

Why A Beauceron?

Rescue Preferences

Legal Stuff