Adoption and Foster Application – Scottish Terrier Rescue Northwest

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Adoption and/or Fostering Application

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Adoption and/or Fostering (Are you interested in Adoption or Fostering – or Both?) *

Name *

First

Last

Email *

Street Address *

Apartment, Suite, etc.

City *

State *

ZipCode *

Phone Number *

Male or Female? *

Scottie Puppy? (Would you consider adopting a puppy-under 1 year old?) *

Special Scottie? (Would you consider adopting an older or special needs scottie?) *

Two Scotties? (Would you consider adopting 2 scotties?) *

Have you ever owned a scottie before? *

Home type *

House Type Additional Information

Do you have a fenced yard? *

Do you have a pool or any other open body of water on your property? *

Will the scottie come in contact with children? *

Information on contact with children, if you answered yes.

Daytime? (Where will the dog stay during the day?) *

Nighttime? (Where will the dog stay during the night?) *

ever or you

Current Pets? List other pets you currently own, their ages, and their gender *

Veterinarian? (Your veterinarian's name and phone number – as a reference) *