Board of Directors
Lisa D. Simons, Larry D. Forrest
Karla A. Francken, Esq. Elaine Horwitz, MD

Corporate Address

6910 N. Rockledge Ave., Glendale, WI 53209
Phone: 414-540-4091 Fax: 414-540-6279
Email: FORMastiffs@mastiffrescue.org

Visit our website:
www.mastiffrescue.org

Adoption Application

Personal Information
Adoption Application Name(s)
Address:
City
State
Zip
Previous Address:
Previous City
State
Zip
How long have you lived at the present address?
Residence Information: Apt/condoTownhouse Trailer Single FamilyFarmOther
  Own Rent
   Rural Suburban Urban
If rent, does Landlord approve of giant dogs? (If rent, we  require written permission from Landlord to have a Mastiff on the property.) Yes No
Landlord’s Name:
Landlord’s telephone number:
 Your Phone No. (with area code) Home:
Work:
Cell:
Fax No. (with area code)
Email
Optional: Drivers License No. (with state):
Date of Birth:
Marital Status:
Spouse’s Date of Birth:
Occupation
Spouse’s occupation:
Employer’s Name:
Employer’s Telephone Number:
May we contact your employer? Yes No
Names and relation of other adults in household:
Names and ages of children living and/or visiting in household on a regular basis:
If no children, planning on children? Yes No
Pet & Pet Care Information
Do you currently own dog(s)? Yes No
How many?
Dog information:

 
1 Dog 1 Dog 2 Dog 3 Dog 4
Dog's Name
Breeds
Ages
Sex
Spayed/neutered?
(If you have more than four dogs, list their information below)
Other Information:
What happened to previous dogs:
  Dog 1 Dog 2 Dog 3 Dog 4
Dog's Name
Ran away
 
Stolen
Sold
Given away
Why?
Given up to Rescue or a shelter?
 If so, why?
Euthanized?
 If so, why?
Died?
 Cause of death?
Age?
 If you have other dog(s) how would you describe his/her temperament? Check all that apply.
Dog 1 Dog 2 Dog 3 Dog 4
Dominate
Mild tempered
Submissive
Aggressive
Shy
Hyper
Natural leader
Follower
Friendly
Aloof
Easy going
Laid back
Afraid of Storms
Other (list)
Describe Other 
Do you currently own any other type of pets? Yes No
What kind and how many of each?
Do any family members have allergies to hair, dander, or dust? Yes No
Approximately how large is your yard?
Fenced yard: Yes No
Type of fence:
Height:
If no fence, how do you plan to exercise your Mastiff?
Where will the Mastiff live? Inside Outside Kennel Other (list):
If the Mastiff will live outside, describe the type of shelter it will have:
While the Mastiff is outside, will the Mastiff be  Fenced Tied or Chained Free to roam
Do all adult family members work outside the home? Yes No
Approximate hours per week:
Hours during the week the Mastiff would be alone:
Where will the Mastiff be kept when you are home?
Where will the Mastiff be kept when it is alone?
Where will the Mastiff sleep at night?
How will the Mastiff be cared for on overnight absences or while on vacation?
What type of vehicle do you have for transporting the Mastiff?
How much time will you be able to spend with the Mastiff daily?
Have you ever owned a giant breed of dog before? Yes No
Breed
What did you like the best about your past dog?
What did you like the least about your past dog?
What do you like the best about your current dog?
What do you like the least about your current dog?
 Why did you decide you wanted a Mastiff?
Are you familiar with the characteristics and temperament of a Mastiff? Yes No
What do you like about the Mastiff breed?
What books have you read about the Mastiff?
Would you be interested in breeding your Rescue Mastiff? Yes No
Selecting the Right Mastiff for You
Are ALL family members in agreement about getting a Mastiff? Yes No
Explain:
Are you interested in : Male Female Either
Age preference: Puppy Young adult Older dog
Color:
Here are a series of important questions. Answering all carefully will help in selecting the right Mastiff for you and your family.
Why do you want a Mastiff?
1 = Most Important 8 = Least Important
1 2 3 4 5 6 7 8
Guard Dog
Companion:
Watch Dog:
Therapy Dog:
Prestige:
Child’s Friend:
Obedience Prospect:
Other: (list)
Other:
What aspect of a Mastiff is most important to you?
1 = Most Important 8 = Least Important
  1 2 3 4 5 6 7 8
Appearance:
Agility
Temperament:
Easy care coat:
Quiet companion:
Friendly attitude:
Size:
Other: (list)
Other:
 
What type of temperament would best suit your family? And why?
Dominant Why:
Mild tempered Why:
Submissive Why:
Aggressive Why:
Shy Why:
Hyper Why:
Natural leader Why:
Follower Why:
Friendly Why:
Aloof Why:
Easy going Why:
Laid back Why:
Other (list) Explain:

   
What is your family’s activity level? Athletic Moderate Medium Low Retired
Other (list):
What activities do you intend to do with the Mastiff:
Do you subscribe to any dog related publications? Yes No
Which ones?
Will you take the Mastiff to Obedience Classes? Yes No
Why or why not?
Are you prepared for the financial responsibility of owning a Mastiff? Yes No
How much do you think it will cost per month to feed and care for your Mastiff?
Name of the primary caregiver of the Mastiff?
Will all family members be involved with the care of the Mastiff? Yes No
Explain:
How many dogs can you legally have where you live?
Is there a leash law? Yes No
What made you choose the Mastiff breed?
What made you decide to adopt a Mastiff from a Rescue Organization?
Would you be willing to help with transporting your Rescue Mastiff to your home? Yes No
Distance or time?
Are you interested in providing foster care to a Mastiff while awaiting the Mastiff of your choice? (Foster families may be given priority in adopting the Mastiff in their care) Yes No 
Reasons:
Please list your current veterinarian:
Name
Clinic Name:
Address:
City
State
Zip
Phone
Fax
 
Please list previous/other veterinarian:
Name
Clinic Name:
Address:
City
State
Zip
Phone
Fax
Please list one personal reference:
Name
Address
City
State
Zip
Phone
Please list one personal reference (non-relative)
Name
Address
City
State
Zip
Phone
Conclusion
How did you learn about Mastiff Rescue?
Please list any other information/comments you feel may help us in placing a Mastiff in your home:
I certify that the information contained in this application is true and correct and I understand that prior to the placement of a Rescue Mastiff in my home, the information will be verified. I also agree to a personal interview to determine the suitability of my facilities to care for a Rescue Mastiff. Please note there is a donation fee of $350.00 By typing your name in the field below you are agreeing with the statement on the left
Date Year 20

Please be advised that we are all volunteers dealing with identifying and/or pulling Rescue Mastiffs from Shelters, picking up Owner Surrenders, going on home visits, coordinating foster homes, transporting Rescue Mastiffs whether to the vet for vet care or to a new home, the list seems endless, therefore if we have not contacted you within a month of submission of this application please feel free to contact us.

Revised March 2004

 

© 2004 Friends of Rescued Mastiffs
North-South-Midwest Region
For comments or suggestions regarding this website, please contact Blake Gabel.

Concepts
Website Design