Family Profile

Name: _____________________________________________________________________________
Address: __________________________________________________________________________
Phone: ____________________________________  Fax: _________________________________
E-mail: ___________________________________________________________________________
Names and relation of other adults in household: __________________________________
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Names and ages of children living in the house: ___________________________________
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Other pets owned (age and the sex of each): _______________________________________
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Are your animals neutered and/or spayed. If not, why not? _________________________
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Do you  ____own or,  ____rent:   ____house  ____apartment  ____condo?
How long have you lived at present address? _______________________
Will the dog be  ____inside, or  ____outside?
Where will the dog live? __________________________________________________________
If the dog will be outside during the day, describe the shelter it will have:
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Do you have a fenced yard? _____  Please describe: ________________________________
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Do all family members work outside the home? _____    Apprx. hours: _______________
Have you ever owned a dog? _____  When? _____    What happened to it? _____________
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Have you ever owned a Mastiff? ____    If so, what happened to it? ________________
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Name, address and phone of your Veterinarian: _____________________________________
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Another reference (preferably one that is familiar with your care of animals) name, 
address & phone number: ___________________________________________________________
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Do you prefer a	 ____male   ____female?  Age  preference: _________________________
Why do you want a Mastiff? ________________________________________________________
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Why do you want a rescue Mastiff? _________________________________________________
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How did you learn about the Mastiff? ______________________________________________
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Will you agree to spay/neuter the dog if requested by Mastiff Rescue and provide
proof if required? ______________
Would you be willing to pay for transportation costs if a suitable dog is
available in another area? ___________
Are you interested in giving foster care to a mastiff while awaiting the dog
of your choice? ______________________________________________
Any other information you feel is important in helping us determine the best
match in a Mastiff for you and your family? _______________________________________
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If you learned about the Mastiff from books, we strongly suggest that you let
us know so we can put you in contact with someone in your area or tell you about
upcoming shows so you can see the Mastiff up close and personal.

Please note, there is an adoption fee of $350.00.

I certify that the above information is true and I understand that prior to the
placement of a Mastiff in my home the above information will be verified. I also
agree to a personal interview with an FORM member, if requested, to determine
the suitability of my facilities to care for a Mastiff.

Applicant signature and date: ____________________________________  _______________

Regional Coordinator date and comments: ___________________________________________
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Please return to:

Return to How to Adopt Page

Revised 9/21/99