Adoption application

The National Borzoi Rescue

Adoption Application

First Name

Address

Last Name

Phone number

City

State

County

Zip Code

Occupation

Employer Phone

Employer

How long employed

If you are not head of household who is

Head of Household Employer

Head of Household Occupation

Head of Household Employer Phone Number

How long employed

Type of Residence: House, Apt, Condo, Mobile home

How long at this address

Do you rent or own

If you rent do you have permission to have a Borzoi

Does your city, town or county have a law or ordinance limiting the number of dogs you can keep?

Other People living at this address, please list age if under 21

Name

Relationship

Age

Please list all current pets

Species

Name

Age

Spayed or Neutered (Y/N)

Male/Female

Species

Name

Age

Spayed or Neutered (Y/N)

Male/Female

Species

Name

Age

Spayed or Neutered (Y/N)

Male/Female

Name

Age

Spayed or Neutered (Y/N)

Male/Female

Where are your pets kept?

Where would you keep a Borzoi?

What type of Exercise would the Borzoi get?

Tell us a little bit about your current dog or the last dog you owned. If you have never owned a dog why now?

Why do you want to own a Borzoi?

If you have not owned a Borzoi have you met one in person? What do you know about them

Does anyone in your home have allergies? If yes please explain.

Fence height

Fence Material - wood, block, chain link, etc.

Yard dimensions or sq feet

How much time would the Borzoi spend outside?

Have you ever owned a Borzoi before?

Have you owned another type of large breed dog? What kind? What happened to them?

Have you ever surrendered a dog to a shelter or taken one back to a breeder? If yes please explain

Please rate from 1 to 10 with 1o being the most desirable

Male

Female

Under 6 months

6-12 months

1 to 5 yrs old

Over 5 years

With Medical Needs

Untrained

Cat Friendly

Small Dog Friendly

Other (anything we have missed)

References: (please include name and phone number)

Veterinarian

Phone

Personal Reference 1

Phone

Personal Reference 2

Phone

Personal Reference 3

Phone

Who in your home wants a Borzoi?

Who will be the primary caretaker?

Would you consider foster care for a trial period?

Will you keep NBRF informed of any moves, illnesses, escapes or death of any Borzoi entrusted to your care?

Do you understand that NBRF charges an adoption fee of $400 per Borzoi OR $500 per International Borzoi?

How far would you be willing to drive to pick up your Borzoi?

Signature

Date