Adoption Application

We sincerely hope we can be of service to you.

We ask that you fill out this questionnaire as completely as possible.

This form is designed to help you help us in finding the Cocker Spaniel most compatible with your lifestyle. Our ultimate goal is to match the right dog with the right home for the enduring happiness of both you and your new best friend.

Once your application is submitted, one of our volunteers will get back to you as soon as possible. Please be patient, since we are all volunteers and work other full time jobs. It could take up to 2 weeks to approve.  If you would like please feel free to email us or call us at 813-245-1833 to check the status of your application at any time leave a voicemail if you don’t get an answer and someone will return your call as soon as possible.  Please complete the application document and click on “submit” button at the bottom when you are ready to send. Make sure that your email address and phone number(s) are correct and that your vet reference (past or present) heartworm, flea, and all other questions are answered as completely as possible.

Please note that it may take up to two weeks for our volunteers to reply to your request. We know you are anxious but we are doing our best and will get back to you as soon as possible so Call or Email at anytime to check status. Thank You again,

Carol Cansler, FCSR

Your Contact Information

Current Pet Information

Do not leave this section blank. If you don't have a pet at this time, indicate "None"

Provide your current and/or previous veterinarian's name, address, and phone number.

Provide the name of the Heartworm Preventative you use or have previously used.

Provide the type of flea control you use or have previously used.

Primary Adopter's Information

Other Information

List AGES of all adults, including your self, living in the household

List the AGES and sex of the children living in the household or those who will have regular contact with the pet.

Have you owned a Cocker Spaniel before? YesNo

Please explain why you want a Cocker Spaniel.

List all the pets that you have owned in the past 10 years. If none, include pets owned during your adult life and any pet residing in your home that you didn't own.

Have your Current/Previous Pets been spayed/neutered? YesNo

If you have ever sold or given away a pet or surrendered one to a shelter, please explain why.

Select the type of residence that you live in.

If you rent or lease, you must have written permission from your landlord. List landlord's name and contact information.

If your yard is fenced, describe the fencing (what part of yard, height, type, etc.)

If your yard isn't fenced, would you consider fencing part or all of it as a condition of adoption?
YesNo

Are you willing and able to modify your daily schedule to accommodate a Cocker Spaniels needs, such as going outdoors into a fenced area or walking on a leash to perform bodily functions at least 4 times a day?
YesNo

Are you aware of the importance of keeping a Cocker Spaniel on a leash or in a fenced area when it goes outside?
YesNo

What are the working hours of the adults in the house?

Where will the dog be kept when you are home?

Where will the dog sleep at night if housebroken?

Where will the dog sleep at night if not housebroken?

YesNo
Are you opposed to the dog sleeping with you?

Where will the dog be kept when left alone if housebroken?

Where will the dog be kept when left alone if not housebroken?

Will the dog be allowed on furniture? YesNo

Who will be responsible for the care and training of the Cocker Spaniel?

Does he/she have any experience with dogs? YesNo

Does anyone in the home have allergies? YesNo

Where and how do you plan to exercise the dog?

Who will supervise outdoor activities?

Describe your lifestyle. Is it active? (e.g., hiking, camping, busy in the community,in and out a lot) Or is it a more relaxed, structured atmosphere? Will you include the dog in your activities?

Will this dog will be left alone (without human companionship) for how many
hours a day?

Describe the perfect dog for your home. Taking into consideration that Cockers vary greatly in temperament, personality, and activity level, what characteristics do you want in your dog? Please answer in as much detail as possible.

What characteristics of a dog would be undesirable?

Would you accept a dog that is older? YesNo

Would you accept a dog that has been abused? YesNo

Would you accept a dog that is NOT reliable with children? YesNo

Would you accept a dog that has a health problem (mild or major)? YesNo

Knowing that some rescue dogs have had little or no training, are you willing to take the dog to obedience classes? YesNo

Florida Cocker Spaniel Rescue cannot make any promises or guarantees that
a foster dog will be housebroken. Are you willing to housebreak a dog, if necessary? YesNo

What primary method of housebreaking have you used in the past? Describe your experience.

How would you handle adjustment/training for jumping on people?

How would you handle adjustment/training for barking?

How would you handle adjustment/training for chewing?

Some Cockers need to be professionally groomed (approx. $50) about every 2 months. Does this present a problem?
YesNo

The basic needs of a Cocker are (feeding, grooming, shots, Heartworm protection, Flea preventative) which costs on average $800-$1,000 per year. Any medical or other special problems could increase this amount. Does this financial responsibility present a problem? YesNo

Are you committed to caring for a dog for it's lifespan (Cockers can live 14-16 years)? YesNo

Are you willing to give the dog time to adjust to a new environment? YesNo

Questions and Comments

Please let us know anything else that may be relevant.

How did you hear about our organization?

Agree To Terms

ELECTRONIC SIGNATURE:
This signifies that you will abide by all the terms stated above and not dispute or take issue with them in any way.