Please provide the following contact information:
Do you prefer to be contacted by email or telephone
(if phone, list specific number):
Who will be the primary care giver for this dog?
Please list the gender, age and relationship to the primary care giver of all adults (18 yrs or older) that reside in the home:
Please list the age and gender of any children (0-17
yrs) that reside in the home:
How often will children 9 years and under care for the dog?
How often will children over 9 care for the dog,
explain their duties?
Do all adults agree to the acquisition of this new dog?
Yes
No
Are there any individuals with allergies to dog that reside in the home?
Yes
No
Please describe your home:
Own, single family home
Rent, single family home
Own, condo or townhouse
Rent, condo or town house
Rent apartment
Please list the age, gender (including if spayed/neutered) and breed of any dog that currently resides at your home:
If you own any cats, please state age and gender of all that reside at your home:
Select any of the methods in which you manage your current dogs:
I do not have a dog, currently
Resides indoors - goes out to fenced yard
Resides indoors - goes walking on a lead with me
Resides indoors - goes out to kennel or pen
Resides indoors - goes out on chain
Resides indoors - goes out, supervised, unfenced
Resides indoors - goes out, unsupervised, unfenced
Resides outside in fenced yard
Resides outside in kennel or pen
Resides outside on chain
Resides outside, no fence
How do you plan to manage your new dog? Select any of the following options that apply:
Reside indoors - will go outside in fenced yard
Reside indoors - will go outside in kennel / pen
Reside indoors - will go outside on chain
Reside indoors - will go outside walking on lead with me
Reside indoors - will go outside, supervised, unfenced
Reside indoors - will go outside, unsupervised, unfenced
Reside outdoors in fenced yard
Reside outdoors in kennel or pen
Reside outdoors on chain
Reside outdoors, no fence
How many day time hours will this dog be left alone?
How many evening hours will this dog be left alone?
If left indoors without supervision, how will this dog be managed?
In a crate
Loose in house
Confined to a room
Other - specify below
When you go on vacation or out of town, who will care for the dog?
Do you foresee any life changes in the next 5-10 years that would prevent you from keeping the dog? What would that be?
If you could no longer keep your dog, what would you do with it?
Which of the current 360 DEGREES dogs are you interested in acquiring? If none at this time, please state that here. Define what type of dog you are seeking and why. Your application will be evaluated for future, available dogs.
Please explain why you are interested in this specific 360 DEGREE Dog
Please describe what sorts of activities you plan to do with your new dog:
Have you ever trained a dog before? If so, please briefly explain the methods you have used:
Are you willing to take this dog to an obedience class in your area if you feel that you need to continue his training in a formal / organized setting?
Yes
No
If you current have one, would you be opposed to our contacting your vet for a reference?
Yes
No
If we can contact your vet, please provide the name, practice and telephone number, here:
Do you understand that you will need to maintain your dog's trianing through daily practice, and you agree to do so?
Yes
No
Do you understand that you will attend a 3-4 hour New Owner Education Session when you come for your new 360 DEGREE dog where you will receive information as well as learn to "practice leadership" with your dog?
Yes
No
Do you understand and agree that if you cannot keep your 360 DEGREE dog for any reason, you will be asked to bring him back to DarnFar Ranch at your own expense, and that you will not receive a refund
(after the initial 14 day trial period)? DarnFar Ranch will re-evaluate the dog, rehabilitate any issues the dog may have developed and rehome the dog.
Yes
No
Please provide the telephone number where it is best to reach you and at what times:
Please use this space for any additional information you would like to share about acquiring a 360 DEGREE dog from DarnFar Ranch