Heart Bandits American Eskimo Dog Rescue
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Use this
Adoption Application for
Iowa Heart Bandits Eskies 
Only

Click on picture for larger image


To adopt an Eskie from Heart Bandits:
Complete this form and click "Send Application"
This will start the process of adopting an American Eskimo Dog or other pet from AEDRSI.
You will be contacted by one (or more) of our Chapters. If you are only thinking about adopting an Eskie, be aware that Eskies usually live around 16-20 years. Although you can return an Eskie adopted from us at any time. Please make sure you consider this fact and are willing to make that commitment.

 

Please note:  We are an all volunteer, non-profit organization.
It may take a while to get back to you, as we juggle rescue, training, adoption applications and day to day care of up to 20 Eskies at a time with our full time jobs.
Thank you,
The folks at American Eskimo Rescue and Sanctuary of Iowa

 

 

All items marked with an asterisk (*) are required.
Your application cannot be processed if those items are omitted.

* Name:
Date of Birth 00/00/00
Spouse's Name:
Date of Birth 00/00/00
* E-mail Address:
AOL and WebTV users:
Please remove any spaces from your username and
add the domain suffix (@aol.com or @webtv.com)
No E-mail?: Check this box

*Name of Eskie or other pet (that you are interested in)


* Home Address:
* Street:
* City:
* State/Province: * Postal Code:
Mailing Address: Leave blank if same as above.
Street:
City:
State/Province: Postal Code:

* Home Telephone: ( ) -   Day Eve.
Work Telephone: ( ) - Ext.  Day Eve.

Your Occupation:
Spouse's Occupation:

* Others living in your home:
Name: Age: Female Male
Name: Age: Female Male
Name: Age: Female Male
Name: Age: Female Male

* Current number of pets:
Pet 1 Pet 2
Name: Name:
Age: Age:
Sex: Sex:
Species: Species:
Breed: Breed:
Spay/Neuter: Spay/Neuter:
Vaccinations: Vaccinations:
Pet 3 Pet 4
Name: Name:
Age: Age:
Sex: Sex:
Species: Species:
Breed: Breed:
Spay/Neuter: Spay/Neuter:
Vaccinations: Vaccinations:

Veterinarian Information:
Vet's Name:
Clinic Name:
City: State/Province:
Telephone:  )  -  

General Questions: If you are adopting a pet other than an American Eskimo Dog, please answer the questions, as they pertain to any pet you are planning to adopt from American Eskimo Dog Rescue and Sanctuary of Iowa
1. Why are you considering an American Eskimo Dog as opposed to other breeds?
2. Have you ever owned an American Eskimo Dog? Please explain.
3. What type of dwelling do you live in?
Own Rent
If you rent, do you have your landlords permission to keep a dog? Yes No
4. Do you have a fenced area, yard or kennel? If so, please describe the area.
5. Where will the Eskie live & sleep? Explain fully?
6. Where do your current pets live & sleep? Past pets? Explain fully?
7. How will you exercise your American Eskimo Dog? How often? Explain fully.
8. When you must transport your Eskie, how will the dog be transported?
9. How will your Eskie be maintained when you are at work or on vacation?
10. What is your idea of proper discipline for an American Eskimo Dog?
11. What is your idea of proper and nutritious food for a dog?
*12. Does everyone in your household want an American Eskimo Dog?
Yes No
*13. Will you agree to attend at least one session of obedience classes with your American Eskimo Dog if needed?
Yes No
*14. Do you understand that if you are ever unwilling or unable to keep an American Eskimo Dog received through Heart Bandits,
the dog must be returned to Heart Bandits?
Yes No
*15 Please describe the characteristics you would like your American Eskimo Dog to have. Specify which attributes are requirements and which are merely desirable. (age, sex, size, etc.)

Additional Comments:

 

Terms
You must read and agree to these terms
By clicking the "Send Application" button, I am acknowledging and agreeing to the terms of this adoption application