Schnauzer Paws Rescue

* Name:

* Other adult household members:

* Address:

* Phone Number:

* E-mail address:

* Do you have children? If so ages of children:

* Anyone in the household retired?

* Please enter your age

* Applicant employers name
Address
phone number
position

* Do you work full-time, part-time or stay-at-home mom?

* If part time how many per week?

* Co-applicant's employer's name
address
phone number
position

* Do you work full-time, part-time or a stay-at-home mom?

* If part time how many hours per week?

* Do you live in a:

* Do you

* If you rent or live in a condo please supply us with the
name of your landlord/condo management
name
phone number

* If you rent does your landlord allow pets?

* Fenced yard?

* Type of fence

* Do you currently have other pets?

* If yes how many?

* Dogs-- list breed, sex and ages.

* Cats-- list ages and whether declawed or not.

* Other pets?

*

Is there any situation you would let your rescue schnauzer off leash?

*

If yes, please explain (park, back yard, etc.)

*

Where will your new dog spend most days?

*

Where will your new dog spend most nights?

*

How will your new dog get exercise?

(Running in yard, walks on leash, dog park?)

*

Do you have a regular Veterinarian?

*

May we contact your Veterinarian?

*

Veterinarian's Name, Address,

Clinic Name and Phone number:

* First personal reference( no family)

Name
Address
Phone Number
relationship

* Second personal reference ( no family)

Name
address
phone number
relationship

* Third Personal reference ( no family)

Name
Address
phone Number
relationship

*

Briefly explain why you would like a miniature schnauzer

*

Do you have any questions or comments?

*

Name of dog you're interested in adopting

*

Do you have any special requirements?

(Good with Children, Cats, Birds, other dogs - Etc.)

*

Are you financially prepared to provide care and upkeep for a dog at this time (about $600.00 per year)?

* Date submitted

* Indicates Response Required