Speak Out And Rescue

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Who We Are

Speak out and Rescue (SOAR)is a volunteer run rescue that speaks out on behalf of abused and chained dogs. SOAR's Mission has been formed to speak out on behalf of chained, abused, and neglected animals, and to help rescue those in need. SOAR will work in conjunction with local shelters and rescue groups and help transport, advocate and educate in order to create a better Kentucky for all animals. SOAR is an individual group, not governed by any organization, which will benefit animals throughout Kentucky, regardless of location. SOAR will also work with the government powers that be, to change laws and ordinances in order to help animals and hold their abusers accountable for their actions.

Adopting a friend

All dogs in SOAR's care are in foster homes. We do NOT own a facility. Also all of our dogs are adopted as INDOOR dogs. To adopt a dog, we require that you fill out the application available on our website speakoutandrescue.org. Also a SOAR representative will come and do a home visit before the adoption is finalized. The adoption fee for all SOAR dogs is $150. This includes spay/neuter, microchip, vaccinations, and routine tests.

Come Visit Us!


Speak Out And Rescue
P. O. Box 904

Georgetown, KY 40324
Phone: 859-621-0079

Email: rescueadogky@yahoo.com
www.speakoutandrescue.org

PLEASE COPY AND PASTE INTO EMAIL AND EMAIL TO laurals4e@yahoo.com
Dog’s Name___________________________

Applicant’s Name ___________________________
>br
Date_____/______/_________

APPLICANT INFORMATION

Adult Last Name_____________________________ First Name__________________ Age _________
Adult #2 Last Name __________________________ First Name _____________ Age _________

Home Street Address______________________________________ City __________________________ State________ Zip __________ Home phone _____________ Cell _____________ Work_____________ Email____________________________ Drivers License #______________________________ Years at this residence ___________ If less than 1 year, prior address: ______________________________________________________________________________
Indicate type of Property: House Townhouse Apartment Mobile Home
Do you rent? _____ Landlord/Complex Name ________________________________________
Do you have a fenced yard? _________________________________ Type of fencing________________

Employer #1________________________ Position_____________ Phone_______________________________ Employer #2 _________________________ Position _______________ Phone___________________________

HOUSEHOLD INFORMATION

# of adults in household___________ # of children in household___________ Ages_______________________ Is anyone allergic to animals?_____ If so, who and what type of animals?____________ Who will be the pet’s primary caregiver?_____________________________ If you have to move in the future, what will you do with your pets?___________________
Are all members of your household comfortable with dogs?____________ Do you have cats?_____ Other pets?________

PET OWNERSHIP

List all dogs and cats you have owned.
Name

Breed

Age/Sex?

Altered?

Declawed?

Deceased?

Where are they now?

Name and address of your vet_______________________________________>br>
Are all pets up to date on vaccinations?_________
When was your last visit?_________________

# of pets you have had as an adult ________________________
Have you adopted from SOAR in the past?__________

Where is the pet now?________________ How long have you been looking for a pet?___________________________________

Describe your ideal pet_______________________________________________________________ Why do you want to adopt?____________________________________________________________

Where will the dog be when you--(Highlight answer)
Are home____________________________ Indoor/Outdoor

Are not home_________________________ Indoor/Outdoor

Are asleep?___________________________

How many hours a day will your dog be alone?________

How many hours w/o an adult?_________

How will the dog spend his/her day? Highlight all that apply: Loose in house Loose in yard Fenced yard Doghouse On a chain Basement Garage Cage/Crate Porch Barn Confined to one room If other, please explain _______________________________________________________________________

How will the dog spend his/her nights? Highlight all that apply: Loose in house Loose in yard Fenced yard Doghouse On a chain Basement Garage Cage/Crate Porch Barn Confined to one room

How will you introduce your new dog to other pets in the home?______________________________________

How will you entertain/exercise your dog?_________________________________________________________

How much time are you prepared to allow for your new dog to adjust to your home?________________________

Do you expect any lifestyle changes in the next 2 years? (new job, new address, marriage, divorce, new baby, caring for relatives) Please explain _____________________________________________________________________

Have you ever had to turn an animal into a shelter? ______ If yes, why? ________________________________

How will you housetrain your new dog? ___________________________________________________________

Are you familiar with crate training? ________ Will you consider a dog crate if needed?___________________ If no, why?___________________________________________________________________________________

For a puppy under 9 months old, will someone be home during the day?_________________________________ Have you considered being home halfway through the day to work on housetraining?______________________

Are you committed to providing a responsible home for your dog’s entire life, which could be 15 years or more? ___________

Under what circumstances would you not keep or would you return this dog (moving, allergies, obedience, etc.) _______________________________________________________________________________

Are you prepared to assume the costs of providing your dog with food, training, toys, routine and emergency vet care, etc. (approx. $1,000 per year) ? _______________________________

Are you willing to sign a contract agreeing to pet owner responsibilities? ________________

Please list 3 references NOT related to you whom we may call.

Name

Phone

Relationship

Name

Phone

Relationship

_____________________________________________________________________________________________ By my signature, I certify that the above information is complete and correct and that I am at least 21 years of age. I realize that any misrepresentations of fact may result in my losing the privilege of adopting an animal. I understand that SOAR has the right to deny my request for adoption. I authorize verification of all statements on this application, including but not limited to prior vet medical history. I understand that this application is the property of SOAR, who reserves the right to retain this information for their own use. I also agree that a SOAR representative shall visit my home by appointment as part of this application process.

________________________________________Signature

______/______/__________ Date
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