WTCARES - Adoption
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WTCARES - Adoption application
The WTCARES committee is composed of volunteer members in good standing of the Welsh Terrier Club of America, Inc. The committee attempts to match every dog it places with the most suitable home. However, the committee members, WTCARES, and the Welsh Terrier Club of America, Inc., make no guarantee or warrantee whatsoever regarding either the success of any placement or the health or temperament of any Welsh Terrier placed through the program. The placement of Welsh Terriers through WTCARES is not a sale, no warranties, express or implied, are made whatsoever.
A WTCARES volunteer may contact you to discuss your application. We may ask to visit your home at your convenience. Please understand that these calls and any follow-up calls are routine to assure us that all is well for you and for the dog.
Please contact us if you obtain a dog and want to be taken off our prospective adopter list.
We reserve the right to decline an applicant.
The policy of WTCARES is to respect the privacy of all applicants. We will not sell, exchange or otherwise distribute your personally identifiable information without your consent, except among WTCARES representatives when arranging an adoption. We will not retain the information longer than necessary for normal operations.
Choose a Representative To Receive Your Application
Please choose a representative from the list below to whom you would like your application sent. NOTE: to help expedite the matching process, your application may be shared with other representatives on this list.
Select your representative
Committee Chair - Camden, TN - Lyn Hollis
Northeast - Interlaken, NY - Kathryn Leinthall
Northeast - Rockledge, PA - John Melair
Northeast - Harrington Park, NJ - Judy Pommett
Northeast - Southampton, NJ - Dick and Kay Riker
Northeast - Ithaca, NY - Ereign Seacord
Mid-Atlantic - Hendersonville, NC - Shari Fougnie
Mid-Atlantic - Parkton, MD - Carol Johnson
Mid-Atlantic - Brightwood, VA - Janet McBrien
Southeast - Louisville, KY - Joni Conner
Southeast - Camden, TN - Lyn Hollis
Southeast - Paris, TN - Norah Hollis
Southeast - Atlanta, GA - Ward & Carolyn Morris
Southeast - Neptune Beach, FL - Nancy and Bill Peacock
Southeast - Vero Beach, FL - Pam Price
Southeast - Sarasota, FL - Caryn Stevens
Central - Tulsa, OK - Lynne Brady
Central - Houston, TX - Cindy Camp
Central - Boerne, TX - Becky Eterno
Central - Lexington, KY - Peggy Gaughan
Central - Bristow, OK - Paula Johnson
Central - Santa Fe, TX - Kathy McCann
Central - Dallas, TX - Kathi O'Malley
Central - Saint Louis, MO - Linda Schulte
Central - Kingston, OK - Kim Ward, RVT
Midwest - Carmel, IN - Judith Anspach
Midwest - Vadnais Heights, MN - Sue Macken and Todd Bates
Midwest - Hilbert, WI - Susan Lienau
Midwest - Pittsboro, IN - Eileen Lurker
Midwest - Macomb Twp., MI - Kathy McAtamney
Midwest - St. Paul, MN - Cynthia James Murdoch
Midwest - Ash Township, MI - Kathy Rost
Southwest - Los Alamos, NM - Marilyn Bjorklund
Southwest - Tucson, AZ - Sanda Schuldmann
West - Helena, MT - Terry Hoskins
West - Fresno, CA - Marjorie Imfeld
West - Cupertino, CA - Debi Jamison
West - Maple Valley, WA - Judith Peace
West - Los Angeles, CA - Bruce Schwartz
Canada - Saskatchewan, - Pat Fleury
Canada - Ontario, - Jennifer Weeks
You and Your Family
Your first name:
Your last name:
Street address:
City:
State:
Zipcode:
Your home phone, with area code:
Your work phone, with area code:
Your fax number, with area code:
Your email address:
Are there children under the age of 10 who reside at your home, either full or part-time?
No
Yes
Please list every person who currently resides at your residence:
(Please use as many lines as you need, then leave the rest blank.)
Resident 1:
Name:
Relationship to you:
Age:
Resident 2:
Name:
Relationship to you:
Age:
Resident 3:
Name:
Relationship to you:
Age:
Resident 4:
Name:
Relationship to you:
Age:
Resident 5:
Name:
Relationship to you:
Age:
Resident 6:
Name:
Relationship to you:
Age:
Do all of the people you listed approve of getting a dog?
No
Yes
Are there any other children who visit your home on a regular basis?
No
Yes
Who will care for the dog on a regular basis?
Which of the following best describes your current residence:
Own a single-family home
Rent/lease a single-family home
Own a townhome/condo
Rent/lease a townhome/condo/apartment
Other
(please explain below)
If you rent/lease, is the landlord agreeable to you owning a dog?
No
Yes
Some homeowners associations have covenants or limitations on pet ownership. Please check to make sure that your plans fit with the rules of your homeowners association, if you belong to one.
Some cities and towns have restrictions on the number of pets you may own. Please check the rules in your own city or town.
Is the area you live in:
Urban
Suburban
Rural
Your Yard
Which of the following best describes your yard?
Completely and securely fenced
Partially fenced
Unfenced
(Skip to
here
)
I have no yard of my own
(Skip to
here
)
If you have a complete or partial fence, please describe the type and height of fence:
Do all the gates have locks?
No
Yes
Can children easily open the gates?
No
Yes
Could a dog dig under the fence?
No
Yes
If you have a pool, is it fenced?
No
Yes
No pool
Do you allow friends, neighbors, relatives, or children to gain admittance to your home (or yard) without your knowledge or supervision?
No
Yes
Do you allow service people (such as cleaning people or meter readers) to gain admittance to your home (or yard) without your knowledge or supervision?
No
Yes
Your Pet Ownership
Please list all animals that currently live in your household:
Animal 1:
Type:
Breed:
Gender:
Age:
Spayed/neutered? Y/N:
Years owned:
Animal 2:
Type:
Breed:
Gender:
Age:
Spayed/neutered? Y/N:
Years owned:
Animal 3:
Type:
Breed:
Gender:
Age:
Spayed/neutered? Y/N:
Years owned:
Animal 4:
Type:
Breed:
Gender:
Age:
Spayed/neutered? Y/N:
Years owned:
Have you ever owned a dog before?
No
(please skip
here
)
Yes
(please describe your previous dogs, how long you owned them, and what happened to them)
Have you previously owned a terrier?
No
Yes
Have you previously owned a Welsh Terrier?
No
Yes
Has your previous dog ownership ever caused you to be in a court situation?
No
Yes
(please explain)
Have you ever given up a dog by choice?
No
Yes
(please explain)
If you have not owned a dog before, have you lived in a household with a dog?
No
Yes
N/A - owned a dog
For what reasons would you consider giving up a dog?
How did you learn about Welsh Terriers and why did you decide on this breed?
If you have not owned a Welsh Terrier, have you personally met a Welsh Terrier?
No
Yes
N/A - I have owned a Welsh Terrier
Are you familiar with the temperament of terriers in general and Welsh Terriers in particular?
(please explain)
How would you describe the ideal dog for your family?
Preferences
Please check any preferences:
(
Choose all that apply
)
Male
Female
No gender preference
Puppy (2 months to 1.5 years)
Young adult (1.5 to 4 years)
Older adult (5-10 years)
Senior (11+ years)
No age preference
Are you willing to consider a dog that is not fully housebroken?
No
Yes
Are you willing to consider a dog with minor medical or special nutritional needs?
No
Yes
Are you willing to consider a dog who was abused or neglected and needs extra love and attention?
No
Yes
Are you willing to consider a dog with special behavior issues that might require extra or special training?
No
Yes
Please use the box below, if you would like, to explain more fully what type of special needs dog you might accept.
Care and Responsibility
Is someone normally home during the day?
No
Yes, part of the day
Yes, all day
How many hours a day will the dog normally be alone?
Where will your Welsh Terrier normally spend the day when people are gone?
Loose indoors
Enclosed in a bedroom or other room indoors
In the basement
In a crate
In an outdoor dog run
Loose outdoors in a fenced yard
Tied up outside
Other
Where will your Welsh Terrier normally be at night?
Loose indoors
Enclosed in a bedroom or other room indoors
In the basement
In a crate
In an outdoor dog run
Loose outdoors in a fenced yard
Tied up outside
Other
Do you want your Welsh Terrier to live outdoors most of the time?
No
Yes
Do you travel frequently?
No
Yes
(If yes, who will care for the dog while you are away?)
Do you plan to do obedience training with the dog if he/she is not already trained?
No
Yes
Do you own a crate?
No
Yes
If the dog must be shipped, do you own an airline-approved crate (generally made of rigid plastic)?
No
Yes
All WTCARES dogs must be spayed/neutered as part of the adoption process. Are you willing to do this if it has not already been done?
No
Yes
Do you have a veterinarian that you have used before and plan to use with your next dog?
No
Yes
If yes:
Veterinarian's name:
Veterinarian's phone, with area code:
Clinic name:
Clinic location:
If you are a single person adopting a dog, is there someone who can step in to care for the dog if you become incapacitated?
(Please explain below)
Please tell us about any special conditions or needs you would like us to consider in placing a Welsh Terrier with you:
References
Please provide two names as references, including your landlord (if you rent your home), and your veterinarian, groomer, or dog trainer, if you have one. Please list any members of the Welsh Terrier Club of America that you might know. Or, if you belong to a dog club or any dog-related group, include the name of a club officer or an associate from the group.
Other references could include a neighbor, your employer, or a friend or relative who owns a terrier or other high-maintenance breed (such as a Poodle or Afghan Hound).
(Please fill in both references.)
Reference 1:
Name:
Phone number, with area code:
Relationship to applicant:
Reference 2:
Name:
Phone number, with area code:
Relationship to applicant:
Last modified on March 31, 2008
