Iowa Wheaten Rescue Organization Adoption Application
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If you are interested in adopting a rescue Soft Coated Wheaten please fill in this form. When you are finished just click on the submit button. We will review it and be in contact via phone.
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First Name:
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How many hours in a day will the rescued Soft Coated Wheaten Terrier be left alone?
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Last Name:
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e-mail:
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Where will the rescued Soft Coated Wheaten stay while you are gone during the day? Inside, outside, crated, etc. Please be exact.
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Two phone numbers where you can be reached during the day.
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Phone #1:
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Phone #2:
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Address:
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City:
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Where will the rescued Soft Coated Wheaten Terrier live? Inside, outside, basement, etc. Please be exact.
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State/Zip:
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Current Veterinarian information (used as reference)
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Name:
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Phone:
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Have you ever owned a Soft Coated Wheaten Terrier? Yes No
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Do you have a fenced in yard? Yes No
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State why you want to adopt a Soft Coated Wheaten Terrier.
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If yes, what type of fence do you have?
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Are you willing to obedience train a rescued Soft Coated Wheaten Terrier? Yes No
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Are you aware that Soft Coated Wheaten Terriers have high energy and need to be exercised daily?
Yes No
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What type of training will you use?
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How will you exercise the rescued Soft Coated Wheaten Terrier?
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Are you aware of the grooming needs and costs of a Soft Coated Wheaten Terrier? Yes No
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Explain what you think the grooming needs are.
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Answer all - Will you be willing to rescue a Soft Coated Wheaten Terrier that:
A. Is a male? Yes No
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Do you have any other pets in your home? Yes No
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B. Is a female? Yes No
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Please state all types of pets (cats, dogs, etc), ages, and sex.
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C. Is younger than 1 year old? Yes No
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D. Is between 1-3 years old? Yes No
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E. Is between 3-7 years old? Yes No
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Are all of these pets either spayed or neutered? Yes No
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F. Is between 7 and 10 years old? Yes No
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Do you have children? Yes No
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G. Is older than 10+ years old? Yes No
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If yes, please give ages.
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H. Needs to be crate trained? Yes No
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I. Needs to be house trained? Yes No
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Do you own your home? Yes No
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J. Has medical issues (needs daily medication, etc)? Yes No
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If you rent, you must supply your landlord's name and telephone number.
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Knowing that we are based in Iowa, how far are you willing to travel to rescue a Soft Coated Wheaten Terrier?
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Is there any additional information you would like us to take into consideration?
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