Irish Setter Club of Houston

 

Application to   FOSTER and/or ADOPT an Irish Setter

 

Name:
Email Address:
Please re-enter your Email Address:
Street Address:
City:
State:
ZIP:
Phone:
Rescue Dog will spend a majority of time?
If Indoors, dog will be?
If outdoors, dog will be?
Height of fence (feet):
How many members are in your household?
Please list number of children and their ages?
Who will be spending time with the rescue dog?
How many hours per day?
Please list/describe your other pets?
Have you ever owned an Irish Setter?
Have you ever trained an Irish Setter?
Vet Name:
Vet Phone:
Emergency Vet Clinic Name:
Emergency Vet Clinic Phone:
Comments/Suggestions/Questions:

By clicking on the "Certify/Submit button" below, I Certify that I have read, understand and agree to the following statements:

  1. The standard fee for adopting a Rescue Irish Setter is $200.00, sometimes more in special circumstances.  This fee is used to help defer our veterinary, transport, and care expenses.  We are an all-volunteer, non-paid organization and we DO NOT profit from the placement of Rescue Irish Setters.

  2. The information I have provided above is true and complete.

  3. My Veterinarian will be contacted to verify the information provided above.  I hereby authorize my Veterinarian to disclose any appropriate information  required to verify my ability to accept and care for a rescue Irish Setter.

  4. A representative of the Irish Setter Club of Houston will contact me to schedule a home visit to verify the information provided above.  I understand that this home visit is a condition of adoption.

  5. The information provided on this application form, the results of the Veterinarian interview,  and the results of the home visit will only be disclosed to members of the Irish Setter Club of Houston, Inc. Rescue  Committee.

  6. I have carefully read the Irish Setter Club of Houston Rescue Contract and I understand that it is a legally binding document and that I will be required to sign it before receiving a Rescue Irish Setter.

  7. I have reviewed the Clubs Privacy Policy.

  8. Please double-check your email address as entered above!  This is how we will contact you.

Thank you for your interest in helping a Rescue Irish Setter!

Please press the Certify/Submit button only once.  It may take a minute or so for the application to process.  Thanks!

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