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State:
Zip:
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needed if less than a year at current address: |
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Home:
Work:
Fax:
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E-mail Address/Addresses |
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IMPORTANT. We cannot contact you without your email address or addresses
provided to us! |
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What is your occupation?
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What is your spouse's Occupation? |
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Are you a member of Southern
States Mastiff Fanciers? If not please consider joining today whether you
are new to the Mastiff breed and would like to learn more about them and
meet other Mastiff owners- or whether you have had Mastiffs all your life.
SSMF exists in part, to
educate about the Mastiff breed and supports SSMR Mastiff Rescue through
yearly fundraisers.
While membership is not required in
order to adopt through SSMR, We strongly encourage membership in SSMF and
hope you will join us.
After you submit this form,
please consider visiting the SSMF website at
www.ssmfmastiff.org to read our
code of ethics & join today! |
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Mastiffs On Our Website Of
Specific Interest To Your Family
Are you interested in any specific Mastiffs currently listed on our site or
are you applying in advance to wait for the right Mastiff to come along?
If
interested in a specific Mastiff both the name of the dog and the state where the
dog is must be provided in order to process your application for any
specific Mastiff.
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Please note that
SSMR is an ENGLISH MASTIFF rescue group only. SSMR does not place
Bullmastiffs, Neopolitans, Cane Corsos or other breeds of Mastiff-type dogs.
If You are interested in another breed of Mastiff-type dog, refer to the top of
the main page of our website which lists some rescue groups for some of the
other Mastiff type breeds. |
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Do you prefer a
male -
female -
No Preference Age preference
if any:
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Any other information you feel is important
in helping us determine the best match in a Mastiff for you and your family?
If you want a lower energy, already 'settled' dog or would prefer a more active dog, this is a good place to
share such information.
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Your Home
Do you (If you rent, indicate if house, apt or condo)
own a house
Rent a house
Rent an apartment
Rent a condo
Other Housing Arrangement (please elaborate)
How many years or months have you lived at your present address?
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Your Yard
Do you have a fenced yard? Answer Yes Or No and if yes, describe
the kind of fencing including height
Approximately how large is your yard?
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MASTIFF LIVING ARRANGEMENTS
Where will you keep the Mastiff during the day when you are home?
Inside the house, Outside, In a Garage/Outdoor Kennel etc....
Where will you keep the Mastiff
While you are away during the day?
Where will the Mastiff sleep at night?
How will the Mastiff be cared for on overnight absences or while on vacation?
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DO YOU HAVE TIME FOR A MASTIFF
How much time will you be able to spend with the Mastiff daily?
Who will be the main care giver?
Are all family members gone during the day (work/school)? Answer yes or no
Approximate hours the dog would be alone daily
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ADULTS IN HOUSEHOLD Names and relation of all adults in the household:
CHILDREN IN HOUSEHOLD
Names and ages of all children living or visiting on a regular basis in the
household. Indicate whether the child resides with you or visits
regularly.
Note: Ages of the children must be provided to process your
application.
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CURRENT PETS IN HOUSEHOLD
List ALL pets CURRENTLY owned (breed, age and sex of each):
Are your animals neutered and/or spayed? If not, why not? Answer
and explain below if your pets are not altered.
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YOUR EXPERIENCE WITH MASTIFFS/DOGS
Have you ever owned a Mastiff? Answer Yes Or No
When?
What specifically happened to that previous Mastiff or Mastiffs? Include
causes of death. IMPORTANT.
Have you ever owned any breed of dog? Answer Yes Or No
What happened to any previous dogs that you may have owned? Be specific.
If the dog died give the specific cause of death. (Important)
How many dogs can you legally have where you live?
Is there a leash law?
Yes Or No
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WHY DO YOU WANT A MASTIFF
What made you choose the Mastiff breed?
What made you decide to adopt a Mastiff from a Rescue Organization?
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COST OF FEEDING AND CARING FOR A MASTIFF Are you prepared for the financial responsibility of owning a Mastiff?
Answer Yes or Not Sure.
How much money specifically (a range is fine) do you think it will cost per month for food, vet care, and
any expenses for your Mastiff? We will not process your application without
a figure or range for this question.
Would you be willing to pay for transportation costs or to travel a reasonable
distance to help bring a Mastiff from another state?
Are you interested in giving foster care to a Mastiff while awaiting the Mastiff
of your choice?
(Foster families are given priority at adopting the Mastiff in their care).
Name, address and phone of your current or PAST Veterinarian/s: IMPORTANT.
If you currently have a dog or dogs, are
they up to date on their monthly heartworm preventatives and all
vaccinations? If not, why not? Note: All SSMR rescue dogs must be kept on
monthly heartworm preventative.
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REQUIRED:
Name, address and phone of another reference (preferably one that is familiar
with your care of animals):
If you have learned about the Mastiff only from books or research, we
strongly suggest that you let us know so we can put you in contact with someone
in your area or tell you about upcoming shows so you can interact with a Mastiff up close and personal.
I understand that there is an adoption donation of $350.00.
Indicate Yes.
I certify that the above information is true and I understand that prior to
the placement of a Mastiff in my home the above information will be verified. I
also agree to a personal interview with an SSMR volunteer, if requested, to
determine the suitability of my facilities to care for a Mastiff.
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I understand that a home visit will be done prior to my being able to
adopt a Mastiff through SSMR Rescue.
NOTE: If you do not hear from anyone within ten days of sending in this
application, please email The Webmaster at
millcreekx@mchsi.com Sometimes
email forms can be glitch-y! Thanks.
Would you be interested in becoming a Mastiff Rescue Volunteer in your
area?! If so, please fill out a volunteer form online!
Become An SSMR Volunteer If you
have any questions about volunteering feel free to ask them here.
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If you have completed
the entire form, either
Return to the top of the page or scroll to the bottom to click 'submit' to
submit this application to SSMR. You will be contacted soon by a volunteer!
The signature blocks below are for
signing in person when you have your home visit- please leave blank.
Print Name
Signature
Date Signed
Coordinator Comments/Date
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