Application - Belgian Tervuren Rescue, Inc.

Belgian Tervuren Rescue, Inc.

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Adoption Application

A pdf version of the application can be printed and mailed in.

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Occupation *

Employer *

Number of Adults in Household *

Number of Children in Household *

Who will be responsible for the care and training of your new Tervuren? *

Approximately how long would you expect your Tervuren to be alone each day? *

Do you live in a: *

**If you rent or lease, you must submit with this application written permission from your landlord that includes their name, address, and phone number.

Do you live in an: *

Describe the living and sleeping quarters that will be provided for the dog. *

Is your yard fenced? *

If yes, note the approximate size of the fenced area and the height and type of fencing material: *

If no, what arrangements will you provide for safe and adequate exercise? *

Have you checked into local ordinances in your area pertaining to owning/housing an animal (i.e. leash laws, required vaccinations, dog licenses, etc.)? Are you willing to comply? *

How many dogs do you currently own? Please list each dog's breed, sex, and age. *

How many dogs have you previously owned? Please include breed, sex, and age and please state what happened to these dogs. *

What other animals/pets do you currently have? *

Have you ever trained a dog before? *

If yes, what method did you use? *

Have you ever used a crate? *

Have you ever experienced any behavior problems with past or present pets? If yes, how did you handle these problems? *

Would you be willing to use a crate? *

If you are away from home for a few days and unable to care the dog, what arrangement will you make to provide for its care? *

How would you describe your household activity level? *

Estimate the number of times per month that adults visit your home *

Estimate the number of times per month that children visit your home *

In addition to the normal routine at home, what activities will your Tervuren have? *

How did you become familiar with Belgian Tervuren? *

Would you prefer a male or female Tervuren? *

Male Female No preference

Would you consider adopting a middle age dog? *

Yes No

Would you consider adopting a senior dog? *

Yes No

Occasionally, a Tervuren with special needs (physical restrictions or a behavioral/training issue) is available for adoption. Would you be interested in being considered for such a "special" dog? *

Yes No

How far are you willing to travel, if necessary, to get your rescue dog? *

Please add any additional information or thoughts that you feel would help us to understand you as a potential Tervuren owner and the home you can offer the dog. *

Do you currently have a veterinarian? *

Yes No

* If yes, please list the veterinarian's name, phone number, and address.

Veterinarian name/Clinic name *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Please list two personal references that you have known for more than two years that are not relatives.

Reference #1

Name *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Reference #2

Name *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Submit

Belgian Tervuren Rescue, Inc. is a 501 (c) (3) organization and the official national rescue program of the American Belgian Tervuren Club.

Belgian Tervuren Rescue, Inc.
W4163 County Road ES
Elkhorn, WI 53121-3219

Copyright 2022 - Belgian Tervuren Rescue, Inc.

Home
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Adoption
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Need help?
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Contact