.:. Fila Rescue, Inc .:. WAITING LIST

Add yourself to our WAITING LIST DATABASE
Fill in the blanks below to add your application to our waiting list database. The waiting list database is password protected, and can only be accessed by official Fila Rescue, Inc. Members actively helping to relocate rescue Filas. Your application is NOT automatically sent to all of the people who have available dogs listed, although occasionally a person listing a dog is ALSO an official Fila Rescue, Inc. Member who has access to the database. And THANK YOU so much for opening your home and your heart to a rescue dog!
Note: Most of the blanks are mandatory, so try to answer as many of the questions as you can.

Your name:
Your E-Mail:
If married, spouse's name:
If married, spouse's E-Mail:
Home phone number (incl. area code):
Work phone number (incl. area code):
Alternate phone number (incl. area code):
FAX number (incl. area code):
Physical street address:
City/State/Zip:

Gender preference, if any:
Color preference, if any:
Age preference, if any:

If you have ever adopted an animal from a rescue group or shelter, please provide the details:

If you have ever given an animal up for adoption, please provide the details:

Would you be willing to pay for transportation costs if a suitable dog is available in another area? If so, are there any limitations as to what you would consider too far?

Number of adults in household:
Ages of children in household:
Do all of the adults in the household consent to the adoption of this pet?
Are you or your spouse (if applicable) a student?

Does anyone in the household have any known allergies to cats, dogs, or other animals?

Does anyone if your household have asthma?
How long have you lived at your current address?
Do you plan to move in the next 12 months?

ANSWER THE NEXT 5 QUESTIONS ONLY IF YOU RENT:

Does your landlord allow pets?
Is a pet deposit required?
Is there a size or weight limit?
Are you able to provide proof of deposit?

Name and phone number of your apartment complex or landlord:

Name, address, and phone number of your veterinarian:

Does your home have a yard?

Type and height of fence:

Will gate be locked with a padlock?
Is the fence secured underground, to prevent dogs from digging underneath?
Is someone home during the day?
Where will the dog stay while you are gone?

Where will the dog be kept most of the time?

Do you plan to chain/cable the dog in the yard, and if yes, for how long during a day?
Do you have a homeowners or renters insurance policy?

Are you affected by any law, ordinance, or rule which limits or restricts the number or type of dogs you are allowed to have? If yes, give details:

Do you own a dog crate?
If you do not own a crate, are you willing to buy one?
Will you take your Fila to obedience classes?

Have you ever owned a Fila?

Will the Fila be used as a guard dog?

Why do you want a Fila?

What other activities do you plan to do with your Fila?

How long do you plan to keep the dog?

List and describe other pets you have. Include information such as species, breed, gender, age, length of ownership, spayed or neutered if applicable, etc:

Have any pets in your household been diagnosed with infectious diseases within the last six months?
Have any of your pets ever tested positive for:
heartworms:
distemper:
parvo:

Are all the pets in your household current on their shots?
Are all of your dogs on heartworm preventative?
Are you interested in breeding Filas?

List three references, including name, address, phone number, and if applicable, an E-mail address:
1.

2.

3.

How did you hear about Fila Rescue, Inc.?

Comments:

May we share your information with other shelters/rescue groups who have available Filas?
no
yes

To help prevent spam, you must enter the word FILA (all caps) in the following box:

Again, THANK YOU for taking the time to complete this application.

"By clicking the SEND button below, I certify the above information is complete and true to the best of my knowledge. I further acknowledge:

I will have to sign the Fila Rescue, Inc. Adoption, Release, & Indemnity Agreement (the form is located on this website) prior to receiving any dog from a Fila Rescue, Inc. Member;
I may have to pay an adoption fee, not to exceed $400;
Fila Rescue, Inc. Members who place a dog will ensure the dog is spayed or neutered prior to placement;
I am financially and physically able to care for a Fila; and

a home check may be required prior to placement."

Press the SEND button to agree to the above statement (last modified 3-10-04) and transmit your application, or press the CLEAR button to start over.

Only press send ONCE - it may take the server awhile to process the form...