Apply to Adopt

Complete the form below to submit your adoption application.

If you have any trouble, please email office@irishrescuetx.org.

First Name *

Last Name *

Email *

Phone *

Address *

City *

State *

Zip Code *

Name and Relation of Other Adults in Household *

If there are other adults, is everyone in agreement about getting a new dog? *

With whom are you/spouse employed and how long have you worked there? *

Occupation *

Do all adult members of the family work? How many hours each? *

Is there a particular dog that you are specifically interested in?

Age desired? *

Would you consider a special needs Setter such as one who requires medication for a controlled condition? *

Would you consider a Setter who needs obedience training? *

Activity Level Desired? *

Sex Preference *

Members of household and their ages: *

Who is the dog primarily for? *

Who will care for, train, and exercise the dog? *

Does anyone in your household have allergies? If yes, to what allergens? *

Other Pets currently owned? (Species, Sex, Age) *

Spayed or neutered? If not, why not? *

Are your other pets on Heartworm preventative? *

Are they current on vaccinations? *

Please list all pets owned in the last five years (Species, Sex, Age) What happened to these pets? *

Have you ever owned an Irish Setter? *

Name, address, and phone number of current family veterinarian *

Please identify and provide contact information for any other veterinarians you have used for the past three years *

Have you sold, given away, or surrendered a pet? If yes, please specify. *

Do you (rent/own) your (apartment/condo/house)? *

How long have you lived at your current address? *

If you rent, does your landlord permit you to have a dog? *

Name and phone number of landlord: *

Fenced Yard? If so, what are the specifications? *

Will the dog be primarily inside or outside? *

Where will the dog sleep? *

Describe your grooming/maintenance program, i.e., baths, toenails, ears, etc.: *

How will the dog travel with you? *

Give a brief description of how this dog would spend an average day in your home *

Do you walk your dog? How long and how often? *

Other comments that would have direct influence on the type of personality that would best suit your family? *

Name, email address, and phone of another person living outside your household who can provide information regarding the level of care your pets receive (preferably not a relative). This person should be someone who has been to your house. *

Signature *

I certify that by checking this box that all of this information is true and can be verified by ISRNTX *