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PLEASE DO NOT FILL OUT THIS APPLICATION IF YOU ALREADY HAVE A MALE & FEMALE DOG IN YOUR HOME OR TO ADOPT AN AKITA OF THE SAME SEX AS THE DOG YOU ALREADY HAVE IN YOUR HOME!  WE DO NOT DO SAME SEX ADOPTIONS!

ALSO KNOW YOU MUST BE WILLING TO DRIVE TO MEET THE AKITA YOU ARE INTERESTED IN AT THE FOSTER LOCATION MOST LIKELY IN EITHER NY, NJ, OR PA.

Our mission is to find new, loving homes for our rescues.  All Akitas are altered, vet checked and evaluated.  An application is a required part of the adoption process and will help to match the right Akita for your household.  With all the costs involved with rescue, we do request a $300 ($350 if a puppy) adoption donation to help defray our expenses so that we may help more Akitas in need. ARWNY is a 501(c)(3) non profit organization and donations may be tax deductible.

Neither Akita Rescue of Western New York (ARWNY), nor its volunteers, coordinators, representatives, Internet Service Provider and its officers, employees, contractors and representatives; and any other person, firm or corporation involved with the efforts or business of this corporation, shall be held liable or responsible for any claims or causes of action incurred as a result of the provision or restriction of information, services, contacts, adoptions, fostering, veterinary care or by the actions of any and all dogs transferred or referenced herein.

Moreover, there is absolutely no guarantee made or implied that any person requesting to adopt a dog being fostered through ARWNY, or posted on ARWNY's Website, will be allowed to adopt an ARWNY dog. Rather, all adoption applications are subject to acceptance based on a review process that may require collecting information from references and visiting the applicant's home. All decisions on placing dogs in adoptive and foster homes are based solely on the judgment of the volunteers and coordinators of ARWNY and adoption applications submitted through this form can be denied for various reasons. ARWNY reserves the right to make all decisions regarding placement or final disposition of any rescued dog in its care whether in, or being placed in, a foster or adoptive home or other facility. In addition, many of the dogs posted on ARWNY's Website are under the control of other shelters or owner placements, and ARWNY has no control over how these dogs are placed.

By filling out and submitting the adoption application that follows, you attest that you have read the above disclaimer and agree to the terms therein. Otherwise, please click here to return to our home page.

Please note that adoption applications only will be accepted from persons 18 years old or older.

Information
Date
ARWNY Rep
Orphan
Applicant FIRST Name  
Applicant LAST Name
Address1
Address2
City
State
Zip
Home Phone (area code)
Work Phone (area code)
Email Address (If you have an email account it will be the primary means of initial communication - please check it regularly.)
Have you contacted another rescue group?  If yes, please list the group name, contact person and phone number.
Describe the Akita you are looking for.
Have you owned dogs before? Yes  No
How many?
Any Akitas? Yes  No
Any large dogs? Yes  No
What happened to them?
Why do you want an Akita?
When are you looking to adopt?

Right Away      
In a few weeks 
Over a month   

Did you realize....
Akitas cannot ever be off leash in an open area (such as a park, street, unfenced yard)? Yes  No
Akitas are dog aggressive and normally do not get along with a dog of the same sex? Yes  No
Akitas have a strong prey drive and can hurt small animals such as rabbits and cats? Yes  No
Akitas should not be tied out in the yard? Yes  No
Akitas blow their coats twice a year? Yes  No
Akitas are naturally dominant and need to go to obedience training with their owner? Yes  No
Akitas normally live to be 10-15 years old and need a commitment for that long? Yes  No
Do you still think that the Akita is the right dog for you? Yes  No
Home & Family
How long at current address
RentOwn
Plans to move? Yes  No
When & Where
If renting, does lease permit large dogs? Yes  No
Landlord phone (area code)
Size of lot
Is lot fenced? Yes  No
Fence material & height 
Crate available? Yes  No
Kennel available? Yes  No
Are you willing to buy a crate or kennel? Yes  No
Number of people in the house.
Number of children & ages.
Are children dog trained?
Anyone allergic to dogs?
Anyone afraid of large dogs?
How do the children react to dogs?
Will the Akita be in contact with other children?  Explain.
Other pets in the house:                 Dogs  Cats  

Birds Other
If other dogs in house, provide breed, sex, age and describe temperament
Potential problems with current pets.
Will the Akita be in contact with any other pets?  Explain.
Expected Routine
How much time will be spent with the Akita daily?  Weekdays?
How much time will be spent with the Akita daily?  Weekends?
How many hours will the Akita be left alone daily? 0-2 Hrs2-4 Hrs
4-8 Hrs8+ Hrs
Where will the Akita be when you work?
Where will the Akita sleep?
When will the Akita be outside?
Will the Akita be tied out? Yes  No
How often will the Akita be walked?
Where?
By Whom?
How often will the Akita be played with?
By Whom?
How often will the Akita ride in the car?
Will the Akita be crated or restrained?
Where will the dog be when you are away overnight?
Will you take the Akita to obedience training? Yes  No
Unusual circumstances the Akita will need to adapt to?
Other comments regarding daily routine.
References
Employer Name
Phone (area code)
Address
City / State / Zip
Years at present job
Occupation
Current Veterinarian
Phone (area code)
Local animal control or shelter
Phone (area code)
Current trainer
Phone (area code)
Personal reference
Phone (area code)
Personal reference
Phone (area code)
Applicant Disclosure
Do you feel financially able to care for an Akita for its lifetime? Yes  No
Do you feel physically able to care for an Akita for its lifetime? Yes  No
Have the police been at your home for any disturbances? Yes  No
Do you or anyone in your family have a history of animal, spousal or child abuse? Yes  No
Please list any additional information regarding your home that has not been covered in this document.

   

You should hear from us within 72 hours once we receive your application.  If you have not heard from us by then please email to inquire about the status of your application.   

Please Be Sure to check your "bulk mail folder" while waiting for us to reply as often times our responses mistakenly go into applicants' bulk folders and they delete without reading.

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Updated: 12/10/2012 •

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