Adopt Ziggy Today!

Second Chance Cocker Rescue Adoption Application

Adoption Process: Our adoption process includes an adoption application, a phone interview, an adoption fee and a home visit. We welcome out of area adoptions, but ask that you meet the dog before the adoption is final. All dogs have been checked by a vet, spayed or neutered, microchipped and are current on their Rabies and Distemper/Parvo vaccines. Placerville and Romoland dogs are tested for heartworms.

If you do not see the right dog for you then we can put you on our wait list. Fill out an application and we will notify you when a dog comes in that might be a good match for your household.

Adoption Fees:
$275 dogs 2 years and under
$250 dogs 3-8 years
$200 dogs 9 years and over
Ask about our Senior for Seniors Discount

Adoption Application

First Name
Last Name
Address
City
State
Zip Code
Phone
Email
Reason for wanting a Cocker:
( Please finish this sentence )
What are you looking for in a dog?:
( Please include age, sex, temperament, activity level, coloring, etc)
 
Please list pets you have now or have previously had in your home.
Type / Breed Sex Spay / Neut Age Dates Owned What happened to him / her. (Please be specific)
Family members and ages of children:
Anyone home during the day?
How much time will the dog be left alone?
Will the dog live indoors or outdoors?
Sleep indoors or outdoors?
Dog bed, your bed, other?
(Please Specify)
Under what circumstances would you give up your dog?
( pleasce check al that apply )
   
Do You
Do You Live in a
If renting, please give your landlord's name, address and phone number.
Do you have a pool or spa?
Who is your vet?
The basic needs of a Cocker can cost from $600-800 a year for food, vaccinations and grooming. Is this a problem?
Major medical problems can cost hundreds of dollars.
What is your limit?
Please describe your lifestyle.
Ex: Active, relaxed? Structured, spontaneous
Are you willing to take the dog to obedience classes?
Are you willing to house break a dog if necessary?
Do you understand that most rescue dogs require socialization, training and house breaking?
Will you consider getting pet insurance?
Our adoption process includes a home visit to meet all the members of your family. When would be the best time?