Please list ALL human household members (you may include frequent visitors),
and their approximate ages:
If less than two years, please give your previous address.
Pets currently in your household. Include animals that visit frequently.
Tell us about your previous pets, how long they lived and what ultimately
happened to them. Breed, Age, and What happened.
If you currently have pets, we would like to be able to contact your veterinarian
about your care of your current pets.
If you do not currently have any pets, we would like to have contact information
for one personal reference – someone who is not a relative and is
not living in our household.
Once you submit this form, a volunteer will contact you for a telephone
interview. If there are no concerns that arise from the telephone interview,
we will have a volunteer do a home visit with you. They will bring an Airedale
with them (if possible). By submitting this application you certify that
the information provided on this form is true and correct. You understand
that proceeding with this application does not guarantee that we will approve
you for adopting one of our dogs. You also understand that if you are approved,
you may have to wait until a dog enters rescue that SAF believes is a good
match for you and your family.
Our rescues are all spayed or neutered (if medically cleared), heartworm
negative, micro chipped and current on all shots when placement is made.
To fill out this application by hand, download it here and mail to: Rodney
Chauncey P.O. Box 425 Winter Haven, Fl 33882-0425 or email to RC1857@verizon.net.