MAESSR

Mid-Atlantic English Springer Spaniel Rescue

Adoption Application

Thank you for your interest in becoming a part of the MAESSR family. Please fill out the application below, and an adoption coordinator will be in touch.

If you’d prefer to pay by check, print the PDF below by clicking on the arrow in the top right corner of the document box. Complete and send, with a check to cover the $15 application fee, to:

MAESSR
PO Box 807
Goochland VA 23063

Adoption Application

MM slash DD slash YYYY
Name(Required)
Address(Required)
What type of area do you live in(Required)
House, apartment, or condo(Required)
Do you rent or own(Required)
If you rent, do you have permission from your landlord to have a dog
Will you provide a copy of that permission to MAESSR
If you live in a condo, will you provide a copy of your condo's pet policy to MAESSR
Name of Veterinarian(Required)
Veterinarian Address(Required)
May we contact your vet(Required)
Please include age, sex, whether spayed or neutered, if cat declawed or not.
Have you ever been convicted of animal cruelty, abuse, and/or abandonment pursuant to any past and/or present laws of the state(s) or municipality(ies) where you have lived in the past or currently(Required)
Have you ever owned a dog before(Required)
Have you ever owned a Springer before(Required)
Please include preferences regarding age, sex, and coloring
Are you open to adopting a senior Springer (age 9+)(Required)
Are you open to adopting a special-needs Springer(Required)
Do you have a fenced yard(Required)
Have you ever taken a dog to an obedience class(Required)
Will you be taking your rescued Springer to obedience class(Required)
Are you familiar with crate training(Required)
Will you be crate training your rescued Springer(Required)
Do you agree to a personal interview with one of our volunteers(Required)
Do you agree to a home visit conducted by one of our volunteers(Required)
MAESSR requires that all adults living in the house be present for the interview(Required)
Are you prepared to pay an adoption fee(Required)
You are not applying for a specific dog. An adoption counselor will be in touch to discuss dogs that will fit your lifestye(Required)

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