AMPS MIN PIN RESCUE DASHBOARD

 

  
 
Adoption application, Add new record
Date   Click Here to Pick up the date  
First Name  
Last Name  
Street  
City  
State  
Zip  
Phone (home)  
Phone (work)  
Phone (cell)  
Email   
Do you currently own pets?   
List, (Name, breed, sex, age)  
All dogs and cats Spayed?   
If not spayed why not?  
Are the pets current on Rabies  
All pets heartworm tested  
Monthly Heartworm preventative  
Have you had any Past Pets?  
List all Past Pets & what happend to them?  
Vet Name  
Vet Address  
Vet Phone Number  
Vet records are in the name of  
Do your Rent or Own your home?   
Home Type   
Landlord Name  
Landlord Phone No.  
Is there a Pet Deposit?  
Is there a Weight limit?  
Pet Deposit Amount  
Pet Rent  
Do you understand that Min Pins tend to bark a lot and might not make good apartment pets if other tenants are not tolerant of barking   
Is your yard completely fenced in?   
Type of fence  
Fence Height  
How do you plan on exercising your Min Pin?  
Do you have a crate to keep the dog in?  
How many hours will the dog be alone during the day?  
Where will you keep the dog while you are at work or out on errands?  
Where will you keep the dog while you are on vacation?  
Why are you interested in adopting a Miniature Pinscher?  
Do you have a preference of Male or Female?  
Please describe any preferences you might have about the age of a min pin you would be interested in adopting.Preferences  
Is there a particular Min Pin you are applying to adopt?  
If yes, what is the Name, State and Tag number of the dog you are interested in?  
How many adults are presently living in the house?  
Men in the home  
Women in the home  
Do you have roommates?  
Have they agreed to have this pet in their home?  
If you and your pet will live with a roommate or your parents for any part of the year, please provide their information.  
Do your roommates have pets?  
If yes, please list Name, Age and Type of Pet.  
Are there children presently living in the house? (name and ages)     Ages & Name:    
We do not adopt to homes with children under 10 except in cases where specific dogs have successfully lived with children in the past.
Do you understand that AMPS requires a home visit prior to adoption and in some cases after adoption?   
I am prepared to take on the responsibility of caring for this dog for its lifetime, an average of 12 - 18 years    
I am willing to spend the time, patience and money to properly train a dog?   
I understand that a Miniature Pinscher should never be allowed off lead in open spaces?    
How far are you willing to travel for a minpin?  
Please list a personal reference: (Required information is Name: address, phone number  and  relation to you)    

Adoption Donations Are As Follows:

    • Healthy dogs up to 2 years of age: $300.00 - $350.00          
    • Healthy dogs between the ages of two and six: $150.00 - $300.00
    • Healthy dogs between the ages of six and nine: $75.00 - $150.00
    • Geriatric or “special needs” dogs: donation is set on a case -by -case basis.

The Donation Fees Above Do Not Reflect Any Vet Fees Which Will Need To Be Reimbursed To AMPS.  Donations Made Are Necessary To Continue Needed Medical Care For The Minpins AMPS Assists.  For Your Convenience AMPS Can Accept Money Orders, Cashiers Or Bank Checks And Paypal.

Incomplete applications will not be processed 

By checking “Yes” here, I certify I agree to the information in the above paragraph pertaining to the adoption donations.    
By checking “Yes” here, I certify that the above information is true:    
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All Miniature Pinscher Service, Inc. reserves the right to reject any application at any stage without assigning any reason.