ADOPT A MASTIFF THANKS FOR YOUR INTEREST Please note your region number, using the image below, then proceed to the adoption application form. Please select your region*Region 1Region 2Region 3Region 4Region 5Region 6Region 7Region 8Region 9Region 10Your Full Name*Your Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code How long have you lived at this address?Less than 5 yearsMore than 5 yearsPlease list your previous address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Your Home Phone NumberYour Cell Phone Number*Your Email Address* Your Driver's License Number (With State)Your Date of Birth*Are you married?*YesNoSpouse's Date of Birth*Your Occupation*Your Spouse's Occupation*Employer's Name*Employer's City & State*Employer's Phone Number*May we contact your employer?*YesNoNames and relation of other adults in the household*Names and ages of children living and/or visiting in household on a regular basis*Do you currently own dogs?*YesNoHow many?*Please list their names, breeds, sexes, and ages:*Would you be interested in breeding your Rescue Mastiff?*YesNoDo you own any pets besides dogs?*YesNoHow many and what kinds?*What sex Mastiff are you interested in?*MaleFemaleEitherWhat age Mastiff are you interested in?*PuppyAdultOlderWhat color Mastiff are you interested in?*FawnBrindleApricotAnyIn what type of residence do you live?*Apt/CondoTownhouseTrailerSingle FamilyFarmOtherYou selected "Other". Please describe:*Describe your environment:*UrbanSuburbanRuralHow large is your yard?*Is your yard fenced?*YesNoWhat type of fence?*What is your fences's height?*Where will your Mastiff live?*InsideOutsideKennelOtherYou selected "Other". Where will your Mastiff live?*Describe the shelter:*Will the Mastiff be...*FencedTied or ChainedFree to RoamHow many hours during the week will the Mastiff be alone?*How many hours will you be able to spend with the Mastiff daily?*Where will the Mastiff be kept when you are home?*Where will the Mastiff be kept when it is alone?*Where will the Mastiff sleep at night?*How will the Mastiff be cared for on overnight absences or while on vacation?*What type of vehicle do you have for transporting the Mastiff?*Have you ever owned a giant breed before?*YesNoWhich breed?*Have you ever had a previous dog...(check all that apply) Run Away Get Stolen Sold Given Away Given to Shelter Euthanized Die Why did you give your dog away?*Why did you give your dog to a shelter?*Why did you have your dog euthanized?*What was the cause of death?*What did you like best about your past dogs?*What did you like least about your past dogs?*What do you like best about your current dog(s)?*What do you like least about your current dog(s)?*Are you familiar with the characteristics and temperament of Mastiffs?*YesNoWhat made you choose the Mastiff breed?*What books/websites have you read about Mastiffs?*Why do you want a Mastiff ? (Select all that apply)* Guard Dog Companion Watch Dog Therapy Dog Prestige Child's Friend Obedience Prospect Other On a Scale of 1 (most important) to 8 (least important), how important is Guard Dog to you?*Please enter a value between 1 and 8.On a Scale of 1 (most important) to 8 (least important), how important is "Companion" to you?*Please enter a value between 1 and 8.On a Scale of 1 (most important) to 8 (least important), how important is "Watch Dog" to you?*Please enter a value between 1 and 8.On a Scale of 1 (most important) to 8 (least important), how important is "Therapy" to you?*Please enter a value between 1 and 8.On a Scale of 1 (most important) to 8 (least important), how important is "Prestige" to you?*Please enter a value between 1 and 8.On a Scale of 1 (most important) to 8 (least important), how important is "Child's Friend" to you?*Please enter a value between 1 and 8.On a Scale of 1 (most important) to 8 (least important), how important is "Obedience Prospect" to you?*Please enter a value between 1 and 8.You selected "Other". Why do you want a Mastiff?*What aspects of a Mastiff are most important to you (select all that apply)?* Appearance Agility Temperament Easy Care Coat Quiet Companion Friendly Attitude Size Other On a scale of 1 (most important) to 8 (least important), how important is "Appearance" to you?*Please enter a value between 1 and 8.On a scale of 1 (most important) to 8 (least important), how important is "Agility" to you?*Please enter a value between 1 and 8.On a scale of 1 (most important) to 8 (least important), how important is "Temperament" to you?*Please enter a value between 1 and 8.On a scale of 1 (most important) to 8 (least important), how important is "Quiet Companion" to you?*Please enter a value between 1 and 8.On a scale of 1 (most important) to 8 (least important), how important is "Easy Care Coat" to you?*Please enter a value between 1 and 8.On a scale of 1 (most important) to 8 (least important), how important is "Friendly Attitude" to you?*Please enter a value between 1 and 8.On a scale of 1 (most important) to 8 (least important), how important is "Size" to you?*Please enter a value between 1 and 8.How would you describe your current dogs' temperament? (check all that apply)* Dominant Mild Tempered Submissive Aggressive Shy Hyper Natural Leader Follower Friendly Aloof Easy Going Laid Back Afraid of Storms Other You selected "Other". How would you describe your current dogs' temperament?*What type of dog would best suit your family? Why?*What is your family's activity level?*AthleticModerateMediumLowRetiredOtherYou selected "Other". What is your family's activity level?*What activities do you intend to do with the Mastiff?*Do you subscribe to any dog-related publications?*YesNoWhich ones?*Will you take your Mastiff to obedience classes?*YesNoWhy will you take your Mastiff to obedience classes?*Why will you not take your Mastiff to obedience classes?*Are you prepared for the financial responsibility of owning a Mastiff?*YesNoHow much do you think it will cost per month to feed and care for your Mastiff?*Name of the primary caregiver of the Mastiff?*Will all family members be involved with the care of the Mastiff? If no, why not?*How many dogs can you legally own where you live?*Is there a leash law where you live?*What made you decide to adopt a Mastiff from a rescue organization?*Have you applied with any other Rescue Organization to adopt a dog?YesNoWhich one, and what was the outcome?*Would you be willing to help with transporting your Rescue Mastiff to your home?*YesNoHow far or how long would you be willing to drive?*Are you interested in providing foster care to a Mastiff while awaiting the Mastiff of your choice? Why or Why Not?*Please provide the name, clinic name, full address, phone number, and fax of your current veterinarian:*Please provide the name, clinic name, full address, phone number, and fax of your previous/alternate veterinarian:*Please list the name, full address, and phone number of a personal reference:*Please list the name, full address, and phone number of a personal (non-relative) reference:*How did you learn about Mastiff Rescue?*Do any family members have allergies to hair, dander, or dust?*YesNoPlease list any additional information or comments you feel may help us in placing a Mastiff in your home:*I certify that the information contained in this application is true and correct and I understand that prior to the placement of a Rescue Mastiff in my home, the information will be verified. I also agree to a personal interview to determine the suitability of my facilities to care for a Rescue Mastiff. I understand that UPON PLACEMENT of a Rescued Mastiff in my home there is a donation of up to $500.00*Yes, I Understand and AgreeNo, I Don't Understand or Don't Agree MAKE A DONATION ADOPT A MASTIFF