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Muttley Crew Rescue For German Shepherds & Other Homeless CrittersMimi and the Muttley Crew

Muttley Crew
Adoption Application 

Your answers will permit us to more effectively match your needs with a dog in our program.

Please fill out your application completely.  We need to know as much about you as possible before we consider allowing you to adopt one of our adoptable pets. The information you provide on your application will help us determine the best possible match for both dog and adoptive family. 

  • If you do not fill out the application in FULL, or are not 100% truthful, your application will be discarded without further notice. If a question does not apply to you, fill in the blank with "Not Applicable" or "N/A".

  • Applicants must be at least 21 years old or older.

  • Mimi and most of our volunteers/foster moms and dads work full time, have families, have pets, and a lives of their own, so please be patient.  We will get back to you as soon as possible.

  • We require that all animals in the prospective adoptive family be spayed or neutered, up-to-date on vaccines, and on heartworm prevention. We feel that "responsible" pet owners fit in this category.

  • We prefer homes with fenced yards. While this is not necessarily a strict requirement, it is a serious consideration when we are processing applications. If you meet all of our other criteria, but don't have a fenced yard, we will process your application to see if we may still have a match for your family. You must have a plan in place for exercise/potty needs of the adopted dog.

  • Keep in mind: Rescue dogs need and deserve your patience. Whether it be house training, getting along with the other pets or just settling in...be prepared.  They will need time to adjust to your home and family.

  • The fastest way to apply is this online application (scroll down).  However, if you would prefer to apply via email, you may download the application in MS Word format or PDF format.  Save the file to your computer and email the completed file back to us at mcrgsd@yahoo.com


 All questions are REQUIRED to be completely answered.  If it does not apply, type N/A or Not Applicable.
If you should have any questions or concerns, please do not hesitate to  contact us.

  Contact Information

Every field throughout the entire application must be completed.

Which animal are you interested in adopting? 

Regardless of whether you have named a specific animal above, Please describe your IDEAL PET... your preferences with regard to breed, sex, age, color, small dog, large dog, house dog, yard dog etc:

Your Full Name


No Post Office Boxes Please.





Home Phone 

Please include area code.

Cell Phone

Include area code.

Co-Applicant's Full Name

Relationship to Applicant

If Married, How Long?


Place of Employment

Time Employed?

Employer City, State

Your Work Phone

Include area code.

Co-Applicant's Place of Employment

Time Employed?

Employer City, State

Co-Applicant's Work Phone

Include area code.

 Information About Your Household Members

Please list the people that currently live in your household or visit often.
(Please list relationship to you & their age.  We don't need the children's names.)

Who will be the primary care giver for the newly adopted animal? 
Does anyone in the household have any known allergies to animals?Yes No     If yes, please explain.

 Information About Your Home

Which of the following best describes your current residence? (Check one)
Single Family Home  Mobile  Home  Condo Apartment

Nearest highway to your home: 

How close is this highway to your home? 

Length of time at this address?  

Do you own or rent?  Own  Rent/Lease 

If you are renting, please plan on providing us with a copy of the pet policy from your lease and providing the following information now:

Landlord's name and phone number

Does your residence have a: (check all that apply) Yard  Fence  Dog Run  Dog Door

If fenced please specify type and height of fence:  Type of Fencing (Materials)   Fence Height

Size of fenced area:

If you do not have a fence, please explain how you will address the dog's exercise and bathroom needs, etc.

Does your residence have a pool or hot tub?   Yes  No

If yes, is it fenced/covered so that pet CANNOT get to it?  Yes  No
Please provide details: 

 The Animal You Want To Adopt

We receive many applications for each dog, and may already be in the process of approving another home for the dog in which you are interested.  If this dog is unavailable do you want Muttley Crew to match you with a suitable companion? (Subject to your approval of course)

Type of companion animal you are seeking: Puppy  Adult Dog Other - Please specify below

Preferred Gender:    Male  Female   No Preference

Color Preferences: (check all that apply) Black& Tan  Black/Red  Black/Silver  Sable  Tan  Black  White  Any Color

Why are you interested in adopting?  Please check all that apply.  Companion for Self  Companion for Family  For Breeding  Gift
For Protection For Child  Replace Previous Pet  Companion for Other Pet  Other - Please specify below

This dog will be a :  House Dog Yard Dog  House Dog with Access To Yard  Guard Dog  Companion

How long will your new dog be left alone (without humans) each day?

Is this your first pet as an adult?  Yes  No

If no, please list pets you have had previously and the duration they were with you. What happened to these animals?

 Your Current Animals

What animals currently live in your household? (Please include the following info for each pet: 
Name of pet, type of pet (dog, cat etc), sex/age, How long owned?  Kept where?)

How do you plan to introduce the new pet to the household?

Are you prepared for the expenses that are incurred annually for veterinary medical costs?   Yes  No

Are your current pets up to date on shots, heartworm preventative, veterinary care, etc?   Yes  No

If not, please specify which ones and why not. 

What brand of heartworm preventative do your use and how often?

Are all your current pets spayed or neutered?  Yes  No

If No, why not?

How will you handle the following potential situations?
Family allergy to pet: 
Pet medical expenses: (emergencies or diagnosed medical condition) 

If you should move what will become of the pet?

Are you prepared to spend several weeks or, perhaps months, helping your new pet adjust to a new environment?  Yes  No

 Your Experience With Animals

Have you ever had any complaints about your pets?  Yes  No
If yes, please explain.

Are your current pets friendly with other animals? Yes  No  

Have you ever had to give up a pet before? What were the circumstances? Where did the animal end up?

Do you plan on having your new pet enrolled in obedience training?  Yes  No
If yes, where:

Please describe any special training or experience you have had with your previous or current animals.

 Taking Care Of Your Newly Adopted Pet

What is the longest duration you will leave your pet unattended outside?

Where will your pet be kept:
At night:

Day time:

How many hours a day will there be someone at home with this pet? 

What brand of food do you plan on feeding your new pet? 

 Your Veterinarian

Please provide the following information so we can contact your current veterinarian.

Vet Name

Vet Address

FULL address please, including city and zip code.

Vet Phone

REQUIRED!  Please include area code.

Date, pet name and reason for most recent vet visit.

We reserve the right to check your status with your vet and to inspect all homes and yards prior to approving any adoption.  Is this okay?
Yes    No

  Your Groomer's Contact information

 (if applicable)

Groomer's Name

Groomer's Address

FULL address please, including city and zip code.

Groomer's Phone

Include area code.

What are your pet's names that this groomer has seen?

 Please List 2 Personal References (unrelated to you & not living in your household)





 Almost Done!

Have you applied to adopt from another rescue within the last year? Which organization?

Any other comments you'd like to add for consideration of your application to adopt?

Would you consider volunteering for our organization  Yes  Not At This Time
If yes, which of the following areas interest you?
Temporary Foster Care   Personal interviewing of adoption candidates   Fundraising   Home Visits
Transporting   Computer Assistance  Telephone calling  Representing us at an Adoption Event

Clicking the Submit Button will return you to Muttley Crew Rescue's website. Please do not click Submit more than once.
The application process may take a number of days, but we will do our best to get back to you as soon as possible.

Submission of an application to adopt does not guarantee placement of a dog.

501(c)3 non-profit status pending

P.O. Box 520, Fouke, AR 71837
Serving Texarkana and surrounding areas.

Copyright 2011 Muttley Crew Rescue

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