Thank you for your interest in a Dalmatian! Please fill out this application as completely as possible, as you will help us select the right dog for you. Press submit when finished to send it electronically, or you can print it out and send it to:

Dalmatian Rescue of Albuquerque
c/o Lyn Melin
9012 Camino Del Sol, NE
Albuquerque, NM 87111


Please note that filling out this questionnaire is not a reservation or guarantee of a dog.
Full Name:
Street Address:
City: State: Zip:
Phone: Home: Work: Cell:
Email:

How did you hear of Dalmatian Rescue? Dal Owner Advertisement Web Other

Please specify what age/sex/color of Dalmatian you are looking for (if you have a preference):

Why do you want to own a Dalmatian?

Do you consider yourself/family to be active in such a way that it would include your Dalmatian? How?

Have you ever owned a Dalmatian?Yes No

Do you have other dogs now? Yes No If Yes, please complete the following section:

What breed(s) and sex(es)?

How do your dogs get along with other dogs? Excellent Good Fair Poor

Is/are your dog(s) neutered or spayed? Yes No Have you ever bred a litter?Yes No

Ever train in obedience? Yes No Willing to train in obedience? Yes No

How often are they fed? Watered or dry? Watered Dry

Do you own cats? Yes No How many? Are they used to dogs? Yes No

Do they live indoors or out? Indoors Outdoors

Name, address, and phone of veterinarian, if available:

Name, phone, and email of additional reference:

What is the approximate size of your yard?

Is your yard completely fenced? Yes No Fence height (ft):

Fence type

Is fence completely enclosed on all sides and also attached to the house? Yes No

What kind of shade or cover is in the enclosure?

What kind of accommodations do you have for the dog in the cold?

Is anyone home during the day? Yes Number of hours the dog would be alone

Where will the dog stay during the day when alone?

Do you have a dog door into the house or garage? Yes No

Describe neighbors the dog will be involved with (Do they like dogs? Children (ages), dogs or cats?)

Any problems with neighbors currently? Yes No

Do you own your home?Yes No

If not, please send a letter of permission from your landlord to have a Dalmatian.
Give landlord's name, address and phone number.

What do you do with your pets when you go on vacation?


Do you own and have you used a dog crate? Yes No

How old are any children who will be in contact with the dog?

Does anyone in your family have allergies to dogs or cats, or asthma? Yes No

If yes, how severe?

Do all parties (if more than one adult in house) want a Dalmatian? Yes No

Are you willing to give the new dog at least a one month trial to ensure proper adjustment?
Yes No

What would, in your opinion, constitute a reason for not keeping the dog?


Would you consider a second Dalmatian at a future date? Yes No

We are always in need of temporary homes for our rescue dogs. Would you be willing to foster
a needy Dalmatian if it is compatible with your life style and other pets? Yes No

Any other questions about the breed we can answer?