AA Rescue Information Form
version CMT_Exists Name Address Address2 City State Zip DayPhone NightPhone Appealing RescueVsPurchase Travel WhyNotKeep ReturnDog HearAboutTTCA FamilyMembers AllAgree OtherPeople Caregiver DailyTime Cruelty AnimalControl House Own LeaseOK Restrictions TownRestrictions DogKeptin HomeWithDog HoursAlone DogNight DogAccess FencedYard OtherPets PreviousDog PreviousDogBox PreviousObedience CurrentObedience Grooming Expectations Preferences SpecialNeeds RescueExpenses SiteVisit Submit SubmitTime EntryDate CMT1 CMT2 CMT3 CMT4 CMT5 FullState g-recaptcha-response jan03 CMT_Exists Candace Gable 4913 Bennett Valley Rd Santa Rosa CA 95404 7074814551 email@example.com We had our last rescue Tibetan... All the dogs we have ever had ... With in a 8-10 hour drive. no Yes On line rescue sites Myself 65,my husband 70 Yes Friends & family I will All day,we are retired No Yes House own Not Applicable No In our house or outside with m... Yes Not hardly 1 of us is always h... in our livingroom Indoors with access to the who... We have a fenced acre in the c... No Yes Always had dogs last dog Tilly... Yes Yes I have a groomer,we took our d... family companion. prefer a young female. would prefer a healthy dog wit... Yes,both willing & able. Yes Submit 2020-01-12 16:41:16 EntryDate CMT1 CMT2 CMT3 CMT4 CMT5 FullState 03AOLTBLS9DPD_G6UvJaO2LgOxn1Yp... jan03 CMT_Exists Katie Rios 4117 Inglewood Blvd LOS ANGELES CALIFORNIA 90066 310-597-6556 firstname.lastname@example.org I will be honest. I have never... Both are dogs were rescues. We... Prefer to find a dog close to ... If the dog turned out to be ag... Yes Online Katie 58 years
Gerald 64 year... Yes Niece-3 years
Her parents-@40... Katie We work and go to school from ... No No House own Not Applicable No Yes Inside No 7 hours In the house. Our dog who pass... Our dog has access to the enti... We have a fenced yard. The woo... Brady is our dog. He is a 9 ye... Yes We had a Yorkshire Terrier, wh... No No We use a professional groomer ... Family compaion. -puppy or @ a year
-... We are willing to help our dog... Yes Yes Submit 2019-12-08 21:50:22 EntryDate CMT1 CMT2 CMT3 CMT4 CMT5 FullState 03AOLTBLQV0nFhbdw-Pmi2z-vIkzcf... jan03 CMT_Exists Marci Rix Box 1326 Pilots point marina Westbrook ... dudley Ma. 01571 7747578270 Same email@example.com We have had two of them and lo... Since the 1980s we rescued fiv... No No Yes We rescued Josie through Camil... Just me. Just friends2 About 24 hours No No own No No On the boat Yes One no more than four I n bed with me I hope yes. No. No Intend to walk four times a da... One horse back on the farm in ... Only half this question is vis... No Brush every other day trim wh... Companion Over one year old travels wel... Yes Yes Yes Submit 2019-10-22 05:23:59 EntryDate CMT1 CMT2 CMT3 CMT4 CMT5 FullState 03AOLTBLSp2USjOmwTh3my_cKduvL2... jan03 CMT_Exists Dave Best 3298 Turtle Cove West Palm Beach FL 33411 561-2841266 firstname.lastname@example.org We rescued our Snoopy who was ... We want to save a dog who trul... We are in Florida and would go... None at all. He would be our ... Yes I have been interested in this... Wendy 53
Justin 21... Yes My mom 83 who visits us. Me and my wife Most of the day No No House rent Yes No No Inside right next to me - I wo... Yes Rarely a few hours at a time In our bedroom No restrictions inside where h... Leash walk yard is not fenced. No Yes Tibetan Terrier who passed awa... No Professionally groomed as reco... Companion House trained with a good disp... We would prefer housebroken do... Yes Yes Submit 2019-10-04 13:47:54 EntryDate CMT1 CMT2 CMT3 CMT4 CMT5 FullState 03AOLTBLQo5UTUPekyRm91N_oNIRLb... jan03 CMT_Exists Angela Alston 1217 Urban Lofts Dr. Dallas TX 75215 2149245078 email@example.com I've been thinking about ... It's important to me to t... 250 miles or so If I became unable to take car... yes Via the AKC website. Just me Yes House cleaner every other week... Me 4 hours at least. I'm sel... No No Other own Not Applicable No With me much of the time. Othe... Yes 4 hrs? With me The dog will normally have acc... The yard is fenced. Made of wo... No other pets. No No Yes I need advice in this area. I ... Companionship Sex not important.
I'd p... I'm willing to work with ... Yes Yes Submit 2019-08-07 19:55:37 EntryDate CMT1 CMT2 CMT3 CMT4 CMT5 FullState 03AOLTBLS_aYKROKmtVg0e5FsWPUbt... jan03 F Test Man 17 1234 Upper Crust Dr Boomer ND 45655 9998007777 firstname.lastname@example.org love long hair too cheap to purchase 100 mi no yes during a long walk with my wif... Kip
Kin Yes grandkids me 8 hours No No Condominium rent Yes No No in the back yard Yes 12 in the kennel yes the entire house yard with 6 ft fence yes two cats Yes labrador passed away Yes Yes weekly to a groomer companion no yes yes Yes Submit 2019-07-08 19:33:44 EntryDate north dakota jan03 F Marilyn Jackson 183 Stonewall Hts Abingdon VA 24210 2766281198 email@example.com I’ve had a TT that I rescued... I am looking for a companion. ... We drove to Kentucky to get An... No, I cannot. Yes. From Kris Lowe and Joyce Killi... Marilyn Jackson, 75 and Curt J... Yes 4 children, 5 grandchildren, h... Marilyn all day, minus a few hours No No House Own Not Applicable No No in the house Yes 2-3 hours in our bedroom yes. in a crate 2 or 3 hours.... Leash walk about four times a ... No Yes Yes. A TT. Passed away. Had... Yes Yes My TT went to a professional g... family companion. a young female, but would cons... I took Annie to obedience scho... Yes. Yes Submit 2019-07-08 19:33:44 Tue May 21 23:27:27 2019 virginia jan03 T Jan Hopkins 38 Hemlock Drive Natick MA 1760 5089513656 5089513656 firstname.lastname@example.org I have owned two of this breed be a shame for this breed not ... New England area no yes friend Seniors 65+ Yes Grandchildren- their parents -... adults retired All day No No House Own Not Applicable No No Yes in house yes - create would depend on a... Yes - 6foot wooden fence -twic... no Yes No No every 3 weeks- daily at home Family Companion travels well in car - high ene... daily meds is fine - yes Yes Submit 2019-07-08 19:33:44 Sat May 11 15:54:15 2019 dioghe: Wed May 15 15:08:14 20... massachusetts jan03 F Eric Lorber 1524 Ogden St. NW #1 Washington DC 20010 9175935012 email@example.com My parents have a Tibetan Terr... My wife and I have always want... A few hours drive -- probably ... No. I travel for work, but ei... Yes, of course. My parents provided me with th... Myself, 35. My wife, 32. Yes N/A Eric No No Condo Own No No No Our home. Maybe once a week a... No Approximately 7 on weekdays, t... Yes -- at least an entire floo... Leashed walk, at least three t... No Yes I grew up with border collies,... Yes Yes Brush every few days. Groom w... Family companion primarily, al... prefer not elderly, good with ... Yes for meds/not housebroken (... Yes Yes Submit 2019-07-08 19:33:44 Thu May 9 12:04:20 2019 dist of columbia jan03 F Daniel Vinograd 12864 Via Esperia Del Mar CA 92014 858 531 7190 firstname.lastname@example.org Have had one in the past and l... We will do either. We know we ... Flexible No. We will keep it Through ttca Daniel 67 Nora 64 Ari 40 Yes Friends and family. We believe... Me 24 7. We are retired and son w... No No House Own Not Applicable No No In the house with us Yes Zero Inside bedroom Crating at the beginning if do... 2 fenced medium size yards. Da... Yes a very sweet and well beha... Yes Tibetan terrier died at an old... Yes Yes We used a groomer with our TT ... Pet Prefer a female Yes. Yes Yes Submit 2019-07-08 19:33:44 Thu May 9 10:10:34 2019 california jan03 F Loralyn Perry 6766 Saroni Dr Oakland CA 94611 5104356811 5104356811 email@example.com I have had Tibies for over 12 ... I have a 12 year old male and ... For the right dog, quiet a way None at this time Yes Internet search, AKC Me, 70 Yes Friends and dog walker, neighb... Me Over 10 hrs No No House Own Not Applicable No No House with access to fenced ya... No Dog walker comes weekly once o... House Yes, no not typically Fenced yard and intend to walk... Yes, two dogs Yes Tibies, two, one just died of ... Yes Yes Brushing each week. Baths mont... Companion to my male Tibie and... Female, older to senior dog. G... Yes Yes Yes Submit 2019-07-08 19:33:44 Wed May 8 14:14:05 2019 california jan03 T elizabeth krupnick 2401 7th ave n st. petersburg fl 33713 6198888860 6198888860 firstname.lastname@example.org I have had two TTs. My girl, ... The answer is kind of obvious.... Very far. No. Yes, if that’s what you requ... internet. just me, in my 60s and home vi... Yes Grandkids. Love dogs. me most of the day every day No No House Own Not Applicable No No Yes in home. Can sleep wherever h... See answer above. I’m way no... Completely fenced backyard and... Elderly Maine Coon (cat). Bore... Yes 2 TTs. One still living. The ... Yes Yes Professional groomer. Every 4... Companion. In a perfect world, would pref... Yes Yes Submit 2019-07-08 19:33:44 Tue May 7 19:52:00 2019 dioghe: Wed May 8 10:21:15 20... florida jan03 F Monica Clarke 5345 SW Illinois St Portland OR 97221 5038165906 email@example.com Temperament, size I adopt only 100 miles, depends No Yes A friend who recently adopted ... Self, 64 Yes Friends Me All, except working hours No No House Own Not Applicable No No In house, with doggie door No 7am-5pm weekdays in my bedroom Yes, entire house. No crate. Fully fenced yard, 1/3 acre, 6... No Yes 7 thruout my life — shepherd... Yes Yes As often as is needed, either ... Companion. I’m committed to ... Senior dog to match my older e... Possibly, depending on what me... Yes, depending on the amount Yes Submit 2019-07-08 19:33:44 Sun May 5 21:48:35 2019 oregon jan03 F Joe White 101 Morris Street Philadelphia PA 19148-1312 12154399078 12154399078 PhilaPropertyManage@gmail.com Previously owned one! It would be good to give a goo... 80 miles I guess. It depends. No, we are generally committed... Yes Facebook page friend for years... Wife, Husband and 8 Year Old D... Yes The adults I work from home No No House Own Not Applicable No No Where ever in the house they p... Yes Where ever they please. Our la... Outside for walks with us. Leash walk. Amount depends on ... Elderly dog (13.5 year). She i... Yes All our dogs eventually pass f... Yes No I trimmed our last one, to a p... Companion. Family member. Ideally younger. Ideally, one that just needs a... Yes, a donation is important. Yes Submit 2019-07-08 19:33:44 Sun May 5 17:47:55 2019 pennsylvania jan03 F Robert Brausey 4939 State Line Rd 4939 State Line Rd Kansas City MO 64112 8167283749 8167283749 firstname.lastname@example.org They are SMART and so LOVING! ... Breeder cost are too high and ... 500 miles NONE YES! My Vet told me to look ME-52 Puggle-Skip-8yr old Yes NONE ME! 8-10hours No No House Own Not Applicable No Yes Yes 5-6 hrs. Sleeps with me in my BED! Yes, After a little crate trai... Fenced yard but will walk the ... Puggle-Skip he is 8yr old Yes Mattise- lahso Alpso Passed at... Yes Yes Professional Groomer every 6 w... Companion for Me and my Puggle Travels well,Good with other D... Tibetan terriers are easy to t... Yes! Yes Submit 2019-07-08 19:33:44 Sun May 5 12:44:43 2019 missouri jan03 F Sue Doherty 13 Crown Rd Westford MA 1886 978-467-5513 email@example.com Size, temperament, personality... Would love to give a rescue a ... 300 miles No Yes Internet Susan 51, Kyle 16, Olivia 10 Yes No Mom-Sue 6 hours No No House Own Not Applicable No No Kitchen Yes 5 Kitchen Entire house No Yes 2- poodle mix lived to 16 Bor... Yes Yes Prof every few months Family No Yes Submit 2019-07-08 19:33:44 Fri May 3 23:44:33 2019 massachusetts jan03 F Michael Barnes 6032 Iris Lanee Rockford MN 55373 952-818-4138 firstname.lastname@example.org TT have always been on top of ... Find it difficult that someone... 350 miles Illness to myself or my spouse Yes TT club of america My wife, my son and me Yes Me 22/7 No No House Own Not Applicable No No In the the home Yes 24 open gated kennel in the laund... Yes complete run of home walking twice per day 1 hour e... No Yes Bichon: 10 years Cancer. Gordo... Yes No daily. Professionally once eve... Family companion No older than 2 years No I can donate some money Yes Submit 2019-07-08 19:33:44 Sat Apr 27 10:49:16 2019 minnesota jan03 F Marilyn Brockway 2829 Woodland Drive NW Washington DC 20008 202 255 3241 202 255 3241 email@example.com I love the look of the Tibetan... I am interested in either a re... Anywhere in the US No Whatever would be considered t... I went online. Husband 75 Myself 70 Yes Two adult children neither of ... Myself I do not work and am home duri... No No House Own Not Applicable No No In our home Yes There is someone here everyday... The dog will have access to th... We do have a fenced garden but... no Yes We had a Wheaten Terrier for a... No Yes The dog will be groomed every ... Family companion. I would prefer a female who is... No Yes Yes Submit 2019-07-08 19:33:44 Fri Apr 26 15:13:00 2019 dist of columbia jan03 F Jennifer Rose 6816 Cherry Tree Ct New Market MD 21774 301-922-8877 301-922-8877 firstname.lastname@example.org their happy & gentle natur... I prefer adopting a rescue 2 hours no Yes Paul 48, Jen 43, Ben 18, Brad ... Yes neighbors (adults), cleaning l... Jen there is almost always someone... No No House Own Not Applicable No No in the house. crate if needed Yes maybe 4 hours at the most in my bed room. we fence the s... yes, the dog will have access ... invisible fence and walk at le... 1 dog, spayed, mixed terrier. ... Yes Yes - all rescued dogs. Gizmo ... Yes Yes Groomer - every 6-8 weeks. Nev... Family companion I would prefer a dog under 5 y... No. I will not take a dog with... yes Yes Submit 2019-07-08 19:33:44 Fri Apr 26 14:29:16 2019 maryland jan03 F Vladimir Gavrilov 2709 Pecan Ct Rocklin CA 95677 9162175189 email@example.com size, appearance, behavior 150-200 mi from Kim Tucker Yes No No House Own Not Applicable No No Yes in the house yes. latge yard, 6 ft fence, outsid... not currently Yes No No brush - every 3-4 days, profe... family social companion. we prefer mail, puppy or young... yes Yes Submit 2019-07-08 19:33:44 Tue Apr 23 18:14:08 2019 california