ONLINE ADOPTION APPLICATION

Date:
Name:
Address:
City, State Zip:
Email:
Home Phone:
Work Phone:
Cell Phone:
Is there a particular dog on the website you are interested in?:
Name of dog you are interested in:
   
Your Ideal Dog is...  
Breed:
Energy Level:
Age:
Gender :
Size:
Coat Type:
Additional characteristics you are looking for::
   
If Necessary...  
Are you willing to provide house training?
Are you willing to provide crate training?
Are you willing to provide obedience training?
   
Home Environment...  
Please indicate where you live:
Do you own or rent:
If renting, do you have permission from your landlord to keep pets?
Please provide contact name/number of property manager:
How long have you lived there:
Do you have a yard?
If yes, what size is it?
Is your yard fenced?
If yes, fence height?
Do you have a pool?
If you have to move, what will happen to the dog?
Please list the gender and ages of all people in the home:
Are there other animals in the home?
If so, please list what type, including gender and age:
Are they altered?
Are they up to date on vaccines, flea and heartworm preventative?
Who is their current vet?
Have you owned dogs in the past?
If so, what happened to them?
If you cannot take care of your new pet, who will?
   
Your New Dog...  
Where will the dog spend the day?
How many hours will the dog spend alone?
How many hours will the dog spend outside daily?
What will be the dogs sleeping area?
What activities do you plan for your dog?
If necessary, how do you plan on obedience training your dog?
Will you agree to keep your dog on flea and heartworm preventative?
   
 

Thank you for taking the time to complete this application. Chow Chow Rescue of Northern California reserves the right to refuse adoption to any applicant. If approved, this application becomes a part of the adoption contract. Due to the responsibilities involved in pet ownership and the possibility of incurring costs associated with veterinary care, all applicants must be at least 18 years of age. Click "send application" when finished or click "clear" to start over.