Shih Tzus & Furbabies

• Our Dogs
  • All Available Dogs
  • Puppies
  • Sunshine Seniors
  • Adoption Pending
  • Adopted
• About Us
• Donate
  • Our Donors
  • Corporate Donors
  • In Memoriam
  • In Your Honor
  • Furbaby Sponsorship
• Apply
  • Our Adoption Process
  • Adoption FAQs
  • Adoption Application
  • Foster Application
  • Transport Application
• New Beginnings
• Shop
• Links
• Contact

Adoption Application

1. Your Name(required)
2. Email(valid email required)
3. Referred By
4. Home Address(required)
5. City(required)
6. State(required)
7. Zip(required)
8. Home Phone(required)
9. Cell Phone(required)
10. Your Age(required)
11. Marital Status(required)
12. Occupation(required)
13. Employer
14. Work Address
15. Work City
16. Work State
17. Work Phone
18. Name of dog or type of dog you're interested in(required)
19. If you're not sure, what age of dog would you like to adopt? (please select as many as apply) Puppy Young Adult Senior (required)
20. Male or Female Dog? Male Female No Preference (required)
21. What are you looking for in a dog?(required)
22. Why are these characteristics important to you?(required)
23. Why are you adopting a dog at this time?(required)
24. What do you most like about dogs?(required)
25. What do you like least about having a dog?(required)
26. Who will be the primary caregiver of the dog?(required)
27. Why are you considering a rescue dog?(required)
28. Are you willing to accept a dog with behavior problems who requires special training?(required)
29. Are you willing to accept a dog with special needs?(required)
30. Are you willing to accept a dog with a history of neglect/abuse who needs extra love and attention?(required)
31. Type of Residence House Apartment Condo Townhouse Other (required)
32. How long have you lived here?(required)
33. Do you rent or own? Rent Own (required)
34. Do you plan to move/relocate within the next year?(required)
35. If you rent or live in a condo, are you allowed pets?
36. Does your rental agreement specify a size restriction?
37. Landlord's Name / Condo Association Name
38. Landlord's Phone Number / Condo Association Phone Number
39. Please list everyone living in your home (Name, Relation, and Age)(required)
40. Do you have children under the age of 10 who are frequent visitors (such as grandchildren, neighbors, etc.)? Yes No (required)
41. If yes, please explain
42. Please list any pets currently living in your home (Name, Breed, Age, Gender, and whether they are spayned/neutered) (required)
43. Is anyone in your home allergic to dogs? Yes No (required)
44. Do you have a backyard or deck? Yes No (required)
45. If yes, is it enclosed? Yes No Not applicable
46. If you have a pool, is it fenced? Yes No We do not have a pool
47. If your yard is fenced, please describe the fence
48. How will your dog relieve/exercise himself?(required)
49. What is your household activity level? Quiet Active Varies (required)
50. How many hours a day will the dog be alone? 0-3 hours 3-6 hours 6-8 hours more than 8 hours (required)
51. Do you travel often? Yes No (required)
52. Who will care for your pet when you travel?(required)
53. Where will your pet be kept when he/she is alone?(required)
54. Where will your pet spend the day?(required)
55. Where will your pet sleep at night?(required)
56. Who will walk your new dog? And how often?(required)
57. Are you prepared to pay someone up to $40, or more, every 4 weeks to groom your pet? Or are you prepared to purchase the necessary equipment and devote the time to learn to groom your pet yourself? I will pay for grooming I will purchase supplies and groom dog(s) myself I am not sure how I will handle grooming (required)
58. Are you willing to spend approximately one hour each week brushing and combing out your pet? This additional maintenance is required whether the dog is being professionally groomed or you are grooming your dog yourself. Are you willing to pluck the hair from the inside of the ears monthly to prevent infections and to clean the eyes of accumulated matter daily if necessary? Are you prepared to deal with the cost of both routine veterinarian care (worming, annual shots) and non-routine/emergency veterinary care, especially as the dog gets older? Yes No Not Sure (required)
59. If you became ill or temporarily disabled, is there someone who can help care for your dog?(required)
60. Please list any dog(s) you have owned in the past and explain what happened to him/her. (required)
61. Have you ever given an animal to another person, rescue, or shelter? If yes, please explain?(required)
62. Reference 1 (Name, relationship, telephone number)(required)
63. Reference 2 (Name, relationship, telephone number)(required)
64. Reference 3 (Name, relationship, telephone number)(required)
65. Vet's Information (Name, City/State, telephone number)(required)
66. Vet records are under the name of(required)
67. Please provide any other information that may be helpful for us to know when reviewing your application(required)
68. ADOPTION FEES - Shih Tzus & Furbabies requests an adoption fee ranging from $250-$600. Is this acceptable to you?(required)
69. I certify that the above information is true and accurate to the best of my knowledge, and I understand that completion of this form in no way guarantees my ability to adopt a dog. I further understand that completion of this form is only the firt step in the adoption process and that, should I wish to further this process, and in-home screening will follow. SIGNATURE OF APPLICANT(required)
70. DATE of application(required)

 

cforms contact form by delicious:days

Home Apply Adoption Application

Shih Tzus and Furbabies, Inc is a non-profit organization recognized under Internal Revenue Code Section 501(c)(3). Your donation may be tax deductible to the full extent allowed by law.