RESCUE PRE-ADOPTION APPLICATION:

We think small dogs are the best pets in the entire world, however, they are not for everyone.  We therefore request you complete the below application and answer some questions to help us determine what dog will best fit your particular needs.  When looking for a home for our rescues we try hard to make sure that this is the last placement he will ever have.  No one wants to be bounced from place to place - we all want a secure loving home!  Small dogs are bred solely for companionship, therefore they need an environment that will nurture them with lavish praise and attention.  They do well with children, however children need to realize that little dogs need to be treated carefully as they do break!  Bichons & ShihTzu require frequent grooming and you must consider this in your monthly budget.   Rescue dogs come from various sources, and by nature a rescue will require more than the average attention to fill his needs.  After reading all of the above, if you still wish to adopt a rescue, please give us all the information you can to help us make the perfect match for both you and a rescue.

I have read and understand the above:  _____________________________________

Please print legibly!

NAME: __________________________________________EMAIL: ____________________________

ADDRESS:  __________________________________________________________________________

CITY: __________________________________, STATE: ______________ AND ZIP: ______________

PHONE: HOME:  (_______)___________________WORK: (______)______________

AGE OF ADULTS IN HOUSEHOLD: _______________AGE OF CHILDREN: ____________________

HOW LONG AT PRESENT ADDRESS? ____________DO YOU OWN OR RENT? ______________

IS THIS A: HOUSE/APARTMENT/CONDO/TOWNHOME   (CIRCLE ONE)

DOES IT HAVE A YARD? ___________ FENCED? ________

 IF NOT FENCED HOW WILL YOU CONFINE THE PET TO YOUR PROPERTY? _____________________________________________________________________________________

WHY DO YOU WANT A RESCUE? ______________________________________________________

HOW DID YOU HEAR ABOUT US?  _____________________________________________________

WILL YOU CONSIDER A DOG THAT IS OLDER?  _________, IF SO, HOW OLD? ______________ NOT HOUSEBROKEN? ____________MALE?________FEMALE? __________

DO YOU HAVE ANY SPECIFIC  REQUIREMENTS? ________________________________________

HOW LONG WILL THIS PET BE LEFT ALONE DURING THE DAY? __________________________

HOW OFTEN? (IE: EVERY DAY, WEEKDAYS ONLY, WEEKENDS ONLY) ____________________

LIST ALL ANIMALS YOU HAVE HAD IN THE PAST 5 YEARS AND IF THEY ARE STILL WITH YOU: _______________________________________________________________________________ ______________________________________________________________________________________

WHO IS YOUR CURRENT VETERINARIAN (NAME ADDRESS PHONE): _____________________________________________________________________________________

HOW WOULD YOU CLASSIFY YOUR LIFESTYLE? (EASY GOING, OUTDOOR PERSON, COUCH POTATO, LOUD, QUIET) ______________________________________________________________

ANY OTHER INFORMATION YOU CAN GIVE TO HELP US FIND YOU A RESCUE: ____________

______________________________________________________________________________________

LIST 2 NEIGHBOR REFERENCES INCLUDE PHONE #’S: _____________________________________________________________________________________

_____________________________________________________________________________________

By submitting this form you are requesting application for adoption.  You further certify that the information provided is true and correct and give permission for us to contact your references.

Signed:                                                                                                  Date:________________________

MAIL TO:  BICHON RESCUE, 1979 CARLSON RD., PARKER, CO  80138  (720) 851-7543

 

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