Bare Paws Rescue Adoption Application

Adoption Application

All fields are required. Failure to answer all questions may result in the application
not being processed. If a question is not applicable, please mark it as such with N/A

Please read A doption G uidelines and requirements before filling out application

Your name:

Email:

Home address:
(Please include City/State/Zip)

Phone number:

Occupation:

Please complete all of the following questions:

Date of Birth (must be over 21 to adopt):

Best time to reach you:

Are you:  Married_____ Single_____

If married, does your spouse know of and support you applying to adopt a Chinese Crested?

If married, what is your spouse's name?

Have you read our adoption guidelines and requirements?

Do you:  Own____ Rent____

Do you live in a:  House____ Condo____ Apartment____ Other (specify):

If you rent, does landlord allow dogs?

Landlord's name and phone number:

Do you have children?

If yes, ages?

Do you have children regularly visiting your home?

Is anyone in the household allergic to dogs?

Have you ever turned a dog over to a shelter?

If yes, why?

Please describe the last dog you owned (prior to any dogs you currently own):

Why is the dog no longer with you (please be specific)?

List all dogs you currently have (breed, age):

List all other pets:

Are all pets spayed/neutered?

If not, why?

Are all pets up to date on vaccinations?

If not, why?

Are dogs on heartworm preventative?

How many hours a day would the dog be alone?

Where will the dog stay when you are not home?

What would you do if your current dog(s) and the new dog did not get along?

Do you have a fenced yard?

If yes, describe fence:

Is fenced area completely secure?

If no, what arrangements will you make for bathroom duties?

How will the dog get exercise?

How would you discipline the dog?

What would you do with the dog when you go on vacation?

Are you financially able and willing to provide proper diet and veterinary care for the natural life of the dog, including emergency treatment if necessary?

Why are you interested in a Chinese Crested?

What do you know about the breed?

Have you ever owned a toy breed?

Are you aware of the special care that Chinese Cresteds require?

Are you committed to caring for the dog for its lifetime?

Have you applied to any other rescue group(s)?

If yes, which one(s) and what is the status of your application?

Are you interested in a particular dog?  If yes, name?

Would you consider adopting a special needs Crested?

Do you have a preference of:  Male_____ Female_____ Hairless____ Powderpuff_____ 
Color preference?

Veterinarian's name:

Veterinarian's address:

Veterinarian's phone number:

(If you have been using your current vet for less than one year, please provide your previous vet's contact info)

Previous Veterinarian's Name:

Previous Veterinarian's Phone Number:

Please provide 2 personal references who are not related to you:
1) Name:
   Phone:
   Best time to call:
2) Name:
   Phone:
   Best time to call:

Are you interested in becoming a volunteer/member of Bare Paws Rescue?

Any other comments:

Application may also be mailed to:

Bare Paws Rescue
PO Box 7193
Gilford, NH 03247

Bare Paws Rescue reserves the right to deny any application without explanation.
By submitting your application, you affirm that you have read and agree to the

Adoption guidelines and requirements

All references will be checked, and a home visit is required prior to being approved to adopt.