Bare Paws Rescue, Inc.

First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Email*

Home Phone*

Cell Phone

Best time to reach you: *

Are you employed? If yes, what is your occupation?*

What is your age?

Marital Status:

If married, does spouse know of and approve of you applying to adopt a dog?

If married, what is your spouse's full name?

Have you read our adoption guidelines?

How many people reside in your household?*

Do you have children?

If yes, children's ages?

Do you own or rent your home?

In what type of home do you live?

If you rent, have you received the approval of your landlord to have an animal?

If you rent, please enter your landlord's name and phone number:

Is anyone in the household allergic to dogs?

Have you ever turned a dog over to a shelter?

If yes, why?

Do you breed dogs?

Please describe the last dog you owned (prior to your current dogs):*

Why is the dog no longer with you? Please be specific:*

List all current dogs (breed, age):*

List all other pets:*

Are all pets spayed or neutered?

If not, why?

Are all pets up to date on vaccinations?

If not, why?

Are all dogs on heartworm preventative?

If not, why?

How many hours a day will the dog be alone?*

Where will the dog stay when you are not at home?*

Where will the dog sleep at night?*

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, please describe the fence (height, type, etc):

Is the fenced area completely secure?

If you do not have a fenced yard, what arrangements will you make for bathroom duties?*

Do you have a dog door?

Are dogs allowed to go outside alone?*

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

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

Why are you interested in adopting a Chinese Crested or other hairless breed?*

What do you know about the Chinese Crested/hairless breeds? Please be specific:*

Are you aware of the special care that hairless breeds require?

Have you ever owned a Chinese Crested or other hairless breed?

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

Have you applied to any other rescues?

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

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

Do you have a preference of:

Are you aware that you will have to arrange to pick the dog up?

Are you aware of the adoption fee?

Veterinarian's Name: *

Veterinarian's address:*

Veterinarian's Phone Number:*

If you have been using your current veterinarian for less than one year, please provide your previous vet's name, address and phone number:

Please provide 2 personal references who are not related to you: Name and phone number of reference #1:*

Best time to reach them?*

Name and phone number of reference #2:*

Best time to reach them?*

Do you have any other comments?

Are you interested in becoming a volunteer for Bare Paws Rescue?

Bare Paws Rescue reserves the right to deny any application without explanation. Incomplete applications will not be processed. Please type your name in the box to acknowledge that you have submitted this application and that the answers are truthful. Please note that any application that does not meet the requirements as stated in our adoption guidelines will NOT be processed or acknowledged. Sign your name:*