ADOPTION APPLICATION

Thank you for your interest in adopting a rescue Chinese Shar-Pei. The dogs available for adoption are screened for temperament and health. All dogs have been given their vaccinations, started on heartworm and flea preventative and have been spayed or neutered. Our adoption fees range from $150-200 depending on the age and medical needs of the dog being adopted. Although, we cannot guarantee that there are no problems with the dogs in rescue, we have done our very best to ensure that each dog is a good candidate for adoption and we pride ourselves on being able to match a dog with a potential family. We want our dogs and our adoptive families to be happy with the placement.

The following application is very important to helping us make the perfect match between dog and new "parent". We reserve the right, at our sole discretion, to turn down an application and we may or may not provide you with the reasons for refusal. By submitting this application, you are giving us permission to check the references listed and demonstrating your sincere interest in pursuing the adoption of a Shar-Pei from Shar-Pei Rescue.

NOTE: We do not ship our dogs under any circumstances. Adopters must be willing to drive to Tennessee. For adopters traveling a great distance, all efforts will be made to schedule a meeting place a few hours away from the foster home location but due to our personal schedules, this is not always feasible. Potential adopters must be prepared to drive to Nashville, TN or Decherd, TN (wherever the dog is being fostered) if necessary.

If you have any questions concerning this application or the adoption process, please email Cindy (Decherd, TN) at chs@sewanee.edu

Please answer ALL questions on this application. INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED.

Name:

Co-Applicant's Name:

Street Address:

City, State & Zip Code:

Email Address:

Home Phone:

Applicant's Cell Phone:

Co-Applicant's Cell Phone:

Applicant's Employer:

Work Position:

Work Phone:

Co-Applicant's Employer:

Co-Applicant's Work Position:

Co-Applicant's Work Phone:

Please select your living arrangements: None Selected Own Rent with Roommates Rent without Roommates Live With Parents

What Type of Home Do You Live In?
House
Apartment
Townhouse
Duplex
Mobile Home

If you are renting, please provide landlords name and phone number:

Do you have permission from property owner to have a dog? Proof of ownership or lease with pet clause may be requested. N/A Yes No

How long have you lived at this address?

Are there any restrictions on pet ownership (# of pets, breed restrictions, weight, etc)? If so, please explain:

How many adults live in this home?

What are the ages of children who live in this home OR or visit on a regular basis (grandkids, step-children, etc)?

Do you work full-time or part-time?

How many hours will this pet be alone per day?

Where will this pet be kept while you are away from home or at work?

Where will this pet sleep?

Who will care for this animal while you are on vacation?

Who will be primarily responsible for the day-to-day care of this pet?

If you have to move, what will do with this animal?

Adopting a pet is a major decision. Do you understand that this animal will be your responsibilty for the next 10 or more years? None Selected Yes No

Do you have a fenced yard? Fenced yard is defined as a totally enclosed and secure. None Selected Yes No

Please describe your fence-height, materials, amount of space.

How do you plan to exercise this dog?

If you plan on using a chain or tie-out for this dog, please explain the circumstances.

Why do you think a Shar-Pei is right for your household?

Please explain why you would rather adopt then purchase.

What do you know about the breed? (Health, Temperament, Grooming Requirements, etc)

What expectations do you have for this dog?

Will this dog be for: (Check all that apply)
Companion
Protection
Guard Dog
Gift
Breeding
For Children
Other

Do you agree to take this dog to the vet annually for appropriate vaccinations, heartworm/flea preventative and other medical care as indicated by your veterinarian? None Selected Yes No

We require that all animals adopted from us be spayed/neutered. Do you have any questions or reservations about this policy?

How will you control fleas, ticks, intestional parasites and heartworms?

Please tell us about ALL animals that you own or have owned within the past 5 years. Include information on breed, male/female, age, spay/neuter status, and where the pet is now.

Are all your current pets up-to-date on vaccinations and heartworm preventative? Verification of this may be required.

Please provide us with the name and phone number of your current veterinarian. May we contact them? Note..we may ask that you contact your vet directly to give permission to speak with us.

Have you ever had a pet get lost, die at an early age or die in an accident? If yes, please tell us about it.

Please tell us how you plan to discipline or train this animal. How will you handle excessive barking or chewing? Houstraining issues?

Would you be willing to take this dog to an obedience class if your adoption contract required it? If we require an obedience class, we may ask for proof of class within 6 months of adoption.
None Selected Yes No

Would you be willing to purchase and use a crate if necessary? Crates are great for managing training or behavior issues.
None Selected Yes No

If you are not willing to use a crate, please explain why not.

Are there any behavior or health issues that you would be unable to handle? Please note..we do not adopt out dogs that are aggressive or with severe unmanageable health conditions. We make all known information about a particular dog available to our adopters. However, some issues may not arise until after the dog is settled into a new home.

Did you see a particular dog on our website that you were interested in? Please provide us with their name.

Please share with us any comments or concerns you have about the adoption process. You may also use this space to tell us why you think we should consider you for adoption!

Disclaimer: This information is confidential. It will not be used for any other purpose other than to help us match you with a pet. No one under 18 years of age is allowed to submit this form. By submitting this form, you acknowledge that all information provided is correct and that you are seriously interested in pursuing the adoption of a Chinese Shar-Pei from a Rescue Organization.