Small Dog & Chihuahua Rescue of MN

Out-Of-State Program Application

 

If you would like to be a part of our out of state program please fill out this application.  If you have a photo of your pet available online you can send this application via email with the photo included.  If you don't have a photo available online please send this application via postal mail with at least one photograph of your pet.  We will return photos if you also include return postage (a stamp or two).  If you have more than one pet please fill out separate applications for each.

Your Information:

Name:

Address:
City State Zipcode:
E-mail address:
Home Phone: Work/Cell Phone: Best time to call:

Your Pets Information:

Pet's Name:

What type of animal is this:
Breed(s): Color D.O.B. or Age:
Gender: Spayed/Neutered: Weight:
Where can vet records be obtained Is pet UTD on vaccinations:
Do you have a photo available of this pet: (PHOTO IS REQUIRED)

How long have you had this pet?

Where did you get this pet?

Why is this pet in need of a new home?

How long are you willing/able to keep this pet while we look for a suitable foster/adoptive home?

Habits of Your Pet:

Is this pet used to being inside or outside?

Where does this pet sleep at night?

Where does this pet stay while you're away (work, vacations, etc)?

What kind of food is this pet used to eating and how many times a day?

Is this pet food aggressive?  If yes please explain:

Pet's needs:

Is this pet potty trained, crate trained, and/or paper trained?  If so please explain:

Is this pet aggressive?  If so please explain:

Is this pet destructive?  If so please explain:

Does this pet suffer from separation anxiety?  If so please explain:

Has this pet been exposed to children?  If so what happened:

Does this pet need a home without children?  If so please explain:

Has this pet been exposed to dogs?  If so what happened:

Does this pet need a home without dogs?  If so please explain:

Has this pet been exposed to cats?  If so what happened:

Does this pet need a home without cats?  If so please explain:

Has this pet been exposed to farm animals?  If so what happened

:Does this pet have a problem with digging OR does this pet try to jump or climb fences?    

If so how high does a fence need to be to contain this pet?

Has this pet been to any obedience classes?

Does this pet know any tricks or commands?  If so which?

Does this pet have a history of biting?  If so please explain:

Does this pet have any special needs?

Owners

Are you willing to take responsibility for getting this pet to us when a foster or adoptive home is found?

Does this pet come with anything (collar, cage, kennel, food, toys, registration papers, etc)?

Anything else we might need to know about this pet to make it adoptable?

Any special requests: (We will try to honor requests as we are able.)

Please send completed applications via email to

Small Dog & Chihuahua Rescue of MN.

OR

Please send completed applications via postal mail to:

SDRMN Out-Of-State Program

P.O. Box 23052

Richfield, MN 55423

Don't forget to include your photographs!