Adoption Application

ADOPTION APPLICATION

Date Of Application Submission:*
First Name*	Last Name*
Street Address*	City*	State/Province*	Zip/Postal Code*
Work Telephone	Home Phone*	Cell Phone	Email
Occupation	Number Of Children Living At Home*	Ages Of Children
List all other dogs and/or cats in the household (include breed, ages and gender):	Are your dogs and/or cats, spayed or neutered?	Please list any pets you have other than dogs or cats:
Please tell us about former dog(s), you have owned, if any. Describe your life with your former dog(s) and how you came to part with your former dog(s):*	Do you have a fenced yard?*	If not a fenced yard, what arrangements will you have for the dog's exercise and toileting?
Will anyone be home with the Chinese Crested during the day?*	How many hours on average will the Chinese Crested spend alone at your home?*	Where will the dog sleep?*
Your veterinarian's name:	Vet phone number:	How long have you used this vet?
Is your financial status stable enough to support the dog for its lifetime?*	Please tell us anything about you and/or your family that help us get to know you better:*
INFORMATION ABOUT THE DOG YOU ARE SEEKING
Gender*	Variety*	Age Of Dog*
Color Preference	List Color Preferences
Generally speaking, what kind of temperament are you looking for in a dog?*		What specifically attracts you to the Chinese Crested breed?*
Describe the relationship you plan to have with the Chinese Crested:*	What are your expectations and/or concerns about adopting a Chinese Crested from Rocky Mountain Chinese Crested Rescue?*	Comments:
Do you have knowledge of grooming and skin maintenance specific to Chinese Cresteds?*	Would you consider adopting a "special needs" rescue, i.e. a Chinese crested with medical problems or challenges?	Comments
Would you be interested in adopting a Chinese Crested from outside of Colorado? Note: This may involve paying for the dog's transportation, flight, health certificate, crate, etc., in addition to the adoption fee.	Comments:
Would you consider "fostering" a Chinese Crested, if the need arises?	Comments
I agree to allowing a member of Rocky Mountain Chinese Crested Rescue to conduct a sscheduled home visit prior to my being approved to adopt from the Rescue.*	Comments
PERSONAL REFERENCES: (Please use a reference other than immediate family):
First Name*	Last Name*
Street Address	City	State	Zip/Postal Code
Home Phone*	Work Phone	Cell Phone
Your relationship to your personal reference:*
Please type your name here, as signature confirmation that you have completed this application with all seriousness and honesty. We thank you!*

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