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APPLICATION FOR ADOPTIONPCFAdmin2021-06-21T14:43:34+00:00

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Rescue Program Guidelines

Before You Adopt

Application For Adoption

Adoption Contract

Volunteers Listed By State

Regional Rescue Organizations

Volunteers Application & Code of Ethics

Release Agreement

Application for Adoption

First Name *

Last Name *

Address *

City, State, Zip *

Phone Number & Fax *

Email Address *

Type of Pekingese requested by applicant *

Sex, Age, Color & Size

Are you willing to accept a dog other than your primary choice? *

Yes

No

Has applicant previously owned a Pekingese? *

Yes

No

Are you familiar with the needs of a Pekingese? *

Yes

No

Are you willing to work with one of our volunteers or another professional to learn more about this breed? *

Yes

No

Tell us about your household and why have you chosen a Pekingese? *

What role will the dog fill for you? *

Does everyone in your family want a Pekingese? *

Yes

No

If no, who is the person how and do you plan to make a safe and fair transition for all concerned if this dog comes to live with you?

Are there children in the household? *

Yes

No

What are their ages?

Have they been taught to respect animals?

Yes

No

Are there other pets in the household? *

Yes

No

Are they neutered or spayed?

Yes

No

Do you rent or own your home? *

Rent

Own

If renting, is your landlord agreeable to you having this dog?

Yes

No

Landlord's Name and Phone Number

How long have you lived at this residence? *

Do you plan to move in the near future? *

Yes

No

Veterinarian's name and phone number *

One other reference who knows how you relate to dogs - Name and Phone number *

Do we have permission to contact your veterinarian, your reference and your landlord?

Yes

No

Are you familiar with laws governing dog ownership in your community? *

Yes

No

Do you have a fenced in yard? *

Yes

No

Please describe the enclosure. If not, how do you plan to exercise your dog and allow them to eliminate outdoors? *

Are you willing to install a fence or dog run?

Yes

No

Will your Pekingese be left outdoors unattended for any period of time? *

Yes

No

If yes explain under what circumstances?

Will someone be at home during the day? *

Yes

No

What accommodations will you make for your Pekingese if you’re away overnight or away on vacation? *

Where will your dog be kept during the day? Night? While you're away? *

Who will be responsible for your Pekingese’s upkeep: training, grooming, feeding, vet visits, exercise? *

Are you prepared to make a lifetime commitment to this dog? *

Yes

No

ALL animals add to the housework. Are you prepared to do the extra work once the dog is placed in your home? *

Yes

No

ALL animals need some time to adjust to their new surrounding; especially when other animals are involved. Are you prepared to devote extra time and/or training in the beginning? *

Yes

No

Until your pet learns the rules of your home, your Pekingese may urinate/defecate in your home, and may chew household items. Are you willing to accept this and how will you handle it? *

When you discipline your Pekingese, how will you do it? *

Please add any comments that may help us in our decision.

Referred By *

Today's Date *

Signature *

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