FOUR SUN'S CSP RESCUE ADOPTION FORM

Who are you interested in adopting?

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Previous Address? How long at current address? If both address do not cover 5 years, please provide details going back 5 years.

If currently renting, please provide us with your landlords contact info. What is the pet policy?

Employment: Please provide name, address and phone of current employers for both applicants and # of years with this employer. If under 1 year, please provide previous employer and same info.

Do you currently have any pets? Please list ALL ages & sex as well as if they are spayed or neutered, microchipped or tattooed.

Please provide a full history of your past & present pets (3 max), including any health or behavioral issues you have had. Why is your pet(s) no longer with you?

Current Vet with phone number:

First Dog?

First Shar Pei?

If yes, what do you know about Shar Pei's and why are you interested in them?

If no, did your previous Shar Pei experience any health issues? Please list all the health issues you encountered.

How did you resolve those health issues?

Did your previous Shar Pei have any behavioral issues?

If yes, please describe & how did you resolve those issues.

Did you ever take your dog for training? Who was the trainer?

What do you plan to feed your dog?

Do you use monthly flea treatment or other chemical treatments on your dog?

Did/does your vet expect you to annually vaccinate your dog?

How many people live in your current home? (please include tenants in a single family home).

Do you have children? Please list age & gender.

Do you plan to have children?

Where will your dog sleep?

Do you have a fenced in yard? If no, where do you plan to exercise your dog?

How long each day will your dog be left alone?

How many days a week will your dog be left alone?

Where will you leave your dog while you are out?

If this becomes a problem for your dog, how will you resolve it?

What will you do with your dog when you go on vacation?

How will you discipline your dog?

Have you ever read any books or watched programs on dog training?

Do you have a vehicle? Where will your dog travel in the vehicle?

If you are adopting, are you prepared to make a commitment to keep the dog no matter what changes in your life or if your dog develops a health or behavioral problem, until the end of your dogs life?

**Please provide 2 personal references. Please do not use relatives or your vet as a reference.

If this is your first pet, please provide a dog owner who is a responsible dog owner as one of your references and another long time friend/co worker.

Would you like to be involved in future transports?

If yes, how far are you willing to travel?

Would you like to become a foster home for future pei?

Date

Signature

***DEPOSITS/ADOPTION FEES ARE NON-REFUNDABLE!***

***FOUR SUNS CSP RESCUE & REHAB DOES NOT MAKE ANY GUARANTEES REGARDING THE AGE, NATURE, TEMPERAMENT, OR HEALTH OF THIS PET, THIS INCLUDES CAT TESTING!***

***FOR QUESTIONS OR CONCERNS, PLEASE CONTACT ONLY THOSE NAMES LISTED ON OUR WEBSITE. BY NOT CONTACTING ONE OF US, WE CAN NOT GUARANTEE YOUR CONCERNS WILL BE ADDRESSED IN A TIMELY MANNER WITH ACCURATE INFORMATION.***