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.

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?*

YesNo

First Shar Pei?*

YesNo

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?*

YesNo

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?*

YesNo

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?*

YesNo

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?*

YesNo

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?*

YesNo

**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?*

YesNo

If yes, how far are you willing to travel?*

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

YesNo

Date*

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.***