• Chimera Sanctuary & Rescue Dog Adoption Application

  • Chimera Sanctuary & Rescue is an all-volunteer, non-profit, animal welfare organization dedicated to the rescue and placement of stray, neglected and abused animals. Chimera Sanctuary & Rescue is completely funded through fundraising efforts and public donations. All of our pets are cared for by volunteers and receive complete medical care, which includes worming, vaccinations, spaying/neutering prior to their adoption.

  • This questionnaire is designed to help Chimera Sanctuary & Rescue and yourself determine if a specific dog is the right one for you and your household. All adopting parties are required to complete this form prior to adoption. Chimera Sanctuary & Rescue reserves the right to deny any adoption based on answers to this questionnaire and/or interviews prior to adoptions!

  • Applicant Information

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  • Household Information


  • Current/Previous Pet Information

  • New Pet Information


  • I understand that I assume full responsibility for the welfare of this pet from the date of adoption.
  • Should be Empty:
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