Chihuahua Adopter Screening Form
Thank you for considering adoption through TINKY CHIHUAHUA RESCUE! Before you start this application, please ensure you can fully commit to the care of the dog/puppy before you decide to adopt one.Tinky Chihuahua Rescue currently adopts primarily within approximately 2 hours of Collingwood, Ontario This allows us to complete home visits and provide ongoing support to our adopters. Applications outside this area may be considered on a case-by-case basis if a suitable home visit can be arranged.If you know you are ready to be a Chihuahua Parent, please complete this application for adoption form as thoroughly as possible. The form can take up to 20 minutes to complete. Once submitted, someone from our team will follow-up with you if you have been selected. Due to high volume of applications submitted we cannot follow up with every single applicant. Application periods stay open until 3 suitable adopters have been found, This process can take time and we thank you for your patience and understanding. (Note: We reserve the right to refuse any adoption that we feel will not suit the dog’s/puppy’s requirements, applications that skip a majority of the questions will not be considered.) Adoption fees : $350 Senior | $550 Adult | $750 puppy
Applicant Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Best way and time to contact you
How did you hear about Tinky Chihuahua Rescue?
Household Members
Rows
Name
Age
Relationship to You
Person 1
Person 2
Person 3
Person 4
Are there children in the household?
*
Yes
No
If yes, please list their ages
Describe your typical daily routine and lifestyle
*
Does anyone in the home have pet allergies?
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Yes
No
Describe your home (house, apartment, condo, etc.)
*
Do you own or rent your home?
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Own
Rent
If you rent, does your lease allow dogs?
Yes
No
Not applicable
Do you have a fenced yard?
*
Yes
No
If yes, describe the type and height of your fence
If no fence, how will you provide safe outdoor time for the dog?
Do you currently have pets?
*
Yes
No
If yes, please list all pets (species, breed, age, spayed/neutered, temperament)
Have you owned dogs before?
*
Yes
No
If yes, tell us about your previous dogs and their current status
Why do you want to adopt a chihuahua?
*
What qualities are you looking for in a dog?
*
Are you open to adopting a senior or special needs chihuahua?
*
Yes
No
Maybe, depending on the situation
How many hours per day will the dog be left alone?
*
Where will the dog stay when you are not home?
*
Where will the dog sleep at night?
*
Are you prepared for the time and financial commitment of dog ownership (vet care, food, training, etc.)?
*
Yes
No
Personal Reference #1 - Name
*
Personal Reference #1 - Relationship to you
*
Personal Reference #1 - Phone or Email
*
Personal Reference #2 - Name
*
Personal Reference #2 - Relationship to you
*
Personal Reference #2 - Phone or Email
*
Veterinarian Reference - Clinic/Hospital Name
*
Veterinarian Reference - Vet Name
*
Veterinarian Reference - Phone Number
*
Is there anything else you would like us to know?
Rehoming Policy
Return-to-Rescue AgreementThe Adopter agrees that if, at any time during the dog's life, they are unable or unwilling to keep the dog for any reason, the dog must be returned to Tinky Chihuahua Rescue. The dog may not be sold, given away, transferred, surrendered to another rescue, shelter, pound, pet store, breeder, or any other individual or organization without the prior written consent of Tinky Chihuahua Rescue.The Adopter agrees to contact Tinky Chihuahua Rescue immediately if rehoming becomes necessary and understands that the rescue will make reasonable arrangements to take the dog back into its care.
Agreement
Applicant DeclarationI certify that all information provided in this adoption application is true, accurate, and complete to the best of my knowledge. I understand that any false, misleading, or omitted information may result in the denial of my application or the cancellation of an adoption. I agree to provide additional information or references if requested by Tinky Chihuahuahua Rescue.
By signing below, I certify that the information provided is true and complete to the best of my knowledge.
*
Submit Application
Submit Application
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