I am at least 21 years old and the information provided in this application (in its entirety) is true as of the date on this application and I understand my application can be denied if false information is given. By signing this I am stating I am financially able to care for a dog and can give veterinary care as needed. I also agree that should I not be able to care for my adopted dog I will contact the person I adopted it from (and CCDR - the contact info is on the website but you'd contact info@c2cdr.org) to let them know so CCDR can make arrangements to get the dog back at my expense. (Our contract states adopter returns the dog to us and if it was a long distance transport or out of state, the adopter is required to cover the cost of returning the dog to us.)
I give permission to have my references checked and agree that the information on this form is true and understand the conditions of a returned dog. Submission of this form will constitute a legal document once submitted.