Application | Chow Chow Rescue Society
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Application
APPLICATION FORM
CHOW CHOW RESCUE SOCIETY
Application Form
ABOUT YOU
Name of Primary Adopter
Primary Person : First Name (required)
Primary Person : Last Name (required)
Name of Secondary Adopter
Secondary Person : First Name (required)
Secondary Person : Last Name (required)
Address
Street Address (required)
Street Address Line 2
City(required)
State / Province (required)
Postal / Zip Code (required)
Phone number (xxx-xxx-xxxx)
Alternate Phone number (xxx-xxx-xxxx)
Your Email (required)
ABOUT YOUR LIVING ARRANGEMENTS
Please note that many rental contracts have breed restrictions associated with them therefore we have to verify this information before proceeding with the adoption process.
Type of Residence Apartment / Condo – RentApartment / Condo – OwnHouse – RentHouse – OwnOther
If Rent, please provide landlord contact info: name, phone and email address:
Is there a fenced in yard? YESNO
Is there a busy street nearby? YESNO
PREFERENCES
Please note, if desired breed is a chow chow, we prefer not to place two chows of the same sex in a home together. Exceptions considered on a case by case basis.
Name of Dog If specific interest
Breed
Sex MaleFemale
Desired Age
Maximum Age Considered
Desired Color
Do you prefer: MixPure
Do you agree to a home visit: YESNO
Are there children in the household? Please list names, ages and genders:
Do you currently own any other pets? List type, names, ages and genders:
Have you ever surrendered an animal to a shelter? YESNO
Is there any reason that would make you give up your pet?
Please list dogs you have owned in the past ten years (names & what happened to them):
Do you own a dog crate? YESNO
Where would this pet live?
Have you ever had an obedience trained a dog? YESNO
Have you ever owned a Chow Chow before? YESNO If Chow Chow is your preferred breed
If Chow Chow, how often and how will you groom? :
REFERENCE – VETERINARIAN
Practice Name (required)
Vet Name (required)
Veterinarian Address
Veterinarian Street Address (required)
Veterinarian Street Address Line 2
Veterinarian City(required)
Veterinarian State / Province (required)
Veterinarian Postal / Zip Code (required)
Veterinarian Phone number (xxx-xxx-xxxx)
Vet Email (required)
REFERENCES – PERSONAL
A person who has been in your home and preferably has seen how you cared for your past pets.
REFERENCES 1
REFERENCES 1 : First Name (required)
REFERENCES 1 : Last Name (required)
REFERENCES 1 : Phone number (xxx-xxx-xxxx)
Relationship (required)
REFERENCES 2
REFERENCES 2 : First Name (required)
REFERENCES 2 : Your Last Name (required)
REFERENCES 2 : Phone number (xxx-xxx-xxxx)
Relationship (required)
Name of person who would always be able to reach you, even if you moved
Emergency person : First Name (required)
Emergency person : Last Name (required)
Emergency person : Phone number (xxx-xxx-xxxx)
Relationship (required)
By submitting this application, you give Chow Chow Rescue Society consent to contact the designated veterinary office for proof of medical records and / or treatment as well as contacting references. YESNO
IMPORTANT READ
Please read our requirements prior to adoption and or fostering.*
The application process is going to be asking questions about your home and expectations of a rescue Chow Chow in your home. It is important that we collect as much information as possible to better understand your home and fit for a Chow into your home. All questions must be answered or replied to for the completion of the application. Incomplete applications are denied.
Chow Chow Rescue Society is a group of volunteers who are passionate about the Chow Chow breed and devote our time, energy and resources to rescuing, re-rehabilitating and re-homing abandoned, neglected and unwanted Chow Chows all over the Unites States.
In order to qualify for CCRS adoption program all of the following steps must be met:
You must be at least 24 years of age and be able to provide CCRS with proof of age.
Any current pets must be up to date on vaccinations, and be spayed/neutered. Exceptions to this will only be considered if proof of a medical explanation is provided.
If you currently rent, you must provide a landlord’s phone number and a copy of your executed lease including pet policy and breed restrictions.
Allow a CCRS representative into your home for a visit to insure that your home is safe for the potential new dog.
Be able and willing to spend the time and money necessary to provide training, medical treatment and proper care for a pet.
Call your Veterinarian prior to submitting the application and give permission for them to speak with a member of our group.
A $450.00 rescue donation is required for puppies under the age of six months at the time the contract is signed. A $350.00 donation is due for adults over six months of age.*We do not do payment plans.
Our Chows are in approved foster homes across the US primarily the East Coast. Transport can be arranged for the right home with reputable approved transporters. If it is a paid transport it is the adopters responsibility to cover the cost. We do not transport dogs to states that are too far from the foster home. We recommend meeting the foster and Chow Chow prior to adoption and driving to the foster home to pick up your new family member.
OTHERS WAYS YOU CAN HELP US
Show your support and love
All proceeds go towards Chow Chow Rescue Society, Inc. a registered Non-profit Chow Chow rescue in Georgia as well as Chow Chow Rescue Society of Florida, Inc. A Non-profit Chow Chow rescue in Florida.
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