Prospective Owner

04/01/12

Adoption Application Coordinator, Beth Massmann

Prospective Owner Application

Please fill out all (required) areas in order for your application to be processed.

Applicants please note: Crest-Care Inc. adopts out dogs to applicants residing within the United States and Canada.

(NO APPLICANT WHO HAS OR PLANS TO USE AN ELECTRONIC FENCE, OR TIE OUTS WILL BE CONSIDERED. FURTHER, NO APPLICANT OWNING AN INTACT ANIMAL WILL BE CONSIDERED. EXCEPTIONS WOULD BE CERTIFICATION FROM A VETERINARIAN SAYING THE ANIMAL IS NOT HEALTHY ENOUGH TO BE ALTERED, OR THE ANIMAL IS EITHER BEING SHOWN OR IS A FINISHED CHAMPION UNDER THE AGE OF SEVEN (written proof to this effect is required).

Thank you for your interest in adopting a Chinese Crested. We would appreciate you answering the following questions so that we can best determine compatibility between you and the Chinese Crested. All questions on this application must be answered in order for your application to be processed. If a question is not applicable please mark as such. Thank you for your help and cooperation.

Crest-Care Inc. Adoption Fee information.

*As of May 15, 2009 our Adoption Fees will be increased. ;
Our new adoption fee will consist of a sliding scale based on the animals approximate age.

- Dogs determined to be under 1 year of age, adoption fee $350.
- Dogs determined to be between the ages of 1-3 years of age, adoption fee $300.
- Dogs determined to be between the ages of 4-6 years of age, adoption fee $275
- Dogs determined to be 7 years of age and older, adoption fee $225, but adoptions fees may vary according to region, medical expenses, and transportation.

(Please Note: Applicants that pass the veterinarian and personal reference check will be requested to furnish their drivers license number via phone or US postal mail (applicants choice) to their Coordinator, prior to Approval to Adopt, or to becoming a Representative of Crest-Care Inc. The information will be kept confidential with the exception of law enforcement/background check to determine if the applicant has any record of abuse or neglect toward any animal left in their care.

NOTE: Failure to complete questions will result in
application being deleted! If a question does not apply, please type "not applicable"

You must be at least 21 years of age to adopt

Email Address:
Date Submitted
Full Name
Street address
City, State & Zip Code
How often do you read your emails?	Once a day Once a week Twice a week Once a month
Work Phone
Best time to call:
Home Phone
Best time to call:
Fax Number
Accept Collect Calls?	Yes No
Date of Birth Must be at least 21 years of age to adopt
Occupation
Do you live in a	House Apartment/Condo Mobile Home Other
Do you	Own Rent
If yes to rent, does the landlord allow dogs?	Yes No Not applicable
Landlord's Phone (If you rent and do not supply the landlord's phone number, this application will not be screened)
Do you have a fenced yard?	Yes No
If yes, what type of fence (i.e., privacy, chain link, etc.) and how tall is the fencing?
If no, what arrangements will you have the dog's exercise and toilet duties?
Will adopting a Crest-Care dog put you over the limit of pets allowed by your city or township?
Is there a particular Crest-Care dog you are interested in adopting?
Are you married or co-habitating with a significant other?	Yes No
Does your partner/spouse know of and approve of the adoption?	Yes No Not applicable
Do you have children? If so, how many?
What your the ages of your children?
Are you or other household members allergic to dogs?	Yes No
List all other pets in the household (including name, species, breed, age, and sex):
Do you breed? If so, what breed?
How many litters per year?
Are your dogs/cats spayed/neutered?	Yes No
Vet's name
Vet's street address
Vet's City, State and Zip Code
Vet's phone number
How many hours on average will this dog spend alone at home?
If you have had a dog before, describe the last dog you owned and what happened to it.
Tell us anything else about your family you'd like us to know.
Why are you interested in a Chinese Crested?
Have you owned a toy breed before?	Yes No
Have you owned a Chinese Crested before?	Yes No
If no, are you willing to learn and not hesitate to call a Crest-Care member with questions or concerns?	Yes No
Are you familiar with the characteristics and temperament of the Chinese Crested?	Yes No
Are you familiar with the grooming and maintenance of the Chinese Crested?	Yes No
Are you committed to caring for this dog for its lifetime?	Yes No
Do you consider yourself financially stable enough to provide proper diet and medical care for a Chinese Crested, including emergency treatment if necessary?	Yes No
Are you aware that there is an adoption fee which will support future rescues of Chinese Cresteds?	Yes No
How did you hear about Crest-Care?
Which sex of dog are you interested in?	Male Female No Preference
Variety of Chinese Crested	Hairless Hairy Hairless Powderpuff No Preference
Age preference?	Puppy Young adult Adult Senior No Preference
Would you consider a Crested with medical problems (special needs) or limitations?	Yes No Depends upon condition
Generally speaking, what kind of temperament are you looking for in a Chinese Crested?
What qualities appeal to you about the Chinese Crested?
Where will the Chinese Crested stay when it's alone?
Where will the Chinese Crested sleep?
Please tell us of any other expectations or concerns you may have.
Would you be willing to assist a Chinese Crested in need for Crest-Care if the need arises?	Yes No
Would you be interested in becoming a Representative for Crest-Care?	Yes No
Please add any additional comments for consideration here.
Personal Reference Name (please use a reference other than immediate family)
Personal Reference Address
Personal Reference City, State & Zip Code
Personal Reference Phone Number
Best time to call?
I understand that a Crest-Care member will conduct a home visit prior to my being approved to adopt?	Yes No
Would you be interested in adopting adopting a dog from another part of the country? (This would involve paying for the dog's transportation (flight, health certificate, crate), in addition to adoption fee).	Yes No
How far are you willing to travel to obtain a rescue approved for adoption?
Due to the increasing cost of ground transportations, would you be willing to assist Crest-Care's representatives with gas costs associated with transporting your approved adopted dog from it's foster home to you?	Yes No Dependent upon distance of transport
Have you applied to adopt with Crest-Care previously?	Yes No
If Crest-Care does not have a Chinese Crested in need suitable to your home, would you be willing to be referred to another rescue organization or private rescue of Chinese Cresteds? Please note that referral does not mean that Crest-Care approves or endorses any organization/private rescue to whom we may refer you. Therefore, by checking yes, you are releasing Crest-Care, Inc. of any and all liability and/or responsibility if this application is referred to another group or private rescue.	Yes No

~~ If you are a retired person or a senior citizen we ask that you specially consider an older (type of dog) to adopt. These dogs remain puppyish well into old age and can also live a long time. We want them to have their family right up until the end. The most frequent reason for a pet animals' later life abandonment is that their caregiver has to leave them for a nursing home and their family members do not always have space, desire or the ability to care for a pet left displaced by such an event. Please think about how YOUR age and state of health will affect your new dogs' future ~~

All required areas must be completed or the form will not send. DO NOT use your browser back button if you receive an error - click the BACK button contained on the error page. You will receive an automatic email containing a copy of your application when it has been successfully uploaded

Please be patient when submitting form; it can take a few minutes to process.
We Reserve The Right to Refuse An Applicant

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This site was last updated 04/01/12