501(c)3 Non-profit Organization

Crested Guardians is a non-profit 501(c)(3) foundation comprised of a group of volunteers devoted to protecting and helping the Chinese Crested dog in need.

**Minimum age for adopting a Chinese crested is 21 years old.**

Crested Guardians Adoption Application

Date
Name:
Minimum age to adopt from Crested Guardians is 21. Are you at least 21 years old?	Yes No
Date of Birth
Email Address:
Name of spouse, partner or roommate, if applicable
Physical Address (please include state)
Daytime phone
Evening phone
Fax
Cell
Do you	rent own
If rent, does landlord allow dogs?	Yes No N/A
Landlord's phone number (if not applicable put N/A)
Do you live in an apt/condo, house, mobile home?
Veterinary Reference Name
Veterinary Reference Phone
Veterinary Reference Address (please include state)
Is your yard fenced?	Yes No
If no, describe dog's toilet duties (please put N/A if not applicable)
Number and ages of children in your home (be sure to list ages)
Anyone allergic to dogs?	Yes No
How many pets in the home?
Pet Information: Pet's names, species, breed, age and gender. (please put N/A if not applicable)
Are your cats/dogs neutered/spayed?	Yes No
If not, give reason (please put N/A if not applicable)
Do you breed or have you ever bred dogs?	Yes No
If you have had a dog before, please describe the last dog you owned, and what happened to it (please put N/A if not applicable):
Personal Reference #1 Name
Personal Reference #1 Address (please include state)
Personal Reference #1 Phone
Personal Reference #1 Email
Best time to contact personal reference #1?
Personal Reference #2 Name (in case unable to contact first listed)
Personal Reference #2 Address (please include state)
Personal Reference #2 Phone
Personal Reference #2 Email
Best time to contact personal Reference #2?
On average, how many hours a day will the dog be left alone?
What arrangements do you have in place for the dogs if left for several hours alone?
Where will the dog stay/sleep throughout the day and night?
Have you ever owned a Chinese crested before?	Yes No
Have you ever raised a puppy before?	Yes No
What do you know about the grooming needs of the breed?
What do you know about the temperament of the breed?
If you are not experienced with the breed, are you willing to learn and not hesitate to call a committee member with questions or concerns?	Yes No
Are you financially able to provide a proper diet, medical care and professional training service and grooming if needed?	Yes No
Would you consider adopting a dog with physical limitations?	Yes No
Are you committed to caring for this dog for it's natural lifetime?	Yes No
Is there a limit to the number of dogs you can own in your town, if yes please indicate that limit
Are you interested in a specific Crested Guardian dog that is up for adoption?
Gender preferred
Type Preferred
Age Preferred
Color Preferred
Do you agree to a home visit as part of the application process?	Yes No
Please list any other chinese crested rescue to which you have applied (please put N/A if not applicable)
Have you applied to adopt with Crested Guardians before?	Yes No
How did you hear about Crested Guardians or about the Chinese Crested for adoption?
Check here to acknowledge that you understand there is an adoption fee	Yes, I understand there is an adoption fee.
Would you be interested in 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 the adoption fee:	Yes No
Retired person/senior citizen: Please consider an older dog to adopt. These dogs remain puppyish well into old age and can live a long time. We want them to have their family right up until the end. The most frequent reason for a pet's later life abandonment is that their caregiver has to leave them for a nursing home and their family members can't care for a pet displaced by such an event. Think about how YOUR age/health will affect this dog's future. I will think about my health/age before adopting	Yes No Does not apply to me
Do you understand you must enter into a legally binding contract?	Yes No
Please use this space for any other pertinent information (ie other vets who have records on your pets) or important info you would like us to know. Note: Assure all questions which are not applicable to your situation are marked N/A before you submit this application. Thank You!
Applicant's signature
Crested Guardians, Inc reserves the right to deny any application. Please type your initials showing you have read this statement.

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