Adoption Application – Chihuahua Rescue & Transport

Chihuahua Rescue & Transport Adoption Database: Add a New Record.

BEFORE FILLING OUT THIS APPLICATION:
Please make sure you have read our adoption information.
PLEASE DO NOT SUBMIT AN APPLICATION if your pets are not spayed/neutered, current on vaccinations and heartworm prevention. Your application will be denied unless you meet these criteria or you have a letter from your veterinarian stating why your pet cannot be spayed/neutered or vaccinated.

COMPLETING THE APPLICATION:
YOU MUST FILL OUT ALL FIELDS ON THIS FORM. If you do not have an answer for a question put "N/A" in the field.

After you submit the form, you will receive an email from us stating that we have received your application. IF YOU DO NOT RECEIVE THIS EMAIL, PLEASE TRY AGAIN. If you continue to experience problems, please contact us at treasurer@chihuahua-rescue.com.

TROUBLESHOOTING ISSUES:
If you are trying to submit this application from a mobile device, have completed all the fields and tried to submit it twice and it still hasn't gone through, please use a computer to submit the application.
If an error occurs in submitting this application or you are otherwise unable to complete the application per above, please contact us at treasurer@chihuahua-rescue.com

Spam filter type chihuahua here:
First Name:
Last Name:
Email Address:
Address:
City:
State:
Zip Code:
Phone:
Age:
Current Employer:
Describe your current pets (type, breed, age, sex, etc): NOTE: if you don't currently have pets, please tell us about past pets here and in the next two questions
Are all current pets spayed or neutered? Note: Your current dogs/cats must be spayed or neutered. If they are not, your application will be rejected.
Are all current pets up-to-date on vaccinations? Note: Your current dogs/cats must be current on vaccines and on Heartworm Preventative. If they are not, your application will be rejected.
Brand of Heartworm: Note: If you do not get your heartworm preventatives from your vet, please email a copy of your reciept from the vendor you purchase it from.
Provide names and ages of all residents in your household.
In which type of home do you live?
Do you own or rent?
Landlord name and phone number.
Do you have a fenced yard?
What type of Fence do you have?
If you selected "other", please describe your fence:
Do you have a doggie door?
Where will the dog stay during the day?
Please check any age preferences you have in adopting a dog:
If you are interested in any particular dog(s) on our website, which one(s)?
I understand that CRT will schedule a home visit with my family prior to final approval of adoption.
Please provide the name, address, & phone number of your previous & current pets veterinarian(s) and what name are these records listed under.
Please contact your vet and give permission for them to release your vet records to CRT
Please provide name, address and phone number for your first personal reference who is not a relative.
Please provide name, address and phone number for your second personal reference who is not a relative.
Please provide name, address and phone number for your third personal reference who is not a relative.
How did you hear about our rescue?
Please notify your veterinarian and personal references, informing them that someone from Chihuahua Rescue & Transport will be contacting them. The quicker we can get in touch with them, the quicker your application can be processed.