Prospective Owner Mail

NOTE: Failure to complete required questions will result in application being deleted!
You must be at least 21 years of age to adopt

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 January 1, 2004 our Adoption Fees were increased.
Our new adoption fee will consist of a sliding scale based on the animals approximate age.....

Dogs determined to be under 2 years of age will be adopted out for $250.
Dogs determined to be between the ages of 2-6 years of age will be $225
Dogs determined to be 7 years of age and older will be $195

This increase is necessary due to increases in veterinarian care throughout the United States and Canada. (The above Adoption Fee's do not reflect the cost of transportation)

NAME: ____________________________________ ADDRESS: ________________________________ (required)

CITY: _______________________________________ STATE: _____ ZIP: ________________________ (required)

PHONE: (Home): _______________________________ (required) (Work)_________________________________

BEST TIME TO CALL: __________________________ OCCUPATION: _________________________

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.

E-MAIL ADDRESS: ____________________________ FAX NUMBER: __________________________

DATE OF BIRTH: __________________________________________ *must be at least 21 years of age to adopt

DO YOU RENT OR OWN? ___________________ (Circle One): House Apartment Trailer Other: ____

IF YES TO RENT, WHAT IS THE NAME AND PHONE NUMBER OF YOUR LANDLORD? ___________________ (required)

If you rent and don't supply the landlord's phone, this application won't be screened!

DO YOU HAVE A FENCED HOME OR AREA FOR THE DOG? (Please describe): _________________

______________________________________________________________________________________ (required)

IF NO, WHAT ARRANGEMENTS WILL YOU HAVE FOR THE DOG'S EXERCISE AND TOILET DUTIES?

___________________________________________________________________________________

WILL ADOPTING A CREST-CARE DOG PUT YOU OVER THE LIMIT OF DOGS ALLOWED BY YOUR CITY OR TOWNSHIP? ________________

IF MARRIED, DOES HE/SHE KNOW OF AND APPROVE OF THE DOG? _____ ANY CHILDREN? _____

DO YOU OWN OTHER DOGS AND OR CATS? _________ HOW MANY? ___________________________

LIST BREED, SEX, AND AGE OF EACH DOG THAT YOU OWN: __________________________________ _________________________________________________________________________________________

ARE THEY SPAYED/NEUTERED? ___________________________________________________________

HAVE YOU PREVIOUSLY ADOPTED A DOG ON AN ADOPTION CONTRACT?__________________________

IF YES, WHERE IS THE DOG NOW? _________________________________________________________

DO YOU BREED? _____________ IF SO WHAT BREED?________________________________________

HOW MANY LITTERS A YEAR? _____________________________________________________________

YOUR CURRENT VETERINARIAN: _______________________________________________ (required)

ADDRESS: ____________________________________ PHONE: __________________________________ (required)

HOW MANY HOURS ON THE AVERAGE WILL THIS DOG SPEND ALONE AT YOUR HOME? _________ ________________________________________________________________________________________

IF YOU HAVE HAD A DOG BEFORE, DESCRIBE THE LAST DOG YOU OWNED AND WHAT HAPPENED TO IT? __________________________________________________________________ (required) ___________________________________________________________________________________ ___________________________________________________________________________________

WHY ARE YOU INTERESTED IN OWNING CHINESE CRESTED? __________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________

ARE YOU FAMILIAR WITH THE CHARACTERISTICS AND TEMPERAMENT OF THE CHINESE CRESTED? _______ HOW ABOUT THE GROOMING AND MAINTENANCE OF THE CHINESE CRESTED? _______

IF NO, ARE YOU WILLING TO LEARN AND NOT HESITATE TO CALL A COMMITTEE MEMBER WITH QUESTIONS OR CONCERNS? __________________________________________________________

ARE YOU COMMITTED TO CARING FOR THIS DOG FOR ITS LIFETIME? _________________________

WHERE WILL THE DOG STAY DURING THE DAY? ___________________________________________

AT NIGHT? ______________________________________________________________________________

DO YOU HAVE A PREFERENCE OF SEX, COLOR, HAIRLESS, POWDERPUFF? __________________

______________________________________________________________________________________

WOULD YOU BE WILLING TO ADOPT A CHINESE CRESTED WITH MEDICAL PROBLEMS OR WITH A HANDICAP? _____________________________________________________________________________

HAVE YOU EVER RAISED A PUPPY BEFORE? ______________________________________________

DO YOU CONSIDER YOURSELF FINANCIALLY STABLE ENOUGH TO PROVIDE PROPER DIET, AND MEDICAL CARE FOR A CHINESE CRESTED, INCLUDING EMERGENCY TREATMENT IF NEEDED? ________________________________________________________________________________________

ARE YOU AWARE THAT THEIR IS AN ADOPTION FEE WHICH WILL SUPPORT FUTURE RESCUES OF CHINESE CRESTEDS? __________________________________________________________________ (required)

I UNDERSTAND THAT A CREST-CARE MEMBER OR APPOINTEE WILL CONDUCT A HOME VISIT PRIOR TO MY BEING APPROVED TO ADOPT ________________ (required)

WOULD YOU BE INTERESTED IN ADOPTING A DOG FROM ANOTHER PART OF THE COUNTRY? THIS WOULD INVOLVE PAYING FOR THE DOGS TRANSPORTATION (FLIGHT, HEALTH CERTIFICATE, CRATE) IN ADDITION TO THE ADOPTION FEE

HOW DID YOU HEAR ABOUT CREST-CARE OR ABOUT THE CHINESE CRESTED FOR ADOPTION? _____________________________________________________________________

HAVE YOU APPLIED TO ADOPT WITH CREST CARE BEFORE? _________________________________ (required)

PERSONAL REFERENCE: __________________________________________________________ RELATIONSHIP: _____________ ADDRESS: ____________________________ PHONE: _____________________ (required)

~~ 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 ~~

Please use the bottom of this sheet to add any other information you wish us to consider in placing a Chinese Crested with you. Thank you again, your interest is deeply appreciated.

SIGNATURE: _________________________________________ DATE: ______________________

Phone Contact: _________________________________________________________________

E-mail Address: ________________________________________________________________