Southern Shih Tzu & Toy Breed Rescue
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ATTENTION: Before you submit an application, please make sure you are very serious about starting our process. Our volunteers put a lot of time and effort in to processing applications and scheduling home visits, to only find out the applicant wasn't ready to adopt or was still SHOPPING AROUND with other rescue groups or breeders. If you are working with another rescue group, please wait until you find out if that application will be approved. If you think our adoption fee is too high, please don't apply.
ALL OUR DOGS ARE FOSTERED IN ALABAMA- ARE YOU WILLING TO PAY TO HAVE YOUR DOG TRANSPORTED TO YOUR AREA? OR MEET SOMEONE TO PICK UP? (can meet if you live in AL, TN, GA, FL)
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SSTR is a 501c 3 Non-Profit charity organization, dedicated to rescuing, rehabilitating, rehoming and providing sanctuary care for abandoned, abused and homeless toy breeds.
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What dog(s) are you interested in adopting? ____________________________________________________
Applicant Name(s):_________________________________________________________________________
Street Address: ___________________________________________________________________________
City/State/Zip:_____________________________________________________________________________
Home Phone: ______________________________ Work/CellPhone: _______________________________
Email Address: ___________________________________________________________________________
Applicant Age and Occupation: ______________________________________________________________
Number of people in household: _______________ Do you have children? Yes / No
Spouce/Partner Name, Age and Occupation; ____________________________________________________
Please tell us about members of your household (including your children):
Name Age Relationship
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SSTR requires a home visit on ALL adoptions. Normally, what is the best time for your home visit?
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Who in the family is wanting to adopt a new dog?_________________________________________________
Our adoption process can take several days, due to reference checks and home visit. Are you willing to wait a few
days to finalize the adoption? _________________________________________________________________
Our organization requires an adoption contract for adoption, a copy is available for your review on our website
www.ToyBreedRescue.org Are you willing to sign a legal binding adoption contract? Yes / No
Are you expecting a new child, or planning a family in the future? Yes / No
If yes, how will this affect any of the living conditions of the dog you are wanting to adopt? Please explain.
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Have you applied with any other rescue group(s) to adopt? ______________________________________
If YES, please indicate the name of the rescue group(s) and the status of your application(s):
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Are you willing to adopt a dog with a history of neglect/abuse who would need extra love, attention and
time to adjust to your home? Yes / No
Please explain any reservations or limitations you might have about adopting a neglected/abused furbaby.
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What do you consider behavior problems?
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How do you correct behavior issues or discipline your dog?
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Have you previously owned a high maintenance toy breed dog? Yes / No What Breed? _____________
What did you like about the breed?
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Please describe what you feel are the characteristics of the ideal dog for you and your family.
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Toy breeds are a high maintenance dogs, and while you may love the breed you may discover that you do not have
the time or the financial resources to devote to its grooming and health upkeep.
Are you willing and prepared to pay up to $15- $35, every 4-6 weeks to groom your furbaby? Yes / No
Are you prepared to deal with the cost of routine veterinarian care (worming, annual shots)
and non-routine veterinary care (dental cleanings, blood work) especially as the dogs gets older? Yes / No
Your Home
Do your currently own, lease, rent your resident? Own / Rent / Lease
(or other) ______________________________________
* If you do NOT own your home, you will have to provide a witnessed letter from the owner, allowing to you own a pet at
this resident, we will also call the owner to confirm-
Does your lease or homeowners association restrict pet ownership? Yes / No If YES, explain below:
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Please check the one that best describes your resident: ___ House ____ Apartment ____ Condo
___ Townhouse ___ Mobile Home ___ other (explain: ___________________)
Is your yard securely fenced? (A fenced yard is required for 99.9% of adoptions; however we do make considerations,
depending on the dog and life style of applicant) If children are in the home a fenced yard is absolutely required.
Yes / No
What type of fence: _______________________________________________________________________
If you do not have a fenced area, please explain how you plan to SAFELY exercise your dog and allow it to relieve itself.
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Do you have a pool? Yes / No If yes, In ground / above ground
If you have a pool, is it fenced separately from the rest of the yard? ___________________________________
If you move, are you willing to restrict your choice of housing to places where pets are allowed? Yes / No
Reference
Vet Reference: ______________________________________ Phone # _____________________________
2nd Vet Reference: __________________________________ Phone # _____________________________
Groomer: __________________________________________ Phone # ______________________________
Personal Reference
Name: _____________________________ Phone # ______________________ Relation: _____________
Name: _____________________________ Phone # ______________________ Relation: _____________
Previous and Current Pet(s)
Please list animals (current & past) that have lived with you. Please list type, age, how long you owned them, inside/out
and living or deceased. If deceased, what happened. Must have DETAILS!
Name Age Breed Inside/Outside Living/Deceased If deceased why?
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Are all your current pets, spayed/neutered and up to date on vaccinations? ALL dogs must be spayed/neutered, up to
date on shots and on heart worm preventative in order to adopt from rescue organizations. YES / NO
If not, please explain:
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Care and Responsibility
Approximately how many hours a day will your new dog be alone? __________________________________
Where will the dog be left when alone? _______________________________________________________
Where will the dog sleep? _________________________________________________________________
Who will be the primary caregiver of your pet(s)? _______________________________________________
Do you travel frequently? Yes / No If yes, who will take care of your dog when you are away?
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Have you asked yourself whether your lifestyle is so busy that you might not have the time or energy to properly care for
a high maintenance dog? (explain)
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Does anyone in the household have any know allergies to animals? _______________________________
If yes, why are you wanting a pet? _________________________________________________________
For what reason(s) would you rehome your dog? Take a few minutes to really think about this question! (Children,
Marriage, Divorce, Sickness, Relocate, New Job, Lose Job, Dog develops issues/illness)
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Comments:
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I acknowledge that I have provided complete and truthful information. Neglecting to give complete and truthful
information will automatically disqualify my application.
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Applicant Signature Date
Our organization is not a First Come, First Served Rescue- we screen our applications based on our dogs needs and
for the best home possible. We are looking for STABLE pet ownership, that has provided excellent vet care and
a SAFE and loving environment for their pets.
SSTR reserves the right to deny any application and terminate the adoption process at any time.
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Please email to: toybreedrescue@hotmail.com or tbrapplication@hotmail.com