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)
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.
Adoption Application
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

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________


SSTR requires a home visit on ALL adoptions. Normally, what is the best time for your home visit?

________________________________________________________________________________________

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.

_______________________________________________________________________________________

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):

_______________________________________________________________________________________

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.

________________________________________________________________________________________

________________________________________________________________________________________

What do you consider behavior problems?  
________________________________________________________________________________________

________________________________________________________________________________________

How do you correct behavior issues or discipline your dog?
________________________________________________________________________________________

________________________________________________________________________________________

Have you previously owned a high maintenance toy breed dog?    Yes   /    No      What Breed? _____________

What did you like about the breed?
________________________________________________________________________________________

________________________________________________________________________________________

Please describe what you feel are the characteristics of the ideal dog for you and your family.
________________________________________________________________________________________

________________________________________________________________________________________

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:
________________________________________________________________________________________

________________________________________________________________________________________

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.
________________________________________________________________________________________

________________________________________________________________________________________

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?

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

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:
________________________________________________________________________________________

________________________________________________________________________________________


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?

______________________________________________________________________________________

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)
________________________________________________________________________________________

________________________________________________________________________________________

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)
________________________________________________________________________________________

________________________________________________________________________________________

Comments:
________________________________________________________________________________________

________________________________________________________________________________________


I acknowledge that I have provided complete and truthful information.  Neglecting to give complete and truthful
information will automatically disqualify my application.

_______________________________________________________________________________________
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