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ADOPTION APPLICATION

 

* Required fields
 
* Name: 
* Address: 
* City: 
 
* State: 
* Zip Code: 

 
* Phone: 
* E-mail: 

* Your Age: 

1. Have you ever owned a Cairn Terrier?   Yes   No
If Yes, for how long? 
Why do you want a Cairn Terrier? 

2. Do you have children living with you?   Yes   No
If Yes, how many? 
What are their ages? 
What experience have your children 
had with caring for a dog? 

PLEASE NOTE: Because the history of a rescue dog is unknown, Southwest Cairn Rescue may not adopt to families with children aged 7 years and under.  Each adoption situation will be reviewed on a case by case basis.

3. Do you have children that come and visit with you (i.e. grandchild, niece/nephew, etc.)?   Yes   No
If Yes, what are their ages? 
What experiences have these 
children had with dogs? 

4. Do you currently have a dog?   Yes   No
If Yes, what breed(s)? 
What age(s)/gender(s)? 

 
Spayed/Neutered?   Yes   No

5. Have you ever owned dogs previously?   Yes   No
If Yes, what breed(s)? 
What became of it/them? 

6. Do you have other pets?   Yes   No
If Yes, what kind? 

7. Do you currently have a local veterinarian?   Yes   No
    If Yes, may we contact him/her?   Yes   No

 
Vet Name: 

 


 
City
State
Phone: 

  8.   Please provide TWO personal references

 
 Name: 

 

 
 Address: 

 


 
City
State
Phone: 
   

 
 Name: 

 

 
 Address: 

 


 
City
State
Phone: 

 

9. In what type of home do you live? 
Do you rent or own your home?   Rent   Own
    If you rent, will your landlord allow pets?   Yes   No

 
Do you have a fenced yard?   Yes   No
If Yes, describe height and materials: 


PLEASE NOTE: Southwest Cairn Rescue will NOT adopt Rescue Cairns to homes where invisible fencing is the primary means of keeping the dog in the yard when outdoors.


 
 If no fence, would you be willing to fence in a portion of your yard?   Yes   No
If No, why not? 

 
When you are NOT in a securely fenced area, will you agree to ONLY walk and exercise
the dog on a leash?   Yes   No

 
Are you willing to have a rescue volunteer visit your home?   Yes   No

10.  Who will be responsible for caring for the dog? 

 
Myself   My Spouse   My Child   Other
 

11.  Do you agree to provide all necessary veterinary care for the dog, including annual booster vaccines, heartworm testing, heartworm preventative, and general health care?   Yes   No

 

12.  Do you agree to adopt a dog that may require behavior or obedience training?   Yes   No

13. Will anyone be home during the day?   Yes   No
If Yes, who? 
      How may hours will the dog be alone during the day? 

14. Where will the dog be kept when you are NOT at home (be specific)
      Where will the dog be kept when you ARE at home (be specific)
      Where will the dog be kept at night (be specific)

13. We require that all dogs adopted from us be spayed or neutered.
 
      Do you have any questions or reservations about this policy?   Yes   No
If Yes, please explain: 

15. Who will care for the dog when you go on vacation? 
If you move, what will you do with this dog? 

 
Cairns can live well into their teens.
Are you willing to take responsibility for this dog for the next 10 or more years?   Yes   No

 
In case you can no longer care for the Cairn, what provisions would you make in your will for its continued care?  (i.e., Do you have a specific person to designate for the Cairn's future care? )

 
 
Have you considered how much it will cost to care for this dog each year? 
(include veterinary care, food, grooming, licensing)  Yes   No

16. What gender Cairn do you prefer? 
What age? 
No Preference

 
Between the ages of years and years old

17. If presently available for adoption, what is the name of Cairn you are interested in? 

 

Additional Comments: 
 

Your application will remain on file for two months. If you are still interested in adopting a Cairn after that time, you must submit another application.

Please make sure the application is complete before pressing the "Submit" button below.

Incomplete applications may be rejected or delayed.

YOU MUST READ AND AGREE TO OUR ADOPTION CONTRACT (will open in new window close when finished) PRIOR TO PRESSING THE "SUBMIT" BUTTON BELOW.  PLEASE CHECK HERE  THAT YOU HAVE READ, UNDERSTAND, AND AGREE TO OUR ADOPTION CONTRACT AND ARE AT LEAST 21 YEARS OF AGE.


 

 

Website: Webmaster@SouthwestCairnRescue.com

email: Info@SouthwestCairnRescue.com

Southwest Cairn Rescue 2005 | All Rights Reserved

 

All volunteer, not-for-profit 501(c)(3) organization

dedicated to rescuing Cairn Terriers.

 

Southwest Cairn Rescue

P. O. Box 2728

Orange, CA

92859