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Applicant Name(s)
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Street Address
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City/State/Zip
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Home Phone
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Work Phone
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Email Address
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Applicant Age and Occupation:
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Do you have Children?:
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Number in Household:
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Please tell us the name, age and relationship of the members of your
household. (family members, room-mates, etc..)
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SSTR requires a home visit on ALL adoptions. Normally, what is the best
time for your home visit? (a volunteer from your area will do the home visit)
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Does anyone in your household smoke? (Some pug nose dogs
do have respiratory problems with second hand smoke.)
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Are you planning to add a child(ren) to your family in the
future?
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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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Preferences
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Please note: The average age of a rescue is between 2-7 years. A Shih Tzus average
lifespan is between 14-18 years. So please keep your mind open to an older baby. If you
are looking for a younger Shih Tzu, under two years, your wait may be slightly longer. Also if
you are Elderly, please do NOT ask for a young dog, our goal is to place our furbabies in a
LONG term "forever" home.
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What furbaby are you interested in adoptiong?
Please give the specific name(s)
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Have you applied with any other rescue group(s) to adopt?
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If the answer is yes to the above question, please indicate the name of the
rescue group(s) and the status of your application(s):
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Are you willing to travel to Alabama to pick up your new family
member? We can not afford to fly our babies.
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Are you willing to adopt a dog with special medical needs, such as
eye drops or special diet or medication?
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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?
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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 soon are you wanting to adopt your new furbaby? Our adoption process
can take as long as a month, sometime even longer, based on vet needs of
dog .
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Why a Shih Tzu or other HIGH maintenance dog?
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Have you previously owned a Shih Tzu or high maintenance dog?
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Have you read "Adoption Process and Guideline Informantion"?
Please do so before submitting your application!
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What is it about this breed that you like?
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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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The Shih Tzu and many other long hair 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 resources to
devote to its upkeep. But if you do, the furbaby will more than repay you with a lifetime of
joy and loyalty.
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Are you willing and prepared to pay up to $30.00 or
more, every 4-6 weeks to groom your furbaby?
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Are you willing to spend approximately one hour each
week brushing and coming out your furbaby?
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Are you prepared to deal with the cost of both routine
veterinarian care (worming, annual shots) and
non-routine/emergency veterinary care, especially as the
dogs gets older?
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Your Home
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Do your currently own, lease, rent your resident?
(or other)
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Does your lease or home owners association restrict pet
ownership? If YES, explain below:
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Please check the one that best describes
your resident:
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Is your yard securely fenced? A fenced yard is required
for most adoptions!!!
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If you have a pool, is it fenced?
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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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References
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Please provide three names as references, including your Vet.
Your application will NOT be considered if you do not complete this section.
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Vet's Name, City, State and Phone Number
NO VET REFERENCE, NO ADOPTION!
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Name, phone number (with area code) and relationship to applicant.
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Care and Responsiblity
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Appoximately how many hours a day will your new
dog be alone?
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Where will the dog be left when alone?
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Do you travel frequently?
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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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Are you willing to restrict your choice of housing to places
where pets are allowed?
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Is everyone in the family wanting a new dog?
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Does anyone in the household have any know allergies to
animals?
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What is your definition of disciplining a dog?
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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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Previous and Current Pet(s)
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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!
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Are all your current pets, spayed/neuterd and up to date
on vaccinations? (if NO, please explain in Comments)
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Comments:
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