Thank you very much for your interest in adopting a Southern Shih Tzu and Toy Breed Rescue dog. A
successful adoption depends on selecting the right pet for your home and family and making sure you
understand the needs of the dog. We want every new home to understand this is a lifetime commitment to the
dog, with enormous responsibilities and awesome rewards. Our adoption application, is one method we use to
match great dogs to wonderful homes.  Making a perfect match is the key to happy and forever home :-)
Southern Shih Tzu & Toy Breed Rescue
What dog are you interested in adopting? (please give dog's NAME listed on website)
Most of our dogs are primarily located in Alabama (even dogs listed in your area) due to lack of foster homes in your area- We use professional pet transport services to transport dogs to your area every 2 weeks. Are you willing to have your new dog transported from AL ? Yes
No
We will drive to AL to pick up
Applicant(s) Name:
Street Address: (include city and state)
Email Address:
List all contact phone numbers:
Place of employment and occupation:
Spouce/Partner Name:
Spouce/Partner place of employement and occupation:
Number of people living in your home?
List Name, Age and Relation of ALL people living in your home:
Are you planning on adding children to your home in the future? (we do not adopt some of our tiny toy breeds to homes with small children, this is based on the dogs needs) Yes
No
If YES, how would adding children to the family affect the living condition of the dog?
Do you own, rent, or lease your home? Own
Rent
Lease
Type of dwelling: (house, apartment, condo, townhouse, moble home...)
How would you describe your home environment? (check all that apply) Active and Busy
Calm and Quiet
Varies day to day
Have visitors frequently
Do you have a fenced yard? (We require a fenced yard on 99% of our adoptions and 100% with homes that have children) Yes
No
What type of fence: Wood (6 ft)
Wood (4 ft)
Chain Link
Vinyl
Wire
Electric/Underground
None
If you do not have a fence, how do you plan on allowing outside exercise time and potty breaks for your dog?
Do you have a pool? No
Yes, inground
Yes, above ground
If you have a pool, how do keep your plan on keeping your dog safe from falling in pool/drowning?
Have you adopted or applied to adopt a dog from another rescue? Yes
No
If yes, what was the rescue name and the outcome of the appliction?
CURRENT/PREVIOUS PET INFORMATION
How many dogs have you owned in the past 10 years?
List CURRENT dogs owned: {Name - Breed - Age- How long owned- live inside/outside}
Are all your current pets up to date on vaccinations, on heart worm preventative and spayed/neutered? (all will be required on current pets for adoption approval) Yes
No
N/A
If NOT, why?
List PREVIOUS dogs owned: {Name - Breed- How long owned- Reason you no longer have}
Have you ever rehomed a pet or turned pet in to shelter? If so, why?
What is your least favorite thing about owning a pet?
NEW PET INFORMATION
Have you considered the expense of adding a new pet to your family? Basic vet care and food alone cost thousands of dollars per year. Grooming several hundred dollars. Can your family afford these expenses? Yes
No
Will try to afford it
Why are you wanting to add a new pet to your family?
Who is wanting to add a new pet to family?
Are ALL family members in home wanting to add a new pet to the family? Yes
No
Who will be responsible for the day to day care of the new pet?
All dogs, even house train dogs will have to adjust to their new home/schedule and be re-house trained. How do you plan to house train your new pet?
What will you do if your new pet develops the following: Seperation Anxiety - Digging yard - Chewing items - Issues with current pets/children
How many hour will your new pet spend alone?
Where will your new pet stay while you're not at home?
Where will your new pet sleep?
Under what circumstances would you consider giving up a dog? Moving
New Baby
Divorce
Go back to school
Dog getting too old
Not getting along with other pets
Behavior issues
New spouce/partner does not like pets
Children lost ineterest
Medical problems
House training problems
Lost job/Financial problems
None
If your new pet develops expensive medical problems, what would you do? Find a new home
Give back to rescue
Take to shelter
Pay whatever it takes to treat
Euthanize dog
As your new pet ages, he will develop vision issues, dental issues, heart conditions and frequent urination problems. How do you plan on handling these geriatric issues?
What methods do you when disciplining/correcting a dog?
REFERENCE INFORMATION
Veterinarian Reference. Please list veterinarian you currently use or used in the past. Name, address and PHONE NUMBER
Personal references: Please list 2 references that are not related to you. Name, address, and PHONE NUMBER
We have a very thorough screening process for our adoptions, including the following: Personal and vet reference check, home visit, adoption fee and a legal binding adoption contract. Adoption fee is $150-$250 based on vet care provided for dog, this is an attempt to recoup some of our vet care cost. Are you willing to undergo a thorough screening process and pay our adoption fee? Yes
No
By submitting this application you acknowledge all information provided to be true and complete. And, understand that falsifying answers on this application or at any other time during the adoptions process will disqualify you from adopting. I agree
I disagree
I authorize my landlord and veterinarian to release any and all information needed to a Toy Breed Rescue representative. Type your full name below to create an electronic signature.
Applications are approve by the SSTR Adoption. ALL adoptions will be approved to meet the needs of the dog. SSTR reserves the right to deny an application and terminate the adoption process at any time.

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Adoption Application
Due to the number of applications received, we are unable to respond to all applicants.. However, IF our
adoption board feels your home matches the needs of the dog, you have applied to adopt, you will be notified
within 2 days, that we are processing your application for adoptions. Thank you very much for your interested
and understanding.
If you are NOT ready to adopt or still "shopping around",  please do not submit an application, until you are actually READY to adopt-