Florida SharPei Rescue
Dedicated to providing a safe haven to abandoned, neglected and abused SharPei throughout Florida and the Sunbelt region.

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Adoption Application
Foster Application

No matter how you spell it SharPei, Shar-Pei or Shar Pei this is a great breed and may be just what you are looking for as a lifetime friend.


Adoption Form

Thank you for your interest in adopting a rescue Chinese SharPei. The dogs available for adoption are screened for temperament and health. All dogs have been given their vaccinations, started on heartworm and flea preventative and have been spayed or neutered. Although, we cannot guarantee that there are no problems with the dogs in rescue, we have done our very best to assure that each dog adoption is a good candidate for a new family. We want our dogs and our adoption families to be happy with the placement.

The following application is very important to helping us make the perfect match between dog and new "parent". We reserve the right, at our sole discretion, to turn down an application. By submitting this application, you are giving us permission to check the references listed and demonstrating your sincere interest in pursuing the adoption of a SharPei from Florida SharPei Rescue.

Please answer ALL questions on this application.
INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED.

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Personal Information

* Required Fields
First Name: *
Last Name: *
Address 1:
Address 2: (Optional)
City:
State:
Zip Code:
Home Phone:
Work Phone:
Cell Phone:
Email Address: *
Application's Employer:
Position:
Company Phone:
Co-Application's Employer:
Position:
Company Phone:

Please answer the following questions completely.
1. How did you hear about Florida SharPei Rescue?
2. What do you know about Chinese SharPei? (Temperament, health, etc.)
3. Why do you want to adopt a Chinese SharPei? Please give all reasons that apply (companion, guard dog, gift, to breed, personal protection, for children, other).
4. How long have you lived at the above address?
5. Do you rent or own your current residence?
6. What type of home do you currently live in (apartment, townhome, single family home, condo)?
7. If you rent, please provide us with your landlord's name and phone number. Please note that we will contact your landlord.
8. If you move to a location that does not accept dogs, what will you do?
9. Please list the names and ages of all persons living in your household.
10. If other adults in the household, do they all approve of getting a dog?
Yes No
11. Have you owned a Chinese SharPei in the past?
Yes No
12. Do you understand this dog will stay with you for the rest of his life?
Yes No
13. Please describe other animals living in your household.
14. If you have owned animals in the past, what happened to those animals?
15. Do you take your pet to a vet annually?
Yes No
16. Are your current pets current on their vaccinations and heartworm preventative?
Yes No
17. Are you familiar with heartworm preventative and the vaccinations that are necessary?
Yes No
18. We require that all animals adopted from us be spayed/neutered. If you have any questions/concerns/reservations about this policy, please explain below.
19. Are you prepared for the possibility of more than routine vet bills and care of the dog?
Yes No
20. If you have animals in the house that are not spayed/neutered, fully vaccinated, and on heartworm/flea prevention medicine please explain why.
21. Please provide us with the name/address/phone number of your veterinarian. We will call them for a reference.
22. Do you have a fenced yard?
Yes No
23. What kind of fencing do you have?
24. If you DO NOT have a fence, how will your Shar-Pei be exercised and go to the bathroom?
25. Would you allow a home visit by a volunteer on behalf of Florida Shar-Pei Rescue?
Yes No
26. Where do you plan on keeping your Chinese Shar-Pei the MAJORITY of the time?
27. Where will your Chinese Shar-Pei sleep at night?
28. What will you do with your Chinese Shar-Pei when there is no one at home?
29. What will you do if your Chinese Shar-Pei exhibits bad behavior? ie..being destructive, soiling the house, barking, etc.
30. Do you understand that this dog may not be housebroken and are you willing to take the time to properly housetrain?
Yes No
31. Do you understand that it may take this dog time (at least 30 days) to adapt to his new environment and family?
Yes No
32. What are your preferences for your adopted dog? ie. age, sex, color, etc.
33. Would you be willing to adopt a dog with a medical condition? (allergies, thyroid problem, etc.)
Yes No
34. Would you be willing to adopt a dog with a behavior problem (chewing, separation anxiety, fear of thunderstorms, not housebroken, etc.) Note: we will not adopt a dog that is aggressive or has bitten before--under ANY circumstances?
Yes No
35. Did you see a particular dog on our website that you are interested in? If so, please indicate.
36. Please give two professional references.
37. Please write any additional comments below. Use this space to also indicate any health or behavior problems that you could NOT handle (dog aggression, cat aggression, daily medication, etc.)

By submitting this form you acknowledge and agree to the terms below:
Adoptee being of lawful age, do now release, acquit and forever discharge Florida Shar-Pei Rescue, its Agents and Assigns, from any and all actions, claims, demands or damages accruing to me resulting from any known or unknown injury, loss or damage, sustained by me as a result of acting as a Florida Shar-Pei Rescue adopter.
 
I ACKNOWLEDGE THAT ALL THE INFORMATION CONTAINED ON THIS FORM IS TRUE AND CORRECT. I UNDERSTAND THAT ANY MISREPRESENTATIONS OF FACT MAY RESULT IN THE REMOVAL OF THE  DOG FROM MY HOME.

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Reduced Donation Request For Approved Home That Can Take Both!
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We Have A Lot Of Pei-Bies That Need A New Forever Home!

» See Them Now
© 2008 Florida Chinese Shar-Pei Rescue - A 501c3 Not-For-Profit Rescue Group
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"We are a 501c3 not for profit rescue. A copy of the official registration (CH 26657) and financial information may be obtained from the Florida Dept of Agriculture and Consumer Services by calling toll-free (800-435-7352) within the state. Registration does not imply endorsement, approval, or recommendation by the state."