Please tell us about the adults living in your home

Number of Adults

Approximate ages of each adult

Who will be the pimary care giver?

Please tell us about each child living at your home

Number of Children

Age of each child

Existing Pets

Desexed

Current Vaccinations

Daytime Accomodation

If no-one is at home, where will the Shar Pei stay? Inside or Outside?

How many hours will the dog be left alone for each day?

Will the dog be allowed inside? How much of the time?

Night Time Accomodation

If you have owned pets in the past please let us know what became of them

Have you ever taken an animal to a shelter or released it to another party? If yes, please explain

Please describe how your dog will be transported in motor vehicles?

Pool

Is it suitably fenced

Please describe your property fencing

Photo's of fencing

Preferences

Why do you want to adopt a Shar Pei?

have you had any experience with a Shar Pei?

Where will your new Shar Pei sleep?

Does anyone in your house not want a new dog? If so, please explain

Have you been refused an adoption with any other breeder, rescue group or shelter? If so, please explain

Are you interested in a cross breed?

Please tell us why

Would you adopt a Shar pei with an illness or disability?

Please tell us why

I Agree to Return Yes No *

How often will you walk the dog?

Will you take your new dog to training school? Yes No I'll train the dog myself

Under what circumstance would you give up your new Shar Pei?

Shar Pei's live for around 12 years. Are you willing to accept responsibility for the rest of the Pei's life including annual vaccinations and tests? Yes No Not Sure *

What will you do if your new Shar Pei becomes ill or injured and requires expensive veterinary care?

What will you do if your pet is lost?

Is there anything else you would like to tell us about you, your family or your interest in adopting a dog?

Do your local laws allow you to keep a dog? Yes No Not Sure *

Do you rent or own your home? Rent Own

If you rent your home have you discussed dog ownership with your landlord/agent and if so what has been agreed?

Do you currently have a vet? If so, please provide us their name and phone number so we can contact them for a reference

If you do not have a vet, please provide the names and phone numbers of two personal references

How did you here about us?

By submitting this application, I agree that all the information I have provided is correct. Providing untruthful answers or failure to comply with the requirements of this application or the signed adoption contract can result in the forfeiture of the adoption.

You agree to allow us to check the references provided. We will require the
successful applicant to sign an adoption agreement and allow a house/yard check before adoption.

We may also ask to sight your driver’s licence before the application proceeds. We appreciate you taking the time to complete this application. Upon review and approval, we will contact you as soon as possible.

We reserve the right to refuse any applicant.

I accept the terms of this application *