Owner App Form

To send the application regular mail:
Click Here

NOTE: Failure to complete required questions will result in
application being deleted!
You must be at least 21 years of age to adopt

Crest-Care, Inc.

Adoption Application Coordinator, Beth Massman

  Prospective Owner Application

Please fill out all (required) areas in order for your application to be processed.

Applicants please note:
Crest-Care Inc. adopts out dogs to applicants residing within the United States and Canada.

(NO APPLICANT WHO HAS OR PLANS TO USE AN ELECTRONIC FENCE, OR TIE OUTS WILL BE CONSIDERED. FURTHER, NO APPLICANT OWNING AN INTACT ANIMAL WILL BE CONSIDERED. EXCEPTIONS WOULD BE CERTIFICATION FROM A VETERINARIAN SAYING THE ANIMAL IS NOT HEALTHY ENOUGH TO BE ALTERED, OR THE ANIMAL IS EITHER BEING SHOWN OR IS A FINISHED CHAMPION UNDER THE AGE OF SEVEN (written proof to this effect is required).

          Thank you for your interest in adopting a Chinese Crested. We would appreciate you answering the following questions so that we can best determine compatibility between you and the Chinese Crested. All questions on this application must be answered in order for your application to be processed. If a question is not applicable please mark as such. Thank you for your help and cooperation.

Crest-Care Inc. Adoption Fee information..........
As of January 1, 2004 our Adoption Fees were increased.
Our new adoption fee will consist of a sliding scale based on the animals approximate age.....

Dogs determined to be under 2 years of age will be adopted out for $250.
Dogs determined to be between the ages of 2-6 years of age will be $225
Dogs determined to be 7 years of age and older will be $195

This increase is necessary due to increases in veterinarian care throughout the United States and Canada. (The above Adoption Fee's do not reflect the cost of transportation

Date Submitted (required)

Name (required)

Address (required)

City / State / Zip or Postal Code (required)

Work Phone Best time to call: (required)

Home Phone Best time to call: (required)

Fax Number Accept collect calls? Yes   No

E-mail Address (required)

Please Note: Applicants that pass the veterinarian and personal reference check will be requested to furnish their drivers license number via phone or US postal mail (applicants choice) to their Coordinator, prior to Approval to Adopt, or to becoming a Representative of Crest-Care Inc. The information will be kept confidential with the exception of law enforcement/background check to determine if the applicant has any record of abuse or neglect toward any animal left in their care.

Date of Birth *must be at least 21 years of age to adopt

Occupation

Do you Own       Rent

If Yes to rent, does the landlord allows dogs? Yes        No Landlord's Phone (required)
If you rent and don't supply the landlord's phone, this application won't be screened!

Do you have a fenced yard? Yes   No

If no, what arrangements will you have for the dog's exercise and toilet duties?

WILL ADOPTING A CREST-CARE DOG PUT YOU OVER THE LIMIT OF DOGS ALLOWED BY YOUR CITY OR TOWNSHIP?
Yes

No

Is there a particular Crest Care dog you are interested in:

How often do you read your e-mail?

Age

Are you married? Yes   No

Does your partner/spouse know of and approve of the Dog? Yes   No (required)

How many children?      Age(s)

ARE YOU ALLERGIC TO DOGS? Yes   No

List all other dogs in the household (include breed, age and sex). (required)

Do You Breed? If So What Breed?
(required)

How Many Litters a Year

Are your dogs/cats spayed/neutered? Yes   No (required)

Vet's Name (required)

Vet's Address (required)

Vet's City / State / Zip (required)

Vet's Phone (required)

Do you live in a House   Apartment/Condo   Mobile Home Other (required)

How many hours on the average will this dog spend alone at your home?

If you have had a dog before, describe the last dog you owned and what happened to it?

Tell us anything else about your family you'd like to.

Have you owned a Chinese Crested?
Why are you interested in a Chinese Crested?
Yes   No

Are you familiar with the characteristics and temperament of the Chinese Crested? Yes   No

Are you familiar with the grooming and maintenance of the Chinese Crested?
Have you owned a Crested before or a toy breed?
Yes   No
Yes   No

If no, are you willing to learn and not hesitate to call a Crest-Care member with questions or concerns? Yes   No (required)

Are you committed to caring for this dog for its lifetime? Yes   No (required)

Do you consider yourself financially stable enough to provide proper diet, and medical care for a Chinese Crested, including emergency treatment if needed? Yes   No (required)

Are you aware that there is an adoption fee which will support future rescues of the Chinese Cresteds? Yes   No (required)

Who referred you to Crest-Care?

Information about the dog you want:

Sex Male Female   No preference

Variety Hairless   Powderpuff   No preference

Age Preference
Puppy    Young Adult   Adult Senior No preference

Color Preference Yes No   If yes, what is your preference?

Would you consider a Crested with medical problems or limitations? Yes   No Depends on condition.

Generally speaking, what kind of temperament are you looking for in a dog?

What qualities appeal to you about the Chinese Crested?

Where will the Chinese Crested stay when it's alone?

Where will the dog sleep?

Please add any other expectations or concerns you have.

Would you be willing to assist a Chinese Crested in need for Crest-Care if the need arises?

Yes   No

Would you be interested in becoming a Representative for Crest-Care?

Yes   No

Representative Application

Please add any comments for consideration here.

Personal Reference

(Please use a reference other than immediate family. Thanks!)
Name: (required)
Address:

City/State/Zip:

Home Phone: (required)
Best time to call:

I understand that a crest Care Member will conduct a home visit prior to my being approved to adopt. Yes No (required)

Would you be interested in adopting a dog from another part of the country? Yes No
This would involve paying for the dogs transportation (flight, health certificate, crate), in addition to the adoption fee.

Have you applied to adopt with Crest Care before? Yes No (required)

If Crest-Care does not have a Chinese Crested in need...would you be willing to be referred to another rescue organization or private rescue of Chinese Cresteds? Yes No
Please note that referral does not mean that Crest-Care approves or endorses any organization/private rescue that we may refer too. Therefore by checking yes, you are releasing Crest-Care, Inc of any liability or responsibility if this application is referred to another group or private rescue.

~~ If you are a retired person or a senior citizen we ask that you specially consider an older (type of dog) to adopt. These dogs remain puppyish well into old age and can also live a long time. We want them to have their family right up until the end. The most frequent reason for a pet animals' later life abandonment is that their caregiver has to leave them for a nursing home and their family members do not always have space, desire or the ability to care for a pet left displaced by such an event. Please think about how YOUR age and state of health will affect your new dogs' future ~~

All required areas must be completed or the form will not send.

Please be patient when submitting form; it can take a few minutes to process.

We Reserve The Right to Refuse An Applicant

Crest-Care, Inc.