Check out our sister brand, Kinship, for vet chat, a nutrition calculator, basic obedience training, and (much) more. So you're never flying solo in this pet parenting thing.
(Providing CHR with this information you are allowing CHR to call your vet. Please call your vet and ask them to authorize the release of information to CHR.)
Number of hours (average) dog will spend alone? _________________________________
Who will have primary responsibility for this dog's daily care? _______________________
Who will have financial responsibility for this dog? ________________________________
Do you agree to provide regular health care by a Licensed Veterinarian? __ Yes __ No
Do you agree to keep the dog as an indoor dog? __Yes __No
When the dog goes out, how do you plan to supervise it? Fenced yard?
Do you agree to contact CHR if you can no longer keep this dog? __Yes __No
Are you be willing to let a representative of CHR visit your home by appointment?
__Yes __No
How did you hear about CHR? _____________________________________________________
Would you be interested in fostering? __Yes __No __Would like to know more
Personal References
Please list someone who is familiar with both you and your pets.
Name:
Address:
Phone:
Relationship (relative, neighbor, friend, etc.):
Name:
Address:
Phone:
Relationship (relative, neighbor, friend, etc.):
All of the information I have given is true and complete. This dog will reside in my home as a pet. I will provide it with quality dog food, plenty of fresh water, indoor shelter, affection, annual physical examination and vaccinations under the supervision of a licensed Veterinarian.
___________________________ _________
(Signature) (Date)
Find a pet to adopt
Other pets at this rescue
Pet Type
Age
Sex
Pet Type
Age
Sex
We'll also keep you updated on Chanel's adoption status with email updates.
