First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Cell Phone*
Alt Email
Are you applying with a Co-Applicant?* Choose one: Yes No
Co-Applicant First Name
Co-Applicant Last Name
Co-Applicant Email
Co-Applicant Cell Phone
This is for PETS THAT YOU OWN NOW. If you do not own any pet now, please move to previous pets section below.
Current Pet #1 Name
Pet 1 Species Choose one: Dog Cat Bird Reptile Other
Pet 1 Breed
Pet 1 Age
Is this pet altered? Choose one: Yes No
Current Pet #2 Name
Pet 2 Species Choose one: Dog Cat Bird Reptile Other
Previous Pet 2 breed
Pet Age
Current Pet #3 name
Pet 3 Species Choose one: Dog Cat Bird Reptile Other
Pet 3 Breed
Pet 3 Age
Do you currently have more pets than the ones described above?
Do any of your current dogs live outside?*
Is there anything else you would like us to know about your current pets?
This section is for pets you have owned that you no longer own - whether they have passed or you rehomed or returned them. Please DO NOT list your childhood pets, only those pets you have owned yourself and been responsible for. If you have not had any pets in the past, please move to the next section.
Previous Pet 1 Name:
Previous Pet 1 Species Choose one: Dog Cat Bird Reptile Other
Previous Pet 1 breed
Was this pet spayed or neutered?
Age at death
Approximate date of the passing of this pet (month and year)
If this pet did not die, please explain where, how and why you no longer have ownership.
Previous Pet 2 Name
Previous Pet 2 Species Choose one: Dog Cat Bird Reptile Other
Previous Pet #3 Name
Previous Pet 3 Species Choose one: Dog Cat Bird Reptile Other
Previous Pet 3 breed
Do you have additional previous pets that are not listed above?
Do you now or have you ever in the past used an electric collar for confinement or for correction? This includes ones that beep and vibrate as well as those that deliver a shock. If so, please tell us about this use. *
Do you now or have you ever in the past used an electric collar for confinement or for correction? This includes ones that beep and vibrate as well as those that deliver a shock. If so, please tell us about this use.
Did any of your previous dogs live outdoors?*
If you have current or previous pets, CPR requires a veterinary reference. Please list the name, full address and phone number (with area code) of your veterinarian. If you have used more than one veterinarian, specify which pet(s) is a client with each specific veterinarian. List all veterinarians involved in the care of each pet and include the approximate date range during which care was provided. If this dog is not for the applicant, please also provide the name and address of the person on whose behalf you are applying; we must have the name so that the appropriate account can be found. PLEASE TELL YOUR VET THAT A CPR VOLUNTEER WILL BE CALLING THEM.
PLEASE LIST YOUR CURRENT VETERINARIAN'S FULL NAME, THE NAME OF THE CLINIC AND THE PHYSICAL ADDRESS OF THE CLINIC INCLUDING CITY AND STATE.
PLEASE LIST YOUR CURRENT VETERINARIAN'S PHONE NUMBER INCLUDING AREA CODE.
We require a minimum of 3 years' history on all current pets and pets that have passed away in the last 5 years. If you have a previous vet that has seen your pets in the last 3 years, please list the name, full address and phone number (with area code) of your previous veterinarian. If your current veterinarian can provide the history needed, please just state N/A.*
I will contact my vet and let them know that someone from CPR will get in touch with them. I understand failure to contact my vet will result in my application process being delayed
Heartworm prevention saves lives. As part of our veterinary history check, we will be confirming you have your dogs tested routinely for heartworms. Please tell us the brand of heartworm prevention you use. *
Do you own your home?*
PLEASE PROVIDE YOUR LANDLORD'S FULL NAME, PHONE NUMBER WITH AREA CODE AND/OR EMAIL ADDRESS. Please verify that you are allowed pets where you rent and any restrictions or requirements (including breed restrictions, weight restrictions or deposits required and whether you have paid those yet or not). We WILL be contacting your landlord to verify that pets are allowed on the property.
What type of fence do you have?*
Please tell us the NAMES AND AGES of all people residing in your home. PLEASE INCLUDE YOURSELF! *
Please tell us the NAMES AND AGES of all people who VISIT in your home regularly.
Does everyone who lives in your home agree this is a good time to adopt a new dog? *
Have you applied or adopted from CPR previously?*
Please list the name (s) of dogs you see on our available list of dogs that interest you. If there is not a specific dog, please list the breed of dog you are interested in.
If there is not a specific dog on our available dogs list that you are interested in, please describe the type of dog you are seeking.*
We use email almost exclusively to connect with our adopters. Are you able and willing to communicate by email? Please note if you answer no, we can not advance your application. Please make sure you have given us your top email address, the one you check regularly. *
How did you learn about Carolina Poodle Rescue?*
If you learned about us from a CPR Adopter or Supporter, please share their name so that we can thank them.
Our contract with adopters specifies that the dog will be returned to Carolina Poodle Rescue if you cannot take care of it for any reason. Will you agree to this requirement?*
Dogs adopted from CPR are “non transferable.” This means your new dog must stay in your personal possession. You agree to not give away, abandon, sell or dispose of your adopted dog in any way. This includes release to family members.*
A home inspection visit is part of our screening process. Are you willing to have a Carolina Poodle Rescue volunteer visit in your home?*
WE DO NOT SHIP OR TRANSPORT OUR DOGS. ARE YOU AND EVERYONE WHO LIVES IN YOUR HOME (INCLUDING DOGS) WILLING TO TRAVEL TO DREAMWEAVER FARMS IN PACOLET, SC (ABOUT 30 MINUTES EAST OF SPARTANBURG) OR TO THE FOSTER HOME TO MEET YOUR NEW DOG? Please do NOT assume that a dog that has a city/state in their names is in that city/state. Location of each dog is in the description for that dog. *
I understand that Carolina Poodle Rescue charges adoption fees for each animal that we adopt. Adoption fees are listed on our dogs’ profiles. I am willing and able to pay the adoption fee requested for the animal or animals I am interested in.*
Are you willing and able to accept all financial responsibility for the expenses associated with caring for a dog after adoption. This includes but is not limited to preventative health care including annual check-ups, vaccinations, heartworm prevention and flea/tick prevention. It includes any emergency medical care in the event of illness or injury at any time in the dog’s life in addition to cost of regular care and feeding (food, supplies and equipment, toys, training and boarding)?*
I understand that if my application is approved through the first screening, I will be added to the CPR e-mailing list. Our e-mailing list is never sold to third parties or shared with any other party. Your information is secure. We use the mailing list as a way to stay in touch with excellent pet owners. Our contact is limited to monthly newsletters and donation opportunities. *
I am at least 21 years old.*
Date: