Thank you for your interest in one of our rescue dogs. To be considered for adoption, you must first submit an adoption application. Please be advised that submitting an adoption application does not guarantee that you will be approved to adopt, nor that you will be approved to adopt the particular dog you are interested in. Once your application has been submitted, and the required veterinary and reference checks are complete, a volunteer will contact you for a personal interview. You may also be asked to submit to a home visit. Once your application has been reviewed completely, the information is forwarded to the Director for final approval. If your application is approved, you will be invited to meet with the dog you are interested in adopting. As a privately run organization, CRGa reserves the right to refuse adoption to any applicant who is not deemed suitable through the review process, maintaining standard adoption policies, and taking into consideration the individual needs of each animal. If you have any further questions about the adoption process, please Contact Us.

Have you read the adoption policies and fees listed on our website?
Yes No

Is everyone in the household AWARE of and IN SUPPORT of the decision to adopt a new pet?
Yes No

Are you willing to allow a representative from our organization to visit your home by appointment?
Yes No

Applicant(s) (Primary Caretaker(s) of Pet):
First & Last Names:   Age:  
Employer:   Occupation:   How long?:  
Street address:  
City:   State:   ZIP:   County:  
Home Phone:   Work Phone:  
Cell Phone:  
E-mail (required field):  

Co-Applicant(s) (required for individuals 23 yrs of age and under and 62 years of age and older):
First Name & Last Name:   Age:  
Employer:   Occupation:   How long?:  
Street address:  
City:   State:   ZIP:   County:  
Home Phone:   Work Phone:  
Cell Phone:  

NAME OF PET ON WEBSITE YOU ARE INTERESTED IN:

LIST ANY QUESTIONS YOU MAY HAVE ABOUT THIS PET:

Number of adults in your household:
Number, age, and gender of children in the household (include any children that visit frequently):

Explain what responsibilties the children will have in caring for the pet:

Is anyone in the household allergic to dogs? Yes No
How long have you lived at the current address? years
Do you own or rent your home?
If you rent, do you have the landlord's permission to own a pet? Yes No
What is the landlord/apartment complex phone number?
How much is the pet deposit? $
Do you have a securely fenced yard with no gaps or holes for a small dog to escape? Yes No
Do you have a "doggie door?"

Adopting a pet is an emotional, financial, and time consuming commitment!

Please tell us WHY you want to adopt a new pet at this time:

Are you prepared to make a lifetime commitment of 5, 10, or 15 years to a new pet?
Yes No
Do you have knowledge of the Chihuahua's characteristics and their specific needs?
Yes No Need More Info
Does your career require you to work overtime or travel frequently? Yes No
How many hours in the day do you have to devote to a new pet?
Does your budget allow for you to afford the care required for a small dog (i.e. food, treats, toys, bedding, caninue annual exam with vaccines, monthly flea and heartworm prevention, dental cleanings as needed at approx $700/yr)? Yes No
Do you have the support system (i.e. friends and/or family) you need to properly care for a new pet?
Yes No
List any lifestyle changes that you foresee in the near future (i.e. school, marriage, children, moving, career, travel, retirement):

List your current pets (i.e. how many, breed, age, weight):

Read carefully: Are your current pets up to date on their vaccinations (rabies, dhpp, bordetella)? (****required to adopt****)
Yes No
Read carefully: Are your current pets spayed or neutered? (****required to adopt****)
Yes No
Do you currently have any outdoor pets?
Yes No
Read Carefully: Are your current pets receiving monthly heartworm prevention? If so, what brand? We must be able to verify your pet has received a negative heartworm test and that are you giving your pet monthly heartworm prevention medication. (****required to adopt****)

What brand of flea prevention do you use for your current pets?

List the name and phone number of your veterinarian for any pets listed on this application (we use this information to verify shot records and spay/neuter for any pets listed on this application, which is a requirement for adoption):
What TYPE/BRAND of dog food do you plan to use?

List your previous pets within the past five years (how many, breed, age, weight) and WHAT HAPPENED TO THEM. (i.e. put to sleep, ran over, died of old age, sold, gave away, ran away, etc.)

Have you ever given up a pet due to lifestyle changes? (i.e. school, marriage, children, moving, divorce, career, travel, retirement)
Yes No
If yes, please explain the situation:

Do you have any experience with resolving behavioral problems in a pet? If so, please explain:

Would you agree to keep the new pet as an indoor pet for its lifetime?
Yes No
Would you be willing to crate or contain the new pet when you are gone from the home or unable to supervise properly?
Yes No
Would you agree to keep a collar with id tag on the new pet at all times?
Yes No
Would you be willing to provide the new pet with basic training? (i.e. house training, crate training, leash training, basic obedience)
Yes No
Under what circumstances would you allow your pet(s) off leash, outside, in an unfenced area?

How do you plan to properly introduce the new pet to any current pets, children, or family in your home?

Would you pay for an expensive medical problem to extend, improve or save your pet's life?
(i.e. one time surgery of $500 or more or monthly medications for life)

Have you applied for adoption with any other agency?
Yes No
Has a pet or puppy died on your premises in the last 6 months of distemper, parvo or unknown causes?
Yes No
Would you return the pet to us if you are unable to keep for any reason in the future?
Yes No
Please tell us how you heard about us:
Please list the names, phone numbers, and email addresses for 2 non-family personal references (required):