Texas Chihuahua Rescue, Canada Inc

Adoption Applicant’s Name (First, Last)*

Address (Address Line 1, Address Line 2, City, Province, Postal Code)*

Email*

Phone Number (123-456-7890)*

General Info (Age, Occupation)*

Home Information - (Where do you live?(Apartment, Condo, House, Mobile Home, Townhome)*

Current Pets (Do You Currently Own Pets? - Yes, No), Type of pet (dog/cat)*

Are your pets spayed/neutered (Y/N)? Are pets up to date on vaccinations, rabies & heart worm prevention (Y/N)?*

Provide Veterinarians Name and Number*

Household Info (Number of Adults and Children in Your Home - 1, 2, 3, 4, 5+)*

Personal Reference & Phone Number*

As an adopter of a Texas Chihuahua Rescue dog, I agree to the following addendums: (see below)*

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Please describe what you are looking for in a new family member. Or, just enter the name of the dogs you are interested in. *

As an adopter of a Texas Chihuahua Rescue dog, I agree to the following addendums: *

I agree

I understand that once an adoption fee is paid in full, that fee is non-refundable.
I understand that the dog I am adopting is a rescue and that TXCR has done their due diligence in properly vetting said dog. Any and all medical care after the adoption is solely my responsibility, and TXCR has no responsibility for the future vetting or care of this animal after adoption.
My adopted TXCR dog will NOT under any circumstances live outdoors
My adopted TXCR dog will continue to be on flea and heartworm medication as well as have their yearly vaccines at my expense.
I agree to contact TXCR if my adopted dog goes missing or if I wish to relinquish the dog. I understand that if I am no longer able to care for my TXCR-adopted dog, I will contact TXCR immediately. I will not sell or give away my TXCR dog.
I understand that the health, age, nature, or temperament of the TXCR-adopted dog is not guaranteed. I understand that said dog is a rescue that has come from the streets or shelters, and there is no history on this animal.
I agree to hold TXCR and all volunteers harmless and under no accountability for any liability or damage. TXCR is not liable for loss, damage to personal property or harm to any person or animal.
I agree that I am submitting my application by electronically entering my information and typing my name above serves as an agreement and release of all conditions stated

Adoption Application