Adoption Application

Please fill out the following adoption application form if you are interested in visiting and adopting a puppy.

Full Name

Full Address

Phone

Check all those that apply (Answers won't disqualify you from adopting - for info only)

I have owned a dog before

I had to euthanized my dog

I had to relinquished ownership of my dog

I adopted a rescue/shelter dog

I fostered a rescue/shelter dog

I have researched the Shih Poo breed

I believe in regular check-ups and vaccinations for dogs

Please tell us about your dog ownership.

If you answered 'Yes' to questions 2 and 3, or 'No' to question 7, please elaborate.

Can you please give details of all of your family members, all of your current pets, type of home and yard, and your family's lifestyle as they relate to owning a puppy?

Is there anything else you would like to add regarding your adopting a Shih Poo puppy?

I declare that the info I’ve provided is accurate & complete

Initials

Thanks for submitting!