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* Required fields
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* Name:
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* Address:
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* City:
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* State:
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* Zip Code:
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* Your Age:
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1. Have you ever owned a Cairn Terrier?
Yes No
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If Yes, for how long?
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Why do you want a Cairn Terrier?
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2. Do you have children living with you?
Yes No
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If Yes, how many?
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What are their ages?
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What experience have your children
had with caring for a dog?
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PLEASE NOTE: Because the history of a rescue dog is unknown,
Southwest Cairn Rescue may not adopt to families with children aged
7 years and under. Each adoption situation will be reviewed on
a case by case basis.
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3. Do you have children that come and visit with you
(i.e. grandchild, niece/nephew, etc.)?
Yes No
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If Yes, what are their ages?
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What experiences have these
children had with dogs?
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4. Do you currently have a dog?
Yes No
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If Yes, what breed(s)?
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What age(s)/gender(s)?
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Spayed/Neutered? Yes No
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5. Have you ever owned dogs previously?
Yes No
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If Yes, what breed(s)?
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What became of it/them?
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6. Do you have other pets?
Yes No
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If Yes, what kind?
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7. Do you currently have a local veterinarian?
Yes No
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If Yes, may we contact him/her?
Yes No
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Vet Name:
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City
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State
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Phone:
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8. Please provide TWO personal references
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Name:
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Address:
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City
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State
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Phone:
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Name:
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Address:
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City
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State
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Phone:
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9. In what type of home do you live?
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Do you rent or own your home?
Rent Own
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If you rent, will your landlord allow pets?
Yes No
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Do you have a fenced yard?
Yes No
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If Yes, describe height and materials:
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PLEASE NOTE: Southwest Cairn Rescue will NOT adopt Rescue Cairns to homes where
invisible fencing is the primary means of keeping the dog in the
yard when outdoors.
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If no fence, would you be willing to fence in a portion of your
yard? Yes No
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If No, why not?
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When you are NOT in a securely fenced area, will you agree to ONLY
walk and exercise
the dog on a leash?
Yes No
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Are you willing to have a rescue volunteer visit your home?
Yes No
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10. Who will be responsible for caring for the dog?
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Myself
My Spouse
My Child
Other
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Do you agree to provide all necessary veterinary care for the dog,
including annual booster vaccines, heartworm testing, heartworm
preventative, and general health care?
Yes No
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11. Will anyone be home during the day?
Yes No
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If Yes, who?
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How may hours will the dog be alone during the day?
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12. Where will the dog be kept when you are NOT at home
(be specific)?
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Where will the dog be kept when you ARE at home
(be specific)?
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Where will the dog be kept at night (be
specific)?
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13. We require that all dogs adopted from us be spayed or neutered.
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Do you have any questions or reservations about this policy?
Yes No
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If Yes, please explain:
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14. Who will care for the dog when you go on vacation?
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If you move, what will you do with this dog?
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Cairns can live well into their teens.
Are you willing to take responsibility for this dog for the next 10
or more years?
Yes No
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In case you can no longer care for the Cairn, what provisions would
you make in your will for its continued care?
(i.e., Do you have a specific person to designate for the Cairn's
future care? )
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Have you considered how much it will cost to care for this dog each
year?
(include veterinary care, food, grooming, licensing)
Yes No
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15. What gender Cairn do you prefer?
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What age?
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No
Preference
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Between the
ages of years and years old
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16. If presently available for adoption, what is the name of Cairn you are interested in?
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Additional Comments:
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Your application will remain on file for two months. If you
are still interested in adopting a Cairn after that time, you must
submit another application.
Please make sure the application is complete before pressing the
"Submit" button below.
Incomplete applications may be rejected or delayed.
YOU MUST READ AND AGREE TO OUR
ADOPTION CONTRACT
(will open in new window close when finished) PRIOR TO PRESSING THE "SUBMIT" BUTTON BELOW.
PLEASE CHECK HERE THAT YOU HAVE READ, UNDERSTAND, AND AGREE TO
OUR ADOPTION
CONTRACT AND ARE AT LEAST 21 YEARS OF AGE.
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