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Adoption Application

 

ATTENTION!!    PLEASE READ THIS PRIOR TO FILLING OUT YOUR APPLICATION

Please answer this "getting to know you" application with detailed answers.  ONLY through your complete answers will we be better able to help you determine which Col. Potter Foster Dog would be best suited to you.

After your Application has been submitted and received by the Committee, the entire process can take 2 or 3 weeks.You can help us speed the process along by alerting your personal references that our Reference Coordinator will be contacting them by phone for a reference check. Delays are often encountered when we cannot reach an Applicant's references or their Applications are incomplete. Please verify all telephone numbers and e-mail addresses prior to submitting your application.

During peak holiday periods and vacation times, it can take longer as we are all volunteers and have jobs and other life functions, outside of rescue.

If you intend to use an electronic fence as your primary means of containment, we cannot accept your application.  

We cannot guarantee any of our recue dog’s behavior with children and cannot accept applications with children under 12 unless you already own or have owned a rescued Cairn during the child’s lifetime.  We reserve the right to deny an application based on the age of the child under 12 at the time of ownership.

If you have never owned a dog, a rescued Cairn may not be for you.  You should read Toto: The Untold Story (https://www.cairnrescue.com/resources/toto-the-other-side-of-the-story/) before applying.  We also have many approved homes waiting for a dog and we prefer to adopt to those with terrier experience. 

The Fine Print

Col. Potter Cairn Rescue Network (CPCRN) reserves the right to decide the placement of their rescue Foster Dogs. CPCRN reserves the right to deny placement of their rescue foster dogs.

By filling out the below application, you agree to notify CPCRN once you no longer are looking for a Cairn. You also agree to notify us if there are any changes in your household, which would relate to questions you have answered in this application.

You MUST be 21 years of age or older in order to apply to adopt a rescue Foster Dog through CPCRN. Photo identification may be required upon adoption.

ATTENTION!!

Before applying to adopt any dog, PLEASE read the Adoption FAQs (Frequently Asked Questions) section.  (https://www.cairnrescue.com/service/faq/)

You will have only 60 minutes to complete the form.  If you fail to complete the form in 60 minutes you will timeout and lose all your data entered.  Please review the form and the requested information before you begin.  Have all your references, numbers, addresses, etc. before beginning.

* = Mandatory field

 

 
 
 
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List all ADULT FAMILY members who currently reside in the household by name, age, and occupation, INCLUDING YOURSELF:

Name

 

Age

Occupation

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

List all ADULT (NON-FAMILY) members who currently reside in the household by name, age, and relationship to you:

Name

Age

Relationship

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

List all RESIDENT children under 18 years of age by name, age and relationship to you:

Name

 

Age

 

Relationship

 
 
 
 
 
 
 
 
 
 
 
 
 
 

List other children under 18 years of age who VISIT FREQUENTLY by name, age, relationship, frequency and typical duration of visitation:

Name

 

Age

 

Relationship

 

Duration and Frequency

 
 
 
 
 
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For example, playmate for resident pet(s), companionship for you, good fetching ability, potential agility or earthdog candidate, etc.

 
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For example, inappropriate barking, housebreaking, etc.

 
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If no pets, please put None

 
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If never owned, please put Never

 
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If no pets, please put none

 
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Playfulness, sociability, any other significant thing you can think of…this will help find the right new family member for you.

 
 



 

 
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If you rent, provide the following information:

 
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Where will the dog be kept during the day?




 





 



 

 

 
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Often the exact age of rescue dogs is unknown.

 

Special Needs dogs could be of any age. They could be Cairns with a vision or hearing loss, or have some other medical condition. They could be dogs in their twilight years who need a loving home for the rest of their lives.

 

 
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Please note that your choices will be limited if you must concentrate on one small geographic area. You will have more options if you are willing and able to adopt from a larger geographic area. We will provide you with more information on our specific transport policies for our rescues, but in summary, you are responsible for transporting your future rescue cairn to your home - both financially and logistically. We can help you plan this, and your rescue's foster family may be able to help with the transport, other volunteers may be able to help with the transport (note that we request 20 cents per mile fee for any volunteer who helps transport your dog to you - more on that later), but the final responsibility is yours. Flying your rescue cairn - whether as cargo or as carry-on - is an option for some of our rescues but not all. 

 
 
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FOUR PERSONAL REFERENCES ARE REQUIRED in addition to your current veterinarian. Only one of these references may be a family member. All references must be 21 years of age or older. NOTE: If you do not provide 4 personal references, your application will be rejected.

 

REFERENCE 1                        

 
 

REFERENCE 2

 
 
 

REFERENCE 3

 
 
 

REFERENCE 4

 
 
 

If you have had pets in the past, list the information for the vet that cared for them. Also include an additional Veterinary reference if you have used your current Vet for fewer than 4 years.

If you do not currently have a vet, provide the information about the vet that you will be using when you adopt a dog.

 

VET REFERENCE 1



 
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VET REFERENCE 2

 


 
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Where did you hear about us?

 




 















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Are you able and willing to make a Rescue Adoption donation if you adopt a Cairn or Cairn mix through Col. Potter Cairn Rescue?


PLEASE NOTE: At the time you adopt one of our rescue Cairns, you will be asked to make a donation to CPCRN. This donation helps defray shelter fees and other costs paid to procure our Rescues, the cost of transporting them to our foster homes, the costs of providing them with food and appropriate veterinary care, including spay/neuter, immunizations, heartworm testing and prevention, and other medical and/or grooming needs as are required by the particular dogs in our program. The requested adoption donation for young Cairns between the ages of 1 and 6 years is typically between $325.00 and $375.00, depending upon their age; for Cairns 6 years and over, it is typically $200.00. For Cairns in their golden years or which have long-term health issues, the requested adoption donation is usually reduced based on the age of the Cairn and/or the care and medications that the Cairn will require post-adoption. For young puppies under the age of 12 months, the requested adoption donation is typically $400.00, and if the puppy is not altered prior to placement (which would typically be the case if the puppy is under 6 months), we also require that the adopting family agree to a spay/neuter deposit. This deposit is FULLY refundable upon presentation and verification of a spay/neuter certificate. This is further explained in the rescue protocol for young puppies, which you will receive if you are applying for a pup under six months of age. Please verify the requested donation amount on any dog that you are considering for adoption. As adoption donations do not constitute purchase monies paid for the Rescue, they are not refundable in the event that you decide to return the Rescue or for any other reason.

By submitting this application, you give us your permission to call all of your listed references, including your Veterinarian(s), to determine responsible pet ownership. If you have included a work telephone number for any of your references, you are stating that they may receive telephone calls at their place of employment.

Your signature(s) will be required on a formal Adoption Contract prior to adopting any rescue dog. You must also provide proof of being of legal age in your state to sign contracts. Photographic identification with your current address may be required prior to adoption.

I understand that CPCRN may, at its sole discretion, determine that a Cairn rescue will not be approved for adoption by me or my family.

Please make sure the application is complete and you have entered your e-mail address before pressing the "Submit" button below. Incomplete applications may be rejected or delayed.

PLEASE NOTE: Adopting one of CPCRN's rescue Cairns is a multi-step process. Please see our Frequently Asked Questions for details on how the adoption process works.

I represent that the information that I have provided on this form is the truth to the best of my knowledge and belief. I/we hereby give my/our permission to CPCRN to use any of the above information to confirm that this rescue application is deemed to be correct. I hereby certify that I have not been convicted or otherwise been found guilty by any governmental authority of animal cruelty, neglect or abandonment, or of failing to provide adequate shelter to an animal.