PCTC Rescue : Adoption Application

Rescue Adoption

We strongly recommend that you read through the Adoption Guidelines and the Rescue FAQs before completing an application.

If you are interested in adopting a Rescue Cairn, please fill out the following form. The information you provide will help us find the best fit. All information provided here will remain confidential.

Please Note: This application is for residents of Virginia, West Virginia, Delaware, Maryland, and Washington D.C. ONLY. If you live outside of this area, you can find information on Cairn Terrier Rescue volunteers in your area at www.cairnterrier.org/rescue/.

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.

If you are having problems submitting an application, please contact the webmaster for an email application.

Adoption Application

* Required fields

* Name:
* Address:
* City:		NOTE: This application is for residents of Virginia, West Virginia, Delaware, Maryland, and Washington D.C. ONLY. You can find Cairn Terrier Rescue volunteers in your area at www.cairnterrier.org/rescue/.
* State:
* Zip Code:
	* Phone:	* E-mail:

* Your Age:

1. Have you ever owned a Cairn Terrier? Yes No
If Yes, for how long?
Why do you want a Cairn Terrier?

2. Do you have young children living with you? Yes No
If Yes, how many?
What are their ages?
What experience have your children had with caring for a dog?
PLEASE NOTE: Because the history of a Rescue dog is unknown, PCTC will NOT adopt to families with children aged 7 years and under.
3. Do you have young children that come and visit with you (i.e. grandchild, niece/nephew, etc.)? Yes No
If Yes, what are their ages?
What experiences have these children had with dogs?

4. Do you currently have a dog? Yes No
If Yes, what breed(s)?
What age(s)/gender(s)?
	Spayed/Neutered? Yes No

5. Have you ever owned dogs previously? Yes No
If Yes, what breed(s)?
What became of it/them?

6. Do you have other pets? Yes No
If Yes, what kind?

7. Do you currently have a local veterinarian? Yes No
If Yes, may we contact him/her? Yes No
Vet Name:
	City	State
Phone:

8. In what type of home do you live?
Do you rent or own your home? Rent Own
If you rent, will your landlord allow pets? Yes No
Do you have a fenced yard? Yes No
If Yes, describe height and materials:
PLEASE NOTE: PCTC will NOT adopt Rescue Cairns to homes where invisible fencing is the primary means of keeping the dog in the yard when outdoors.
If no fence, would you be willing to fence in a portion of your yard? Yes No
If No, why not?
When you are NOT in a securely fenced area, will you agree to ONLY walk and exercise the dog on a leash? Yes No
Are you willing to have a rescue volunteer visit your home? Yes No
9. Who will be responsible for caring for the dog?
	Myself My Spouse My Child Other
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

10. Will anyone be home during the day? Yes No
If Yes, who?
How may hours will the dog be alone during the day?

11. Where will the dog be kept when you are NOT at home (be specific)?
Where will the dog be kept when you ARE at home (be specific)?
Where will the dog be kept at night (be specific)?

12. We require that all dogs adopted from us be spayed or neutered.
Do you have any questions or reservations about this policy? Yes No
If Yes, please explain:

13. Who will care for the dog when you go on vacation?
If you move, what will you do with this dog?
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
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? )

Have you considered how much it will cost to care for this dog each year? (include veterinary care, food, grooming, licensing) Yes No

14. What gender Cairn do you prefer?
What age?	No Preference
	Between the ages of years and years old

Additional Comments:
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.

Last Updated: 9-June-2006

Web Developer: Veronica A. Hudak-Moe