I. Your Personal Information  
Are You 21 Years of Age or Older? (proof may be requested)   
Employer's Phone:
II. In Which Dog(s) Are You Interested?  
What age dog are you looking for?      
III. You As a Pet Owner  
Where would the dog be kept when you are away from home or sleeping?
How many hours would the dog be left home alone at a time?
How would you describe the activity level in your home?      
Do you believe in spaying and neutering? If not, why not?
What do you expect the annual cost of caring for a dog to be (vet care, feeding)?
Do You Own or Rent Your Home? (If You Rent, You Must Provide Proof of Permission to Have a Dog There.)   
IV. Unexpected Problems  
What Dog Problems Would Make You Return an Animal:         
  
  
  
If Necessary to Help Resolve Problems, Are You Willing to Crate-Train and/or Take an Obedience Class?   
V. Pets You Have Had in the Past  
Please List All Animals That You Presently Own and Have Owned in the Past (Other Than Fish, Rodents, and Reptiles)
Breed/When Owned/Age/Gender/Neutered/Vacc./Heartworm/Medical Conditions/Etc.:
VII. IMPORTANT!  

Please separately email digital photos of your home and yard, particularly showing where the dog will be kept, to: codoan@aol.com

If at any time the adopter cannot keep the animal, it must be returned to Pekingese Rescue Network, Inc. In addition, each pet adoption is assessed a donation, varying by animal, to help pay veterinary and other expenses. Adoption donations are non-refundable. Adoption donations must be given in advance to place a dog on hold. If for any reason you should decide you no longer wish to adopt the dog that has been held for you, the donation fee will not be refunded.

Please click the SUBMIT button (below right). It will email your application to us.