Adoption Application

I understand that Texas adopters must live within 200 miles of Pleasanton/San Antonio Texas to adopt. Texas adopters must be able to travel to Pleasanton Texas for adoption. Adoption Fees: Texas $400 USD for adult dogs and puppies, Buffalo NY $600 USD for adult dogs and puppies, Canada $700 CDN for adults and puppies includes transport. *

Yes

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email *

Phone Number *

General Info

Age *

Occupation *

Home Information

Where do you live? *

Do you own your home? *

Yes
No

Do you have a fenced yard? *

Yes
No

Type of fence *

Chainlink
Privacy
Other

Provide landlord contact name *

Provide landlord phone number *

Current Pets

Do you currently own pets? *

Yes
No

Provide a description of them *

Are your pets spayed/neutered? *

Yes
No

Are pets your up to date on vaccinations, rabies & heart worm prevention? *

Yes
No

Provide veterinarian's name *

Provide veterinarian's phone number *

Please note: We will call your vet.

Household Info

Number of adults in your home *

Number of children in your household *

List the ages of your children *

Reference Info

Personal Reference Name *

First

Last

Personal Reference Phone Number *

Other Info

Please describe what you are looking for in a new family member. Or, just enter the name of the dogs you are interested in. *

As an adopter of a Texas Chihuahua Rescue dog, I agree to the following addendums: *

I agree

● I understand that once an adoption fee is paid in full, that fee is non refundable.
● I understand that the dog I am adopting is a rescue and that TXCR has done their due diligence in properly vetted said dog. Any and all medical care after adoption is solely my responsibility and TXCR has no responsibility in the future vetting or care of this animal after adoption.
● My adopted TXCR dog will NOT under any circumstances live outdoors
● My adopted TXCR dog will continue to be on flea and heartworm medication as well as have their yearly vaccines at my expense.
● I agree to contact TXCR if my adopted dog goes missing or if I wish to relinquish the dog. I understand that if I am no longer able to care for my TXCR adopted dog, that I will contact TXCR immediately. I will not sell or give away my TXCR dog.
● I understand that the health, age, nature, or temperament of the TXCR adopted dog is not guaranteed. I understand that said dog is a rescue that has come from the streets or shelters and there is no history on this animal.
● I agree to hold TXCR and all volunteers harmless and under no accountability for any liability or damage. TXCR is not liable for loss, damage to personal property or harm to any person or animal.
● I agree that I am submitting my application through electronically entering my information and typing of my name above serves as agreement and release of all conditions stated