Rescuing, Rehabilitating and Rehoming

Welsh Corgis – tails optional...

Online Application

Fill out and submit the form below, or download the Application as a PDF and send it to submit@corgisncritters.org.

NOTE: Downloading the form as  PDF allows you the option to save your work as you go, in case you need to come back and finish at a later time.

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Corgi & Critters N.E.T. Rescue, Inc. cooperates with other rescue groups in ensuring a good match for dogs and people.

Do you have an active application on file with any other rescue group?      Yes     No

Have you applied for a dog with any other rescue group in the past 5 years?  Yes     No

A successful adoption depends on both the selection of the right dog for your household and the understanding of the care and training needs.  In order to assist you with this selection, please answer the following questions as candidly as possible.

1. YOUR HOME

Do you...?  Own     Rent

 

Dwelling Type:      House     Condo     Apartment     Mobile Home   

 

Location:      Residential     Rural   

 

NOTE: We do not discriminate against renters or apartment dwellers, however you MUST provide written permission by the Landlord for you to adopt this dog. 

 

Do you have a fenced yard?      Yes     No   

Do you have a swimming pool?      Yes     No   

 

If Yes, is it secure so the dog cannot fall in?      Yes     No   

 

Where will this dog be kept...

 

2. YOUR LIFESTYLE

Do all members agree with this adoption?      Yes     No   

Is anyone in the home allergic to dogs?      Yes     No   

3. YOUR PAST PETS

For each pet you have owned in the past 10 years (but do not currently own), please provide:

4. YOUR CURRENT PETS

For each pet you currently own, please provide:

Is this pet...?      Male     Female   

Is this pet spayed/neutered?      Yes     No   

Is this pet up-to-date on vaccinations?      Yes     No   

Is this pet on flea/tick/heartworm preventative?      Yes    No   

5. VETERINARIAN REFERENCES

Please provide information for all veterinarians your pets have seen in the past 10 years:

6. ARE YOU READY?

Have you done any type of research on this dog’s breed(s) characteristics?      Yes     No   

 

Have you ever owned this dog breed(s) before?      Yes     No   

 

Are you willing to housetrain this dog if necessary?      Yes     No   

 

Are you willing to have a home visit prior to the adoption?      Yes     No   

7. ADDITIONAL QUESTIONS/COMMENTS:

By clicking sumbit, you affirm that all of the information provided on this application is true and complete to the best of your knowledge and belief.  You understand that falsifying answers on this application, or at any other time during the adoption process, will disqualify you from adopting a rescue pet from Corgi & Critters N.E.T. Rescue, Inc.