Adoption Application Form

Important Notice: Adoption Down Payment Required

To ensure a responsible and committed adoption process, we require a down payment before finalizing any pet adoption. This policy helps us provide proper care for our Pets and ensures serious inquiries only. The down payment is non-refundable and will be applied toward the total adoption fee.

Thank you for your understanding and commitment to giving our pets a loving home.

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Name *

First

Last

Spouse/Partner Name

Address *

City *

Phone number *

Email Address *

Occupation *

Spouse/Partner Occupation

Best time to Call

What type of residence do you live in? *

• House
• Condo
• Townhome
• Apartment
• Other

Do you own or rent? *

• Own
• Rent

Years at current address *

Do you have a securely fenced yard? *

• Yes
• No

If there are other adults in the home besides you and your spouse/partner, please list their names and their relationship to you.

How many children are living in your home?

Have you owned a Cavalier before? *

• Yes
• No

Do you currently own Cavaliers or dogs of other breeds?

• Yes
• No

Does your dog(s) have any current behavioral issues?

• Yes
• No

What type and brand of food is your current dog(s) eating? Or, if you do not currently have a dog, what type and brand of food do you plan to feed your new dog?

Are dogs allowed on the furniture in your home? *

• Yes
• No

Comments

Do you walk your current dog with or without a leash?

• With Leash
• Do not walk the dog
• Without Leash

children a If

Have you ever owned a Cavalier or a dog of another breed? *

• Yes
• No

Please tell us about your history of ownership with dogs. For each dog, list the breed/breed mix, how long you had the dog, and the cause of death or rehoming of each dog.

Have you ever given a pet away to another person, or to a shelter or rescue group? *

• Yes
• No

Do you own cats? *

• Yes
• No

Do you own pets other than cats or dogs (birds, rabbits)?

• Yes
• No

Where will the Cavalier spend the day?

Where will the Cavalier spend the night?

In general, what is your family's typical schedule?

On average, how many hours a day will the Cavalier be home alone without an adult over the age of 21 present?

If you are traveling, for example, going on vacation, what arrangements do you plan to make for the care of your dog?

Do you have a regular Veterinarian?

• Yes
• No

What are your reasons for wanting a Cavalier and for applying to rescue a Cavalier? *

Desired Gender

• Male
• Female
• Either

Desired Age

• Under 2 years
• Under 5 years
• Under 10 years
• Any Age

Would you be interested in adopting a pair of Cavaliers? *

• Yes
• No
• Maybe

Would you consider a senior Cavalier (ages 10 and up)? *

• Yes
• No
• Maybe

Would you potentially be interested in adopting a Cavalier who required ongoing medication or who had special needs?

• Yes
• No
• Maybe

Would you be interested in adopting a Cavalier mixed breed?

• Yes
• No
• Maybe

Are you willing to adopt a dog who is not aggressive, but who is shy or fearful and requiring extra socialization?

• Yes
• No
• Maybe

Would you be willing to let a representative of the Cavalier rescue organization visit your home by appointment?

• Yes
• No

Do you agree to contact Cavalier Rescue USA if you can no longer keep or care for this Cavalier? *

• Yes
• No

Are you applying to adopt a specific Cavalier? If yes, please list the dog's name and city/state below. Also, very important, please contact the person listed on the dog's page so they know of your interest.

What else would you like us to know about you and your family that would help us to make a good match, and assist us in determining if you'd be a great home for a rescued Cavalier?

Do you accept that a down payment is required to proceed with the adoption? *

• Accept

Form cannot be submitted if this is not accepted.

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