You are filling out an Adoption Application for Jazzie

Adoption Application

This application is the first step in the adoption process for one a UYR foster dog. All of this information is important so please be as accurate as possible. If a question does not apply to you, you may enter .N/A. It is only necessary to fill out one adoption application, regardless of how many dogs you are interested in. Press the .Tab. button to go to the next question. Do not press .Enter. unless it is within a multi line text box.

Our webmaster set up the form so that ALL FIELDS must be answered, even if the answer is N/A. If you submit it, and then you see the form again on your screen, scroll down and you will see IN RED. "This is a required field!". The missing field is the field/question ABOVE the aforementioned message. Check that and make SURE you have responded to all questions/fields. Also remember to type your name at the bottom where the signature normally is.

NOTE: All "Required Field" errors refer to the entry block above the warning.

NOTE: UYR does not adopt dogs to individuals under the age of 21.

UYR does NOT ship our dogs to adopters. If you are selected to adopt one of our fosters that isn't in your area, you will be required to travel to the foster dog’s home, either by car or plane, to pick up your dog. Some airlines permit dogs to travel with an individual in the cabin as carry-on baggage. You will need to purchase a pet ticket.

Personal information: (must be completed in it's entirety)
This data is very important to us. Please be as specific as possible.
This data is very important to us. Please be as specific as possible.
Living Environment (must be completed in it's entirety)




Adoption and Care Information (must be completed in it's entirety)



Current & Previous Pets
We will provide you with an evaluation of the foster Yorkshire Terrier's temperament based on the information provided to us by the surrendering owner or information provided by the shelter where the yorkie came from.
References
Please provide the name, address, and telephone number of three (3) references and their relationship to you.
Please only include one (1) family member.
Read the following carefully
I declare that the information I have provided in this application is complete and correct. I understand that any false information I have provided will invalidate this and any future applications. I further declare that I am 21 years of age or more and am financially and physically able to care for a rescued dog. I understand that proper food and veterinarian care may be costly, and I am able and willing to meet the needs of my adoptive dog. I understand the requirements and grant permission for Home Checks at random, both prior to and following adoption. I submit that if a Home Check reveals falsification or misrepresentation of any facts on my part, United Yorkie Rescue reserves the right to either refuse adoption or to nullify the adoption and reclaim said dog from my premises without reimbursement of the adoption donation. I release United Yorkie Rescue from any liabilities I may incur from the adoption process.