Adoption Form

Applicant Information: All fields with a (Asterisk *) are required fields.
Spouse/Sig Other/Children/Roommates
Residence Information: A letter from your landlord or apartment manager will be required if you rent.
Training & Disclipine
Important Information
Vet Information : Please Give Us Your Vets Contact Information Please Note We Will Be Calling Your Vet To Check References.
Pet History Please Fill Out For All Animals, Past & Present. Do Not List Fish Or Reptiles. Place one pet on each line!!
In Regards To The Above Animals, What Happened To The Pet(s) You No Longer Have? Please Explain
Some Final Stuff For You To Know Please Note We regret that we are unable to respond to any applications unless all questions are answered and veterinarian information has been provided. Thank you for your interest in adopting a dog from CHI ANGELES RESCUE. Please be advised that filling out this application is not a guarantee of adoption. Any false information may result in nullifying the adoption. We reserve the right to refuse to adopt to any applicant for any reason. By signing below you attest that all information above is true and correct to the best of your knowledge!!