Adoption Procedure -
4 Step Checklist
Printable Adoption
Application
Are Adoption
Fees Too High?
Step 1 - Adoption and Volunteer Application Form
FORM WORKS BEST WITH INTERNET EXPLORER
Please fill out EVERY BLANK. Your application cannot be processed if you leave blanks.
Applicant Information
How Did You Hear about Us?
Important instructions for using drop down selection boxes:
Once you click on the down arrow and select your answer,
move your mouse outside of the drop down box and click your
mouse in a clear area to de-select the drop down box.  If you
don't do this and you use the scroll wheel on your mouse, you
could change your selected answer without realizing it



If Other, Please Specify
I am applying to
Last
Name
First
Name
Street Address
 
City, State, Zip
 
Home Phone
Cell
Phone
 
Email Address
 
Birthdate
(mm/dd/yy)
  YOU MUST BE 21 TO ADOPT.
 
         
Employer
 
Employer Phone
     
Work Phone
Work
Email
 
Co-Applicant Information
Last Name
First Name
 
Relationship to
Applicant
 
Home Phone
Cell Phone
 
Email Address
 
Birthdate (mm/dd/yy)
     
         
Employer
 
Employer Address
 
Employer Phone
     
Occupation
 
Work Phone
Work Email
 
About You and Your Home
We can provide complimentary or low cost transport of your dog to you in many cases.  It can take as long as two months to
find an appropriate transport.
       
Please tell us about the people that live with you or the people that visit you frequently.  Please include your children, nieces
and nephews, grandchildren, parents, neighboors, etc.
Name
Age
Relationship to You
Frequency of Visits
Are there smokers in your household? Allergies prevent
some of our dogs from being in homes with smokers.
Which best describes your current residence?
How is your yard fenced?
If you don't have a securely fenced yard, how will you
ENSURE the safety of your dog?
Do you have a dog door?
Do you have a pool?
If you have a pool, how will you keep a dog safe?
Please Tell Us About Your Current Pets
Name
Species/Breed
Sex/Altered
Year
Adopted
Age
Now
Where did you get them
When you are not at home
where does your pet stay?
Please Tell Us About Your Past Pets
Name
Species/Breed
Sex/Altered
Year
Adopted
What happened to them?
Please be specific.
Please Tell Us About The Dog(s) You Want To Adopt or foster
List the dogs by name. If there are no specific dogs,
indicate whether there is a preferred breed. .
List any personality traits you would like to see in your new
dog. (lap dog, playful, quiet).
How many hours in a normal day will the dog be left alone?.
Where will the dog stay when you are not at home?
Where will the dog sleep at night?
Who will take care of the dog when you are out of town?
Why do you believe that you will be able to provide an
excellent home for this dog?
Why do you want a dog ?  Please elaborate
Your References
Please give us the name and contact information of your current vet.  Please let them know that we will be contacting them.
If you have no vet, write NO VET in "Name" box.
   
Vet's Name
Phone Number
Pets they have seen
How many years have you used this vet?
Name on the account

Please give us the names of three references that we can contact for information.  It's preferable that they have dogs, but not
required.  Only one family member please. This part of the application is sometimes the most time consuming.  Please let your
references know that we may be contacting them by email.  If they do not have email addresses, the process may take longer
than usual.
Name
Email
Day Phone
Evening Phone
Years
Known
What type of pets do they have?
Miscellaneous Information
Although the majority of our dogs are crate trained or trained to the routine and schedule of their foster homes, most dogs
will need to be re-house trained to your home and your routine.   How do you plan to house train your new dog?
 
Although we do not take people aggressive dogs into our program, we do accept abused and unsocialized dogs.  These dogs
often need work with behavior problems.   Any dog that has ANY known history of snapping will not be adopted to a family
with children.  But understand that a dog may react differently and you must be prepared to deal with it.  How will you deal
with behavior problems like snapping or biting?
 
Do you understand that 75% of dog bite cases involve dogs who have never bitten anyone before and that you, as the dog
owner or guardian, should take whatever measures are necessary to avoid putting your dog in a situation where he might
become afraid and snap.
 
What will you do if the dog bites your child or a friend's child?
Considering grooming and normal veterinary care, it may cost
$1,200 annually to care for your dog.  Are you aware of this?

Shih Tzus and Lhasa Apsos can easily live 17 or 18 years.
Who will take care of your dog if something should happen to
you and you can no longer take care of him?  Please give us
their name, address, phone number and email address.
Have you ever given up a dog?
If Yes, please explain and give date.
Under what circumstances would you feel that
you would HAVE to give up your dog?
Is there anything else that you would like for us to
consider when processing your application?
Adoption Donations
When we bring dogs into our program, we have our vet perform the procedures that you, as a responsible pet owner , would
have done
after you adopt.  This would include spay/neuter, DHLPPC immunization, Rabies immunization, Bordetella
immunization, general health examination, dental procedures, etc.  The ONLY way we can continue to save dogs from certain
euthanasia is with the donations you and others make to reimburse Lone Star Shih Tzu and Lhasa Apso Rescue for these
veterinary procedures.  

When adopting, we request a minimum donation which helps us recover the cost of the basic veterinary procedures.  The range
of this basic donation is between $150 to $600 and is based on the age of the dog you are adopting.

We also perform more expensive procedures as needed such as heart worm treatment, tumor removal and other necessary
surgeries, etc.  However, the minimum donation is still calculated according to the age of the dog being adopted.  Please see
our Frequently Asked Questions (FAQ) page for more details and the donation amounts.  
Click here to open the FAQ page in a
new browser window.

Our goal is to never say no to a Tzu or Lhasa in danger of euthanasia.  The only way we can do this is with your donation.  Your
donation helps replace what we spent on your dog and gives us the funds to rescue another.  If you can donate more than the
adoption donation for your dog,
we would really appreciate it.
Please acknowledge that you understand the adoption donation policy.
Statement of Truth
By submission of this application, I/We assert that all statements and answers given in said application are the said truth.  Any
misrepresentation of the truth in this application will invalidate any prior or subsequent adoption agreement and will give Lone
Star Shih Tzu and Lhasa Apso Rescue of Texas the right to reclaim the adopted or fostered dog without refund of the adoption fee.
Electronic Signature
(Type your name)
Date
Before you click the submit button, please look over ALL of the answer you gave on this application.
If you left critical information out we cannot process the application and we will ask you to fill it out again.
We know this is time consuming but we are only trying to find the perfect home for each little dog.
You are almost done!  Here's a quick reminder of the process...

Step 1:
 Submit this form.  PLEASE PRINT A COPY OF THE INFORMATION THAT APPEARS WHEN YOU SUBMIT.
Step 2:  Ask your veterinarian to fax your records.
Step 3:  Ask your 3 references to submit the reference questionnaire.
Step 4:  The home visit.

For instructions on steps 2, 3 and 4,
click here to open the 4 Step Checklist and instructions in a new browser window.  
Or you can submit this form and then go back to www.shihtzu-rescue.com and click on "Apply To Adopt" to go directly
to the 4 Step Checklist and instructions.

Finally, please remember that we are an all volunteer organization.  Our volunteers have full time jobs and families.  All
that we do with this organization is done in our spare time so we ask that you be patient.  

Although we make every effort to process each application in a timely fashion, sometimes there are delays due to the
availability of our volunteers.  If you don't hear from us within a week or so, please do e-mail us.  We love to hear from
you by e-mail and are happy to answer any questions you have as the process goes along.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Once you press the "Submit" button, a screen will appear showing you the detailed answers you gave.  This form is
automatically emailed to one of our volunteers. PLEASE PRINT OUT THE FORM AND KEEP IT FOR YOUR RECORDS.

LSSTLAR
PO Box  218075
Houston, TX  77218-8075

Fax 281-754-4851     
POLICIES AND OTHER INFORMATION

Most of the dogs we get in come from shelters.  Therefore, we rarely get in a dog that we would feel comfortable placing in a home
with small children.  Most of our dogs require a home with children no younger than eight.  We do not adopt to families with
children under eight  years of age unless there is already an adult (older than six years old) lhasa or shih tzu in the family and we
can securely determine that the children in the household have been taught to respect pets.

We are not looking to "get rid" of our dogs.  We are looking for the BEST possible home for each and every one of them.  Therefore,  
we do reserve the right to refuse to adopt a dog to any family for any reason.

OUT OF STATE ADOPTIONS

We do adopt to certain people out of state.  We ask that you come to Texas to meet and pick up your dog.  We believe you, too, want
to be certain that this is the dog for you, so we ask that you arrange to stay a day or so getting to know your new family member
before you travel back home.  Only under certain circumstances will we ship a dog and, of course, it will be at the adopter's
expense.  The typical shipping fee is $350.

If you decide that you can't keep the dog,  you are responsible for getting him or her back  to us as well.  

If you live in another area of the country, but could not find a dog in your area, check our NATIONAL Shih Tzu Rescue website,
www.usshihtzurescue.com.   You can fill out an application there and the national coordinator will forward your application to the
representative nearest you.

OTHER CONSIDERATIONS

We do not adopt to households with un-spayed or un-neutered pets unless the pet is being shown for conformation or there is a
verifiable medical reason that it is not altered.

The average life span for a shih tzu can easily be 15-16 years.  We try to match the life span of the dog to a family.  Understand that
we do not want these little guys to be homeless again in just a few years.  

Adopting a new family member should involve a well-thought out and deliberate process.  We purposely take our time in finding
just the right home for our dogs.  This is not an impulse "purchase."  

We ask for lots of information, including reference statements from at least three good friends/relatives and your veterinarian.  If
you are not willing to gather this information to help us make a decision, please do not apply with us.   We designed the application
to be very thorough and our process for approving an applicant is just as stringent.  

If you are applying to adopt a very young dog (under three years of age), in most cases, we will require that you have another dog of
a similar age.  Shih Tzu and Lhasa Apsos like companionship and need a friend with which to play.