Thank you for your interest in adopting a rescue Chinese Shar-Pei. The dogs available for adoption are screened for temperament and health. All dogs have been given their vaccinations, started on heartworm and flea preventative and have been spayed or neutered. Our adoption fees range from $200-250 depending on the age and medical needs of the dog being adopted. Although, we cannot guarantee that there are no problems with the dogs in rescue, we have done our very best to ensure that each dog is a good candidate for adoption and we pride ourselves on being able to match a dog with a potential family. We want our dogs and our adoptive families to be happy with the placement.

The following application is very important to helping us make the perfect match between dog and new "parent". We reserve the right, at our sole discretion, to turn down an application and we may or may not provide you with the reasons for refusal. By submitting this application, you are giving us permission to check the references listed and demonstrating your sincere interest in pursuing the adoption of a Shar-Pei from Shar-Pei Rescue.

NOTE: We do not ship our dogs under any circumstances. Adopters must be willing to drive to Tennessee. For adopters traveling a great distance, all efforts will be made to schedule a meeting place a few hours away from the foster home location but due to our personal schedules, this is not always feasible. Potential adopters must be prepared to drive to Decherd, TN (wherever the dog is being fostered) if necessary.

If you have any questions concerning this application or the adoption process, please email Cindy (Decherd, TN) at

Please answer ALL questions on this application. INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED.

Co-Applicant's Name:
Phone: (Home)
(Sorry, if no phone number is given, we cannot process this application.)
What do you know about Chinese Shar-Pei (temperament, health, etc)?
Why do you want to adopt a Chinese Shar-Pei? Please give all reasons that apply (companion, guard dog, gift, to breed, personal protection, for children, companion to another dog, etc).
Do you live in a: If other,where?
Do you rent or own your home?
If you rent, does your landlord allow pets?
Are there other adults living in this household that are not listed as a Co-Applicant?
If yes, do all adults in the household approve of getting a dog?
If you rent, please provide your landlord's name, address and phone number. Please note that we will contact your landlord.
Number of children who live in or visit household on a regular basis: Ages of children:
Occupation of adult(s) in family?
Who will be primarily responsible for taking care of this animal?
Do you work outside the home?
If yes, what will you do with your Shar-Pei when no one is home?
Where will your Shar-Pei stay the MAJORITY of the time?
Where will your Shar-Pei sleep at night?
Who will care for this animal while you are on vacation?
If you have to move, what will you do with this animal?
What will you do if your Shar-Pei exhibits bad behavior (being destructive, soiling the house, barking, not coming when called, etc?
Do you understand that this dog may not be housebroken and are you willing to take the time to properly housetrain?
Have you ever adopted a rescue dog?
If you have adopted a rescue dog before, please tell us about it. Include the name of the organization or individual you worked with(if any).
Do you understand that it may take this dog time (at least 30 days) to adopt to his new environment and family?
Are you willing to take responsibility for this pet for the next 10 or more years?
Would you adopt a dog with a medical condition (allergies, demodex, thyroid problem, etc)? NOTE...we will not adopt out a dog with a major medical problem such as cancer.
If you would adopt a dog with a medical condition, what could you NOT handle?
Would you be willing to adopt a dog with a behavior problem such as chewing, seperation anxiety, fear of thunderstorms, hates cats, not housebroken, etc? NOTE...we will not adopt out a dog that is aggressive or has bitten before...under any circumstances.
If you would adopt a dog with a behavioral problem, what could you NOT handle?
Can you afford veterinarian bills, routine and emergency care?
Will this pet be taken annually to the veterinarian for vacciations and to be checked for parasites and heartworm
Are you willing to keep your dog on a leash when it is not confined in the house, car or yard?
If you plan on ever chaining or using a tie-out for this animal, please explain the circumstances.
How do you plan to exercise this dog?
Do you have a fenced yard?
Please describe your fence.
Do you have a gender preference in an adopted dog?
Please indicate any color or age prefences.
We require that all animals adopted from us be spayed or neutered. Do you have any questions/concerns/reservations about this policy?
Are you applying for a specific dog seen on our website? If so, please provide us with that dog's name.
What type of animals have you owned in the past?
What happened to those animals?
Dogs/Cats/Rabbits/(etc.) currently present in the home (breed, age and gender):
Are ALL animals in the house spayed or neutered?
On heartworm preventative? Current on all shots/vaccinations?
If all animals in the house are not spayed/neutered, fully vaccinated and on heartworm/flea preventative (where applicable), please explain why not.
Your Veterinarian's name:
Phone number:
May we use him/her as a reference?
Would you be willing to obedience train a dog that you adopted if it was recommended (or required) as being in the best interest of the dog and you?
Would you be willing to use a dog crate if it was recommended (or required) as being in the best interest of the dog and you?
Would you allow a home visit by a volunteer on behalf of Chinese Shar-Pei Rescue?
How did you hear about Chinese Shar-Pei Rescue?
Please add any other information you wish us to consider in placing one of our Chinese Shar-Pei with you.  We would appreciate it if you would give us a little insight into the expectations you may have for this new addition to your family.
Thank you for taking the time to fill out this application. Your interest is deeply appreciated.
Disclaimer: This information is confidential. It will not be used for any other purpose other than to help us match you with a pet. No one under 18 years of age is allowed to submit this form. By submitting this form, you acknowledge that all information provided is correct and that you are seriously interested in pursuing the adoption of a Chinese Shar-Pei from a Rescue Organization.