How did you hear about us?*

Co-Applicant Information

Relationship to Applicant

About You and Your Home

We can provide complimentary or low cost transportation 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, neighbors, etc.

For frequency of visits list whether they (1) Live with me full-time, (2) Visits weekly, (3) Visits Monthly, or (4) Visits less than monthly

Are there smokers in your household?*
What best describes your current residence?*
If you don't have a securely fenced yard, how will you ensure the safety the 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

When you are not at home, where does your pet stay?

Please Tell Us About Your Past Pets

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, etc.

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?*

Your References

Please give us the name and contact information of your current vet. Please let them know that we will be contact them.

If you have no vet, write NO VET in "name" box.

Personal References*

Please give us the names of three (3) 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 an email address, the process may take longer than usual.

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. However, 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 bitting?*
What will you do if the dog bites your child or a friend's child?*
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/she might become afraid and snap.*
Consider 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 to 18 years. Who will take care of your dog if something should happen to you and you can no longer take care of him/her?*

Please give use their (1) name, (2) address, (3) phone number, (4) 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.

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 below that you understand the adoption donation policy.

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.

Type your First and Last Name as your Electronic Signature if you agree with the Statement of Truth*

Enter Today's Date*

Please review your application before submitting it to us

Before you click the submit button, please look over ALL of the answers 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.

Almost Done...

You are almost done! Here's a quick reminder of the process...
Step 2: Ask your veterinarian to email your records to vet-records@shihtzu-rescue.com.
Step 3: Ask your 3 references to submit the reference questionnaire.
Step 4: The home visit.

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 two business days, please e-mail us at APPS@shihtzu-rescue.com. 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 "send" button, this form is automatically emailed to one of our volunteers.

When you submit the application, you will get a message saying that it was successfully submitted!! If you do not get that message, please scroll back up the application and note the areas denoted with a RED error message. Fill in that information and then press submit again!! Thank you for considering a rescue dog.