CTCNC

Cairn Terrier Club of Northern California

CTCNC Rescue Coordinators-
Terry & Sue Broderick

Rescue Questionnaire

If you are seriously considering a Cairn Rescue, please fill out the form.  Take time to read the sidebar.

If you do not have access to e-mail, you can download the form and mail it to the Rescue Committee. The form to be down loaded is Rescue Inquiry Form.It requires Adobe Acrobat Reader.  Click on Rescue Inquiry, download it, type in the boxes, print it and then mail it to the Rescue Committee.

Date

 Name

Address

City, Zip

Email 1

Email 2

Phone 1
Phone 2


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 How many children are.at home? How old are they?

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Have you ever owned Cairns? Any kind of terrier? How long?
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Do you have dogs now? Ever? What happened to them?
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Do you have cats, birds,any other  4 legged critters?
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Do you live in a house or apartment?  Are pets allowed?
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Do you have a fenced-in yard? How high? Made of?

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 Will you make part of your yard secure for your dog?
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 If no yard, will you  exercise your dog ONLY on a Leash?
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 May a Rescue Volunteer visit your home?

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 You Must provide annual shots, and veterinary care. What vet will you use?
All dogs released into Rescue will be spayed or neutered.
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 Who will care for the dog? Alone during the day? How many hours?  Where will the dog spend the day? Nights?


These dogs live to 12-17 years.
You need to be willing to commit to this amount of time.

What age/sex of dog will you consider? Note: Coat color changes.with age.
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Are you interested in a older dog?  9 to 12 yrs? 12-15 yrs?
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 Would you be interested in a dog with special needs, which would be explained and evaluated? (Older dog, dog on long term medications, allergy problems. skin problems, etc..)
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 If we know of a dog in a private home but not in our program would you like a contact number for his present home?
This dog is not officially in our program and the only info we have is what the present owner has supplied. Please understand we have not seen or evaluated the dog but have been contacted by the owner for referrals of persons possibility interested in adopting their dog.
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In order to help maintain our work in Rescue, we do ask for a donation when we place a dog out of Rescue.  While a $150 donation is typical, senior dogs or dogs with special needs can be placed with a smaller or no donation.

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 Are you have an interest in Joining CTCNC?
 Yes-       No
Look at the information about the club on this web site.

  
Your information will be sent to the Rescue Committee.

If you want a copy of this Questionnaire, enter your e-mail here:

Our purpose is to serve the needs of the dogs, not those of potential adopters.an>

You can see any Cairns that CTCNC has in Rescue at AVAILABLE.

The questionnaire lists a number of questions, all designed to help us make the best placement possible. 

There are no incorrect answers.

Some items may not apply to you.

Filling out this form does not guarantee any placement or preference. 

While we keep information, we do not maintain names in any ranked order. If you have not been contacted in 3-4 months, consider resubmitting the form. 

If you prefer, you can download the form and mail it to the Rescue Committee  It requires Adobe Acrobat Reader.  Click on Rescue Inquiry, download it, type in the boxes, print it and and then mail it to the Rescue Committee.

Or, if you want, you can put the answers in an e-mail and send it to the Rescue Committee.