script async src=""> -->
Adoption Application

Welcome, , to the Adoption Application
Enter Dog Information
We're sorry you must be 18 years-of-age or older to Adopt a Dog. However, your Parent or Guardian may do so.
Provide or verify your Address and Phone Contacts
Provide or verify House Setting and Type. Also tell us whether you own or rent your home
Will you be moving soon?
You'll be responsible for providing a good home for a dog
Agree to Costs
Pet ownership is a serious commitment that the entire household needs to consider and agree to before the animal is adopted. We want to ensure that each adoptive household is aware of, and willing and able to accept, the physical and financial responsibilities of pet ownership. Not everyone who desires to own a pet is ready to properly care for one.This questionnaire will assist both you and us in determining if your household is prepared to assume the role of responsible caretaker for a rescued animal.

Animals can be expensive to care for (estimated average annual cost is $750 for one dog). Are you willing and able to provide adequate food, shelter and medical care,including yearly checkups and vaccinations, for an adopted animal?
Provide References
Are there one or more available dogs on our web site you're interested in?
Select one or more dogs from our list of available dogs
The Available Dogs you've selected are:
What Common Rescue Dogs Behaviors Will You Accept in a Rescue Dog? (check all that apply)

To help resolve problems, are you willing to:
Why are you considering adopting a dog? (check all that apply)
If considering adoption for another specific purpose, please specify:
Please explain in your own words why you are adopting a dog
Is Someone Home During the Day?
Where would the animal be primarily housed?
Where would the animal stay when you are not home? (check all that apply)
If the animal is outside other than for supervised activities, describe what shelter would be available for it: (check all that apply)
Yard information
Children Living in the House

Children Visiting
How many people are in your household?
Describe your home's activity level
Household Pet Allergies?
Provide swimming pool info (if any)
Are you willing to have a home visit
Have you ever owned a Chesapeake Bay Retriever before?
Please tell us the other Animals you already own

Since you indicated you already own dogs, tell us more about them

Please provide any additional thoughts regarding your adoption request
You cannot pay the fee until you've completed the other required application sections
Confirm Application Fee
There is a non-refundable adoption application donation of $10. to submit an application. This donation covers some of the costs associated with processing applications, maintaining our technology and new initiatives at CBRR&R. We cannot guarantee that we will have an available dog that matches your requirements or that your application will be processed in a specific time frame.
Please Click on [Pay with PayPal] button to make your Donation, or if you were given a Discount Code from a CBRR&R representative click on the Pay with Valid Discount Code] button to enter code.

Only Applications with a paid application fee or valid Discount Code will be submitted for processing.
Please complete the required application steps to continue
Please complete the payment step to continue
I acknowledge that I completely read this questionnaire, comprehend it fully, know that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application or the adoption contract can result in the forfeiture of any CBR Relief & Rescue dog adopted by me.