Adoption Application

Thank you for your interest in adopting one of our special bichon pups. We appreciate that you want to adopt a rescued senior. Upon receiving your completed application below, we will contact you to schedule a home visit. We look forward to working with you.

There is an adoption donation of $350 per dog. Bichon Rescue of Orange County is an all-volunteer community of animal lovers who work together to save and re-home senior dogs in need. Your adoption donation helps to pay for medical treatment, grooming, food, and all of the expenses associated with fostering the dogs. Your adoption donation is not to pay for the medical care of the dog you are adopting; previous donations covered those costs. Your donation allows us to continue our mission of saving as many lives as possible through our rescue and adoption efforts.

Your Contact Information

Name, address and phone number

About Your New Dog

Living Situation

Animals Currently Living In Your Home

Your Experience With Dogs


If you have a veterinarian and would like to use him/her as a reference, please provide the contact information.

Please designate a future caregiver for your pup in the event that you can no longer keep him/her:

Is there anything else you would like us to know about you or your interest in adopting from our organization?

Sign Here

reCAPTCHA is required.