Adoption Application

Thank you for choosing adoption first! Please complete the Adoption Application Form below.

Please note: This is a lengthy application. The challenges and requirements of the breed warrant it, and it’s indicative of how committed we are to finding each of our dogs their FOREVER home, not just their next home.  Be sure you have the time to devote to completing it before you begin.

Once you click Submit, you will receive an on screen confirmation that it has been submitted. A COSIR volunteer will contact you, typically within 72 hours.  Your patience is appreciated; we are all volunteers doing rescue work in our spare time.  If you have any questions about the application, or have not been contacted in a timely manner, please email the Managing Director directly at

CSIR Hearder


Contact Information

PLEASE NOTE: Applicants living outside Colorado should read our out-of-state adoption policy before completing this application.

Adoption Preferences

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"Special Needs" could include a chronic health condition, a super fearful/mill dog survivor, or special handling related to trauma or behavioral issues
(i.e. travel plans, moving, getting married/divorced, having a baby, starting new job, applying to grad school, etc.)

Family Information

Animal Background

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Your Environment/Lifestyle

Please note: If you rent, we will need confirmation from your landlord that dogs are allowed in your home.
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Training & Behavior Background

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We recommend dog foods that have a 4-5 star rating on

Shiba Inu Knowledge

We ask that all adopters read this article, even those that have had a Shiba before. Every Shiba is different, and owners may not have experienced all of these challenges or common health issues with their Shiba, but should be aware of them.


Please provide a vet reference (current or past), and any other references that are applicable to you. If you have never had a pet before, please provide a personal reference:
Vet clinic name & phone
Shelter/Rescue name & phone number
Groomer name & phone number
Name, phone number, & relationship to you

Additional Questions