Adopt Application

Adoption Application

All interested adopters must complete the following application. The questions that we ask and the procedures that we go through are solely to place the dog into the best home possible, and to protect the dog and his future family. We do check vet and landlord references.

Please don’t feel that our questions are meant to be an intrusion of your privacy. We are simply trying to determine that the match between a pet and your family is correct and that you will responsibly make the commitment to this animal that no one else has. These animals have had many transitions and uncertainties in their short lives. With a thorough screening process we hope to ensure you will be their forever home.
Once we have accepted an application, you must meet the dog. It is essential that ALL members of the family (including any other dogs) make the visit.

NNEDR charges a standard adoption fee of $300.00. This fee covers the veterinary expenses for the dog. This fee can vary from dog to dog depending on those expenses.
We base all adoption decisions on the home we feel will be best suited for each specific dog.

Contact information:

First and Last name of Adults in Household: *
Address:
City:
State:
Home Phone:
Email Address:

Work information:

Work Phone:
Occupation/Employer:
Working Hours:

Household information:

Do you live in a:
How long at current address:
Do you:	OwnRent If you rent, you must provide us with a full name and up to date contact number for your landlord.
Landlord’s name/ phone:
Approximate square footage of home:
If you rent: Are pets allowed?	YesNo
Do you have a fenced in yard?	YesNo
How big an area is fenced in?
How tall is the fenced ?
Number of adults in home:
Number home during the day:
Number of children in home:
Age(s) of ALL members of the household:

Other Pet information

Number of other pets in household:
If you have other pets, are they spay/neutered?	No Yes
Are your other pets current on their vaccinations?	No Yes
Are your other dogs on heartworm preventatives?	No Yes
What happened to them?(please be specific)

Adopted Pet information:

Where will your pet spend the majority of his/her time?
How many hours will the dog be alone daily?
Where will this pet sleep?
Have you ever housetrained a dog before?	No Yes
Why do you wish to adopt this animal?	Breeding Hunting Dog Companion Watchdog Gift Outside household Gift Inisde household

Veterinarian information:

Name of current veterinarian: *
Phone of current veterinarian: *
Standard medical care costs from $100-200 per year. Emergency care can cost hundreds of dollars. Are you willing to provide standard and emergency care for this pet?	YesNo
Two Personal References: (Name, relationship and *current* phone number)	Mandatory
Reference 1: *
Reference 2: *
Which dog(s) are you considering adopting?
Please Feel Free to add any other information that will assist me in making the correct match not only for the dog but for your family as well

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