Nico’s Mission Adoption Application

Nico’s Mission

Adoption Application
Pet’s Name you are interested in: *

Your Contact Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number (Mobile)*

Area CodePhone Number
E-mail*
example@example.com
Age *
Social Media Username:*
Facebook
Instagram
Employment:*

Existing Pets that are already in Home lnformation
Do you own any other pets? If yes, how many? (Cat or dog)*
What is your pets disposition and behavior toward other dogs?
Is your pet male or female?

MaleFemale
Is your pet spayed / neutered?

YesNo
Is your pet okay with other pets?

YesNo
Tell us about your pet(s)

Veterinarian & Groomer Information
Do you have a regular veterinarian?*

YesNo
Veterinarian’s name*
Veterinarian’s Address *
Veterinarian’s Phone Number*
Do you have a regular Dog Groomer?*

YesNo
Dog Groomer’s name*
Dog Groomer’ Phone Number*

Ownership Commitment and Q&A
Will you be able to provide to rescue with updated pictures from time to time?*

YesNo
If for any reason you can no longer keep the animal, do you agree to contact us for whatever reason?*

YesNo
Will there be any upcoming major changes in your life in the next year?
Please tell us a little about yourself. (Profession, hobbies and interest) *
Please provide 3 references with their name and phone number (coworker, friend and family member)
By clicking the agreement box , you are agreeing that this application was answered truthfully and after checking “Yes” you may receive a call from someone from Nico’s Mission.*

Yes, I Agree

What Comes Next?
APPLICATION PROCESS: Completing this application is the first step in the process to acquiring a dog/cat from Nico’s Mission, but it does not guarantee that my application will be pursued. We will review applications within 2 business days of receipt. Applications are processed in the order they are received.

HOME INSPECTION: You will be asked to text and/or email pictures of your home.
We ask for pictures of the typical living spaces that your new pet will have access to. We do not need pictures of personal spaces like closets even if your pet will have access to them.
If you have a yard, please also provide pictures of the entire area to confirm that the yard is fenced in and that there are no areas that would pose a risk to the dog.
Please also make sure to include a photo of your front door.
If adopting a cat, all windows must have screens. Please include a picture of such.

LEGAL CONTRACT: This application will also serve as your legal contract should you be approved to adopt this dog/cat.

SPAY/NEUTER: We require you spay/neuter your dog/cat at or before 8 months of age if Nico’s Mission has not already done so.
I understand that the animals of Nico’s Mission may have been treated for fleas, worms, skin infections (example: ringworm), and/or ear mites (just some examples) and that some of these medical conditions could reoccur. I understand that Nico’s Mission will no longer be medically responsible for ANY medical issues (pre-existing or not) at any point after the adoption. I also understand that at NO TIME will Nico’s Mission reimburse me (as the adopter) for any medical consults and/or treatments. I understand that Nico’s Mission is a NON-PROFIT Animal Rescue and my adoption fee is NON-REFUNDABLE (even upon a return of an adopted animal within 24 hours.)*
I've read this application and understand the adoption process and guidelines. I am aware that this application will also serve as my legal and binding contract should I be approved to adopt.**

YesNo
Print Name *
Today’s Date *
Thank you for submitting your application. We will be in touch with you if we shall continue with your application further.
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