NDR Adoption Application

Adoption Application
Prospective Adopter's Information
First Name*
Last Name*
Your Age*
Phone Number*
Format: (000) 000-0000.
Address*
Email Address*

Confirmation Email

Your Pet History
Are there children in the home? If yes, what are their ages?*
How does each child interact with dogs?*
Are all adults living in your home in agreement with the submission of this application? If not, please explain.*
Do you rent or own your home?*

RentOwn
Does your home have a fenced yard?*

YesNo
If you do not have a fenced yard, how do you handle outside time (e.g. leashed walks, run on your property, etc.)?
Are there any pet restrictions for your home or neighborhood?*

YesNo
Please list those restrictions (types of pets allowed, number of pets, weight or breed restrictions, etc.).
Are there currently any pets in the home?*

YesNo
Please list all pets currently in the house and include species, breed, gender (spayed/neutered), indoor or outdoor, and what is their behavior like around dogs?
Are all pets currently in the home up to date on all vaccinations and preventatives (e.g. flea and tick, heartworm and other parasites)?
Please tell us what your definition of disciplining a dog is?*
Do you have a preferred training style or tools?*
Dogs can live to about 15-20 years. Please describe your plan for care of your pet if something should happen to you.*
It is common for there to be hiccups within the first 3 months of adopting a dog. If this occurs, are you willing to work with a trainer to address any issues? If you already have a trainer, please provide us with their name and contact information.*
Have you ever had to re-home or surrender a pet? Please tell us about those circumstances. If you have not had to re-home or surrender a pet, are there any circumstances in which you would do so?*
Have any of your pets passed away from causes other than old age? Please explain.*
Have you ever been convicted of a crime related to the welfare of any animal? Please provide information on those circumstances.*

Your References
Do you have a veterinarian you have used in the past?

YesNo
List three (3) people (phone numbers must be provided for each reference) who you are not related to who can answer questions in lieu of a veterinary reference.
Please list the name of the veterinarian's office you have used in the past.
Veterinarian's Name
Veterinarian's Office Phone Number
Format: (000) 000-0000.
Veterinarian Office Address
Account Name with Veterinarian's Office
Account Phone Number with Veterinarian's Office
Format: (000) 000-0000.
Account Pet Name(s) with Veterinarian's Office

Your Dog Preferences
What is your ideal personality and temperament in a new dog?*
Which dog(s) are you interested in adopting?*
There is a separate form for applying to foster with us on our website!
Why do you think the dog(s) you're interested in adopting will be a good fit?*
Is there any other information you would like us to know?*

Verification
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Before you click Submit, double check your responses. Unanswered or partially answered fields WILL delay the processing of your application.
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