NDR Adoption Application

Your Information

First Name

Last Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email Address

Confirmation Email

Home Address

Your Age

Have you ever been convicted of a crime related to the welfare of any animal?

Please provide information on those circumstances.

Home Environment

What type of home do you live in?

Do you own or rent?

Do you have a fenced yard?

If you do not have a fenced yard, how do you handle potty time (e.g. leashed walks, run on your property, etc.)?

Does your neighborhood have pet restrictions?

Please list those restrictions (types of pets allowed, number of pets, weight or breed restrictions, etc.).

Are there any other adults living in your home?

Are all adults in the home aware of your intention to adopt a puppy or dog and are they in agreement with this decision?

Other

Are there any children living in your home (full and part-time)?

Please list the ages of all children who live in the home and how each child interacts with pets.

Pet History

Is this your first pet (including cats, dogs, and any other type of animal)?

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.

Veterinarian’s Office / Clinic Name (Required for applicant’s without pets currently in home.)

Veterinarian's Office Phone Number

Format: (000) 000-0000.

Veterinarian’s Office Address

Owner’s Name on Account with Veterinarian's Office (If different from your name.)

Phone Number on Account with Veterinarian's Office (If different from your phone number above.)

Pet Name(s) on Account with Veterinarian's Office

Are there currently any pets in the home?

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)?

Have you recently lost a pet?

Do you have a preferred training style or tools?

Please tell us what your definition of disciplining a dog is?

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.

Dog Preferences

How soon are you looking to bring your new puppy or dog home?

Other

Do you prefer a puppy (up to 12 months old), young (12-24 months old), adult (2 to 7 years old), or a senior (older than 7 years old) dog?

Do you prefer a female or male?

What size of dog (when grown) are you looking for?

What energy level are you looking for in your companion?

Other

DISCLAIMER: We do our best to provide the public with accurate information on each animal in our care as we learn it, however, shelter and rescue environments are stressful for all animals and there is only so much we can learn while caring for many others with limited resources. This is why it is recommended to give puppies and dogs time to decompress after leaving a shelter environment, time to learn their new environment and schedule (Yes! They thrive with a predictable routine!), and time for their natural behaviors and personalities to emerge. Please take time to read this article.

Which of the following would you like a puppy or dog to be good with?

Are you open to a puppy or dog with special needs?

Other

Special Needs may include (but is not limited to) puppies or dogs that have medical conditions, physical limitations, bonded pairs, or other requirements of a particular dog for an applicant to demonstrate prior experience.

Do you have any of the following preferences related to the physical appearance of the puppy or dog?

Do you have any physical limitations that we should take into account when matching you with puppies and dogs?

Please share with us as much as you are comfortable with to help us find your new companion.

Is there a specific puppy or dog you are interested in?

Certifications

Age. I am at least 21 years of age.

Placement. I understand the Notorious D.O.G Dog Rescue's priority is to place each dog with the best match for the dog and the family, not by order of which applications are received.

Veterinary Reference. I understand a veterinary reference is required for each applicant who has or has had pets and providing inaccurate veterinary contact information may delay the processing of my application.

History. I understand that Notorious D.O.G. Dog Rescue has rescued animals whose complete history is not always known and who may be anxious, frightened, or unpredictable due to trauma and other changes in their circumstances. I will be made aware of all known health or behavioral issues, however, Notorious D.O.G. Dog Rescue makes no guarantee as to the physical or mental health of animals in their care and that the animal may have medical needs, behavioral or socialization problems, and may not be housebroken.

Processing Time. I understand Notorious D.O.G Dog Rescue is extremely short-staffed and it may take 3 to 5 business days to process my application.

Language. I understand contacting Notorious D.O.G Dog Rescue and using inappropriate or otherwise hostile language will result in immediate rejection of my application.

Meet and Greets. We understand everyone’s time is important to them and situations arise that are beyond our control. If you have an urgent or emergent situation that prevents you from attending a scheduled meet and greet, please contact us by email to let us know and we will reschedule your meet and greet. Otherwise, applicants who do not show to a scheduled meet and greet and do not notify NDR within 1 hour of your scheduled meet and greet your inability to attend will be disqualified from fostering and adopting through NDR.

Email Verification. I understand that if I do not receive a copy of this application by email, I have typed in my email address incorrectly. I will email Notorious D.O.G Dog Rescue directly at notoriousdogrescue@gmail.com with the correct email address to prevent a delay in processing my application.

Indemnification. I agree to indemnify and hold Notorious D.O.G. Dog Rescue harmless from any damages, loss, cost, or liability (including reasonable legal fees and the cost of enforcing this indemnity) arising out of or in any way resulting from the adoption process.

Integrity Statement. By submitting this questionnaire, I certify that the above information is true. I also understand that giving false information on this questionnaire is grounds for rejecting my application from Notorious D.O.G. Dog Rescue.