Internal Notes for Rescue
Adoption Application for New Jersey Misfits Canine Rescue
UPDATE 3/27/2020 --- DUE TO THE CURRENT COVID 19 PANDEMIC PLEASE GIVE THE RESCUE ADDITIONAL TIME TO REACH OUT TO YOU FOR PROCESSING. WE DO NOT HAVE A FACILITY AND WE ARE FOSTER BASED. ALL ADOPTIONS AND MEET AND GREETS MUST BE ARRANGED> PLEASE ALLOW US A BIT MORE TIME BEFORE LOOSING HOPE WITH REPLIES AND PROCESSING. THANK YOU FOR YOUR PATIENCE AND UNDERSTANDING AND WANTING TO ADOPT A MISFIT! Attn: All Applicants must be 21 years or older to adopt/ sign contract of a NJ Misfit Dog. * Please allow up to 72 hours for application processing. Questions please email NJMISFITSK9RESCUE@GMAIL.COM
Name of Pet(s) you are interested in adopting Or No Preference
*
Should the Pet you are interested in adopting no longer be available. Would you like us to still process your application for per approval for another dog?
YES
NO
Do you have applications in with other rescues at this time for a different pet?
YES
NO
Name(s) of person(s) applying to adopt
*
First Name(s)
Last Name
How many people live in the home?
*
Please provide us with full names and ages of anyone over the age of 18 residing in your home. Children under the age of 18 please just provide ages.
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email 1
*
example@example.com
Email 2
example@example.com
What Type of Home do you reside in?
*
Single Family
Multi Family
Townhouse
Apartment/Condo
Sky Rise/ Studio
How did you hear of our rescue or one of our available dogs?
*
Please provide a name and contact information ( phone number is required ) of the Veterinarian you currently use or are planning to use. If you do not have a vet at this time please state so. PLEASE MAKE SURE TO CONTACT YOUR VET AND GIVE THEM AUTHORIZATION to Speak with us. If we can't speak with them we will not proceed with your application.
*
Are there other animals in the home?
*
Yes
No
If yes, please provide the following information about your current pets: Name, Breed, Sex, Age, Vaccinated, Spayed/Neutered ( Required by rescue all pets must be Up to Date on Vaccines- Distemper, Rabies and Spayed or Neutered. ( Unless Medical Reason is indicated by Veterinarian
*
Please provide 3 references (not related) and their contact information
*
How long have you lived at your current address?
*
Do you Own or Rent your home? Please mark if living with parents
*
Own
Rent
Live with Parents
Other
If Renting or ( living with Parents) are you permitted to have a dog?
*
Yes
No
N/A
Other
If renting or living in a association please provide Association Contact / Landlord's Contact information/ Parents Direct Name & Number
*
What age are you interested in? Please mark all that apply
*
Puppy ( 0-8 Months
Young ( 8 Months to 2 years
Adult ( 2 years to 6 years
Senior ( 6 years and older
What size dog when full grown are you interested in Adopting ( Please list all that apply. )
X Small - 0 to 10 lbs
Small - 10 to 20 lbs
Medium -20 to 50 lbs
Large - 50 to 80 lbs
X Large - 80 lbs and Up.
What is your family's lifestyle like? Please select all that apply.
*
Active and on the go
Quiet and Relaxed
Entertain Frequently
Lots of kids in and out
Travel Frequently
Gender Preference?
*
Male
Female
No Preference
Energy Level Preferred?
*
Low
Medium
High
No Preference
Do you have a yard
*
Yes
No
Do you have a doggie door?
*
Yes
No
Is the yard Fenced. Please select all that apply and explain.
*
Yes
6 Foot
4 Foot
Partial
No Fence
Other
If there is no fence, how will you plan on getting the proper exercise for the dog?
*
Does anyone in the home have allergies?
*
Yes
No
Seasonal
Unaware
Why did you decide to get a dog?
*
What are you looking for in a pet?
*
Who will be responsible for taking care of the dog?
*
How long will your pet be left home during the day?
*
0-4 Hours
4-8 Hours
8 or More Hours
When alone, where will your pet be kept?
*
Where will your pet stay when you are home and at night?
*
If you travel, where will the pet stay?
*
Please provide the following information about any pets you have had in the past years that are no longer with you & why?
*
Have you ever adopted from a rescue or shelter before?
*
Yes
No
If Yes, Where?
*
Have you ever surrendered a pet to a rescue, shelter or had to re-home before?
*
Yes
No
If yes, why & where?
*
You are prepared and financially able to keep and provide routine & emergency care for your adopted pet member for his/her lifetime. Understanding that dogs may live for 15 years or longer. This includes but is not limited to food, boarding( if necessary) regular vet care, senior care, heartworm preventative and flea and tick preventative.
*
Yes
No
Under what condition(s) would you have to give up your new pet?
*
Dogs will require time to decompress. This could take as little as 24 hours and a much as 2 weeks. Are you willing to give the dog the time needed to adjust to its new surroundings?
*
Yes
No
Are you willing to work through any bad habits the dog may have? (The rescue will fully disclose any habits that we are aware of and offer counsel to help correct said habits) Dogs are also prone to accidents on adjustment periods are you willing to follow up on house training?
*
Yes
No
Some dogs have issues that we (the rescue) are unaware of. In this case, are you willing to seek the help of a trainer if necessary?
*
Yes
No
Are you familiar with your local animal laws, including any Breed Specific Legislation?
*
Yes
No
Are you willing to allow a team member to perform a home check prior to adoption of an animal?
*
Yes
No
Please explain home check
Siberian Husky & Herding Breed Applicants! Please list in detail what experience you have with the breed and knowledge. Applicants applying for these breeds please be aware your screening process may take longer than other applicants. All other applicants please list N/A
*
Do you understand that NJMCR reserves the right to refuse any application?
*
Yes
No
Submit
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