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ADOPTION APPLICATION NORTHERN CALIFORNIA ANIMAL RESCUE FRIENDS P.O. Box 580327 Elk Grove, California 95758-0006 www.norcalbeagles.com Date of Application: HOUSEHOLD INFORMATION Name Address City State Zip Home Phone Other Phone E-Mail Others in Home Name Name Name What other pets currently reside in you home? Dog Dog Cat Cat Other: Other: Is the pet spayed/neutered? Is the pet spayed/neutered? Yes Yes No No Age (if under 18) Age (if under 18) Age (if under 18) DESIRED PET Dog Breed What is your knowledge of this breed? Cat Other: Male Female Small Medium Large Age Is everyone in your household in favor of adopting a pet? Is this pet going to be a gift? Yes Yes No No Mobile HOUSING SITUATION Own Rent Live with Parents Type: House Condo Apartment Landlord Name Can NCARF contact your Landlord? Have you informed your landlord that you are adopting a pet? Is the residence listed above the same location of where your new pet will be living? Landlord Phone Yes Yes Yes Yes Yes No No No No No GENERAL QUESTIONS Do you understand that NCARF must spay/neuter all pets prior to adoption? Are you ready to make a lifetime commitment to you pet? Who will be the primary caretaker of the pet? Northern California Animal Rescue Friends Adoption Application – Page 2 Why are you getting a pet? Have you ever given away a pet? What were the circumstances? Yes No Are you willing to provide your new dog with the cost of care that includes food costs, veterinary care, licensing, microchipping, vaccinations, etc? If your pet has a special need or requires emergency medical treatment (costs can quickly exceed $500) can you provide adequate financial care? What type of identification will you pet wear? What is your household level of activity? Where will the pet live? Percent of time pet will be indoors Where will the pet sleep? How many hours are you away from home each day? Where will the pet be kept when it is alone? What will you do with you pet when you travel? Indoors % Low Outdoors Moderate Yes Yes No No Active Very Active Dog Run % Indoors and Outdoors Percent of time pet will be outdoors Do you have dog doors? Do you have an enclosed yard? How tall are your fences? Do your fences need repair? If yes, explain: ft Fence Type: Wood Metal Wire Yes Yes No No Invisible Electric Yes No Will you chain your dog in the yard? If yes, under what circumstances? Yes No Most dogs require regular exercise, who will exercise your pet? What type of exercise will the pet get? Are you ready to give you new pet daily care, companionship, and exercise, and not only when it is convenient for you? Do you have a swimming pool? Would you agree to have your property checked to ensure it is secure for a pet? Yes Yes Yes No No No TRAINING Who will be responsible for training your new pet? Have you ever attended a dog or puppy obedience class or a behavioral class? Yes No Rev 8-2006 MY Northern California Animal Rescue Friends Adoption Application – Page 3 Do you plan to attend dog obedience classes with your new pet? If no, explain: Yes No How do you plan to socialize your new pet? What will you do if your pet develops behavioral problems? How will you handle inappropriate urination or defecation in the house? FAMILY VETERINARIAN INFORMATION Veterinarian Name Address City State Zip Telephone Can NCARF Contact Veterinarian? Yes No I have read the above information carefully and have filled out this application honestly. I understand that omission of information and/or failure to answer all questions and sign the application can result in this application being declined. Also, if an omission or untruth is discovered after an adoption takes place, I understand and accept that NCARF has the right to annul the adoption and reclaim the animal. I give NCARF permission to fully investigate the information provided as well as contacting my veterinarian and landlord (if applicable). If the application passes this review, I agree to a home and yard visit on a mutually agreed date by a NCARF volunteer before an adoption decision is made. Furthermore, I understand and accept that the adoption decision depends upon many factors, including, but not limited to, the compatibility of the family home to the individual animal and other applications received on the animal. I understand and accept that it is NCARF’s prerogative to decide which home is most appropriate for the individual animal, and therefore I will not take issue with the decision. SIGNATURE Signature(s) of Adoption Applicant Date If you are interested in making a donation today, please make checks payable to: NORTHERN CALIFORNIA ANIMAL RESCUE FRIENDS P.O. Box 580327 Elk Grove, CA 95758-0006 Rev 8-2006 MY
"ADOPTION APPLICATION NORTHERN CALIFORNIA ANIMAL RESCUE FRIENDS "