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NORTHERN CALIFORNIA ANIMAL RESCUE FRIENDS P.O. Box 580327 Elk Grove, California 95758-0006

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)

 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

 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

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

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?

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(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

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