NCARF Application

Name:

Home Phone:

Address:

Other Phone:

City:

State:

Zip:

Email:

Others in home:

Name:

Age(if under 18):

Name:

Age(if under 18):

Name:

Age(if under 18):

DESIRED PET

What do you prefer?:

Male Female

What size do you prefer?:

Small Medium Large

Desired Age:

Breed(s):

What is your knowledge of the breed(s)?

Is everyone in the household in favor of adopting a pet?

Yes No

Is this pet going to be a gift?

Yes No

HOUSING SITUATION

Housing:

Housing Type:

Landlord Name:

Landlord Phone:

Can NCARF contact your Landlord?

Yes No

Have you informed your landlord that you are adopting a pet?

Yes No

Is the residence listed above the same location of where your new pet will be living?

Yes No

GENERAL QUESTIONS

Do you understand that NCARF must spay/neuter all pets prior to adoption?

Yes No

Are you ready to make a lifetime commitment to your pet?

Yes No

Who will be the primary caretaker of the pet?

Why are you getting a pet?

Have you ever given a pet away? If yes, what were the circumstances? Yes No

Are you willing to provide your new dog with the cost of care that includes food, veterinary care, licensing, microchipping, vaccinations, etc?

Yes No

If your pet has a special need or requires emergency medical treatment (costs can quickly exceed $500) can you provide adequate financial care?

Yes No

What type of identification will your pet wear?

What is your household level of activity?

Low Moderate Active Very Active

Where will the pet live?

Indoors Outdoors
Indoors/Outdoors Dog Run

Percent of time pet will be indoors?

Percent of time pet will be outdoors?

Where will the pet sleep?

How many hours are you away from home each day?

Where will the pet be kept while alone?

What will you do with the pet when you travel?

Do you have dog doors?

Yes No

Do you have an enclosed yard?

Yes No

How tall are your fences?

Fence Type:

Wood Metal Wire Invisible Electric

GENERAL QUESTIONS - CONT.

Do your fences need repair? If yes, please explain. 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 your pet daily care, companionship, and exercise, and not only when it is convenient for you? Yes No

Do you have a swimming pool? Yes No

Would you agree to have your property checked to ensure it is secure for a pet?. Yes No

TRAINING

Who will be responsible for training your new pet?

Do you plan to attend dog obedience classes with your new pet? If no, why not? Yes No

How do you plan to socialize your 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

Vet Name:

Telephone:

Address:

City:

State:

Zip Code:

Can NCARF Contact Veterinarian?.

Yes No

PERSONAL STATEMENT

QUESTIONS

APPLICATION AGREEMENT STATEMENT

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.

I have read and agree with the statement Please select agree

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