ADOPTION APPLICATION

Name *
Name
Spouses Name (if applicable)
Spouses Name (if applicable)
Address *
Address
Phone *
Phone
How long have you worked there?
References
Reference #1 *
Reference #1
(cannot be an immediate family member)
Reference #1 - Phone *
Reference #1 - Phone
Reference #2 *
Reference #2
(cannot be an immediate family member)
Reference #2 - Phone *
Reference #2 - Phone
Veterinarian
Please list your current/past veterinarian 's information. Is this your first pet? Then list who you are planning on using for your new dog
Vet Address
Vet Address
Vet Phone *
Vet Phone
Home & Family
Don't worry...fenced in yards aren't required
(not always needed)
Dog
Please describe the kind of dog you are interested in adopting
(active, laid back, goofy, etc)
Please remember it can take some dogs 3 months to adjust
Current Pet(s)
This doesn't effect your adoption chances - we just like to know if you're a first time adopter. if so we're glad you're here :)
If so, please explain why
If so, please explain why
Read & Sign
I have filled out this application honestly and to the best of my ability. I understand that an omission of information and/or failure to answer all questions on this application can result in a declination for adoption. I understand that NBA Rescue can annul and reclaim the animal if omissions or untruths are discovered after the adoption. *
Sign *
Sign
Date *
Date
Please put today's date