Dog Adoption Application

P.O. Box 774

Wake Forest, NC 27588

All applications are encouraged. A New Leash On Life Dog Rescue promotes adoptions that are in the best interest of both the dog and the potential adopter. We do not adopt dogs solely on a first-come, first-served basis. All applicants will be screened by A New Leash On Life Dog Rescue volunteer to determine the most suitable match for both the dog and potential adopter.

If you are interested in a puppy, please click here for some important information.

Please submit only one application for multiple Dogs.

General Information

Name(s) of dog(s) most interested in:

Name:

Address:

City: State: Zip:

Phone: (Home) (Work) (Cell)

Email:

Are you a United States citizen ?

How long have you lived in this area ?

Are you employed? If "other", please describe:

Name of Employer:

How long have you been looking for a new dog/puppy:

Why did you choose this/these particular dog(s):

Have you read the puppy information

Why have you decided to adopt a dog ?

Companion for: (check all that apply)

myself/family

another pet

friend or relative

other

If "other", please describe:

Are you over 18:

Number of adults, including yourself, at home ?

Number of children at home ?

Please list the names of all people, including yourself, living at home, and the ages of those under 18:

Name	Age	Name	Age
Name1	Age1	Name2	Age2
Name3	Age3	Name4	Age4
Name5	Age5	Name6	Age6
Name7	Age7	Name8	Age8

Home Environment

Do you rent or own your home? Type:

Name of landlord/housing complex manager: Phone:

If RENTING, does your lease allow for dogs? If YES, what is the weight limit ? (in lbs)

If RENTING, does your lease contain specific breed limitations/restrictions?

If YES, what are those restrictions?

Fenced yard? If yes, type:

Dog specific related information

Where will your dog spend the majority of the time?

How many hours a day will your dog be left alone during the day?
Details:

Where will your dog be kept when alone?

Where will your dog sleep?

How will you encourage and reinforce appropriate behavior?

How will you prevent/manage inappropriate behavior?

How do you plan on training your dog ?

If you go away for a few days, or on a vacation, who will take care of your dog?

What will you do with your dog if you have to move?

Does anyone in your family have allergies to dander or hair?

Owning a dog is a serious financial responsibility. Are you prepared financially to spend a MINIMUM of $300 per year for veterinary care, (including routine vaccintations, heartworm preventative medication and flea/tick preventative medicaiton), food and expenses?

A well-cared for dog may live in excess of 12 years.
Does your lifestyle, career and family plans allow you to make this commitment?

Under what circumstances would you return the dog to A New Leash On Life Dog Rescue?

Pet Ownership

Please list all companion animals you have had as an adult

Name of Pet	Type of Pet/Age	# of yrs with family	spayed or neutered (y/n)	indoor/outdoor	what happened to the pet
Pet 1	Type 1	Time 1	Fix 1	Indoor or Outdoor 1	What Happened 1
Pet 2	Type 2	Time 2	Fix 2	Indoor or Outdoor 2	What Happened 2
Pet 3	Type 3	Time 3	Fix 3	Indoor or Outdoor 3	What Happened 3
Pet 4	Type 4	Time 4	Fix 4	Indoor or Outdoor 4	What Happened 4
Pet 5	Type 5	Time 5	Fix 5	Indoor or Outdoor 5	What Happened 5

Who is/are your vet(s)? Phone number:

Please provide a vet phone number to expedite your application review. Please make sure that this is the phone number of the vet who has provided annual exams and vaccinations for your pet(s). Without this information, we are unable to complete the application review process. A delay will place your application behind fully and accurately completed applications.

Some vets require an owner's permission to disclose vet history. If this is the case with your vet, please contact them and authorize them to disclose your pet(s)' information to A New Leash on Life Dog Rescue volunteers. Again, if we are delayed in our review process, your application will be placed behind applications that are able to be completely reviewed.

Have you ever had to give up a Pet for any reason?

If YES, what happened to the Pet?

How did you hear about A New Leash On Life Dog Rescue?

THANK YOU FOR COMPLETING THIS APPLICATION AND YOUR INTEREST IN ADOPTING A DOG FROM A NEW LEASH ON LIFE DOG RESCUE!

Home	About Us	Our Dogs	Featured dog	Volunteer	Why Foster	Training	Rehoming
About Adopting	Other Links	Private adopters	Private featured	Volunteer Application	Contributions	Trainers	Success Stories