Adoption

Adoption application

Thanks for considering one of our dogs! Please complete this application so we can learn about your home and match you with the right rescue. We typically reply within a few days.

Applying for Miko

Dog you are interested in adopting

Dog's name you are applying for *

Where did you find this pet? *

Breed

Approximate age

Sex

Male

Female

Have you applied or do you plan to apply for any other animals from other organizations while your application is in progress? *

Yes

STOP: If you have applied for another dog with another organization, please wait for an answer from that organization before proceeding with this application. Thank you for your assistance.

Applicant contact information

First name *

Last name *

Are you 18 or older? *

Yes

Street address *

Street address line 2

City *

State / Province *

Postal / ZIP code *

Country

Home telephone

Phone *

After we have determined your family is a good fit for the adoptable dog, we will call you to talk about the dog and answer any questions. Please let us know the best days, times and number to reach you at.

Best days / times to reach you *

Email address *

Current employer *

Driver's license #

Veterinary information

Name of veterinary clinic you take/took your pet(s) to

Veterinary clinic phone number

Do you give us permission to speak to your veterinarian?

Yes

Please type your name as it is on file with your veterinarian as a release to perform a vet check.

Information on a second veterinarian, if applicable (name, phone)

Dog care information

For what reasons would you ever return a dog you adopted to us? *

Where will this dog primarily reside?

InsideOutside

If this dog will reside primarily outside, what type of shelter will you provide?

Where will the dog reside when you are not home?

Where will the dog reside during the night?

Where will the dog reside when you are on vacation?

Who will be responsible for the primary care of the dog? *

How will you house train your dog and/or deal with accidents?

If a behavioral problem arises, what steps will you take to correct the dog? *

Do you plan on taking your dog to obedience classes?

Yes

If yes, where?

Personal references

We require at least one Non-Family reference. Please provide up to three references.

Reference 1 *

First name *

Last name *

Relationship *

Family

Non-Family

Length of time you have known this person *

Phone number *

City *

State *

Best time to call this person *

Reference 2

First name

Last name

Relationship

Family

Non-Family

Length of time you have known this person

Phone number

City

State

Best time to call this person

Reference 3

First name

Last name

Relationship

Family

Non-Family

Length of time you have known this person

Phone number

City

State

Best time to call this person

Application agreement

Is there any other information you would like us to know about you, your family, or your application?

By submitting this application, I authorize NBS Animal Rescue to:

Contact the veterinary clinic listed above to perform a vet check.
Run a basic background search.
Contact the personal references listed above.
Set up an appointment to visit my home for a home check.

I understand that by filling out this application NBS reserves the right to deny my application for any reason that is not in the best interest of the dog. Should my application be approved, I understand that I must thoroughly read through and agree to the NBS Animal Adoption Agreement.

I agree to the application agreement above and certify that all information provided is true and accurate. *