www.nlol.petfinder.com Please help us find them good homes!!

Adopting Your New Furry Friend

Its As Easy As 1 - 2 - 3

Our adoption process begins with YOU finding an animal who touches your heart. Then its our job to make sure the animal is compatible with your lifestyle and home. We want our dogs to find loving, forever homes. We reserve the right to deny any adoption if we do not feel that it is a good match.

Step 1: Complete This Adoption Application. If you would prefer to print the form and mail it to us, a printable version is available here.

Step 2: We will call your vet and schedule a visit to your home.

Step 3: If approved, you will be required to complete an adoption contract.

Yes, the adoption process may be time-consuming, but it's well worth it in the end: you adopt a pet that's right for you, and the pet gets a loving, permanent home.

Our adoption fee is $75.00 for dogs and $50.00 for cats. All dogs and cats are spayed or neutered, up-to date on vaccinations, and heartworm negative prior to adoption.

Adoption Questionnaire

***** All fields are REQUIRED. Please do NOT SKIP any questions. *****
We can not process incomplete applications.

Name of the animal you wish to adopt:

Description of the animal:

General Information

Your First and Last Name:

Address:

City:

State:

Zip:

Email Address:

Please NOTE: You will NOT hear back from us if you do not include a valid email address!

Home Phone:

Work Phone:

Cell Phone:

Who will be the primary caregiver of the pet?

Is primary caregiver over 21?

YES NO

Household Information

Which of the following best describes your current residence? (Check one)
House Apartment Duplex Mobile Home Condo
Do you rent or own? Own Rent/Lease

If you rent, are pets allowed? YES NO
Landlord's Name and Phone Number

Does your landlord require a deposit? YES NO

Do you have an exercise area in your yard that is completely fenced in? YES NO

How big an area is fenced?

What type of fence (chainlink, privacy, barbed wire, etc)? How tall?

Are there any improvements to the dog area that need to be made? If so, how long will this take?

Are you willing to allow a New Leash On Life representative to perform a home visit? YES NO

Number of adults in the home:		Number of people home during the day:
Number of children in the home:		Ages of children:

Is everyone in your household in agreement about adopting this animal? YES NO

Does anyone in the household have any animal allergies? YES NO

Information About Your Experience With Pets

Number of pets currently in household:

If you have other pets, are they ALL spayed/neutered? YES NO NOT APPLICABLE

Are your other pets current on their vaccinations? YES NO

Are your dogs current on Heartworm preventative? YES NO

Have you had other pets in the last five years? YES NO

What happened to them?

Where will this pet spend the majority of its time?

Where will this pet sleep?

If adopting a dog, have you ever housetrained a dog before? YES NO NOT APPLICABLE

Why do you wish to adopt this animal?
Protection	Companion Animal	Breeding
To Be Part Of The Family	Hunting Dog	A Gift

Where will this pet spend most of its time when you are at home?

Where will this pet spend most of its time when you are away from home?

Are you aware that when you adopt a dog or cat, you are taking on the responsibility for its lifetime,
which may be up to 15 years or more? YES NO

Veterinarian Information

Name of current veterinarian:
Name & city of veterinary clinic:
Vet phone number (including area code):
Vet records are under the name of:

Standard medical care costs from $100-$200 per year. Emergency care can cost hundreds of dollars.
Are you willing to provide both standard and emergency care for this pet? YES NO

What months do you give flea and tick preventative?

What months do you give Heartworm Preventative?

Would your vet consider offering a discount on veterinary services for dogs in rescue? YES NO WILL FIND OUT

Personal References

Name 2 people not related to you that will vouch for your ability to provide excellent care for this pet..

Name:		Phone:
Name:		Phone:

Post-Adoption Requirements

1.	You must take the animal to a veterinarian within seven (7) days of the adoption for a check-up (if New Leash On Life has not had the animal examined recently).
2.	You must return the animal to us if you decide you cannot keep it. You must not sell the animal of give it to anyone else, including and especially animal control services.
3.	You are responsible for providing proper shelter, food, water, love, exercise, medical care, and humane treatment at all times for this animal.

How did you hear about New Leash On Life Rescue and the pet you are applying for? (Please be specific...
in other words...What Friend?, What Website? What Search Engine?, What Newspaper?)

Thank you for taking the time to complete this questionnaire. New Leash On Life has only the animal's best interest in mind and sincerely wants to adopt the right pet to the right family. Are there any other comments you'd like for us to consider when reviewing your application?

Additional Comments:

Agreements

*	I certify that all information given on this Application is true and correct.
*	I understand that falsifying answers in this application or at any other time during the adoption process, disqualifies me from adoption.
*	I have read, understood, and have received a copy of the conditions of Adoption Agreement.

If I am approved by New Leash on Life to adopt an animal, I agree to all the conditions of the Adoption Agreement.
Clicking I AGREE Constitutes a digital signature, and a hardcopy signature will be required at the time of adoption.
I AGREE NO, I DO NOT AGREE

Clicking the Submit Button will return you to our website.

Remember, adoption is a privilege and we reserve the right to refuse any application.

New Leash on Life
Arkadelphia, AR 71923
Phone: 870-230-1075
Email: garrisjl@hsu.edu

Our Adoptable Pet List | Adoption Application | Adoption Contract | Our Happy Tails | Email Us

Copyright 2009 New Leash On Life Rescue

Saving Lee County North Carolina's needy dogs - and yes the occasional cat too!

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