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The Puppy Rescue 5K - 2017
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Our adoption application process is in the best interest of all of our rescue animals.
 
Our puppy/dog adoption fee is $225.00. Our cat/kitten adoption fee is $125.00  
 
All of our adoptable pets are current on heartworm prevention, flea prevention and on all vaccines as age appropriate. Our pets are socialized with cats, kids and other dogs as available.  All pets adopted from us have a report card of health from our veterinarian prior to going to their new homes.  During this visit they also receive a microchip for identification.  The initial registration fee is included in with your adoption.  

Upon receipt of your application, a volunteer will review it and let you if we they have any questions.

PLEASE NOTE: We make every effort to process your application as quickly as possible. Sometimes this takes longer if we are unable to contact your references. We may ask you to provide additional references.

We thank you in advance for your patience and understanding.

We feel this process is the best way to ensure that all of our rescued pets find the best forever homes.
 
Please answer all questions honestly and completely.

Incomplete applications will cause delays in our processing.

If you rent, please provide your landlords information, if you do not, we will NOT process your application.
 
False answers will result in an automatic denied application.
 
Please look over your application and be sure all questions are answered.

We DO NOT ship our puppies.  If you live out of state, you (the new pet parent) MUST come to North Carolina and pick up your puppy.  This is not negotiable.  If you will be flying with your puppy there will be an additional $50.00 health certificate fee as the airlines will not allow the puppy on the plane with out it. Our puppies are only permitted to go on an airplane if they will be traveling in the passenger compartment.  We require proof of this prior to the puppy leaving our facility.

YOU MUST FILL OUT THE APPLICATION COMPLETELY.  ALL AREAS WITH A * NEXT TO THEM MUST BE FILLED OUT.  IF THE INFORMATION DOES NOT PERTAIN TO YOU, PLEASE OUT N/A IN THE FIELD.

Today's Date:

 * required
Applicant information:
First name:
 * required
Last name:
 * required
Date of Birth:
 * required
Must be 21 years of age or older to adopt
Mailing address:
City, State, Zip:
 * required
 * required
Email address:
 * required

Home Phone:

 * required

Cell Phone:

Alternate Phone:

Best way to contact you:
Co-Applicant or Spouse information:
First name:
 * required
Last name:
 * required
Relationship to applicant:
 * required
Date of Birth:
 * required
Must be 21 years of age or older to adopt
Mailing address:
City, State, Zip:
 * required
 * required
Email address:
 * required

Home Phone:

Cell Phone:

Alternate Phone:

Best way to contact you:
About Your Home:

What type of home do you live in?

Do you have a fenced in yard?
 * required

Height of fence?

 * required

Type of fence:

Do you Own, Rent, Other?

 * required

If you rent, please answer the following 4 questions. If you do not provide the information, we will NOT process your application 

Does your rental agreement allow for pets? Is there a weight limit?

How much is your pet deposit?

Landlord Name:

Landlord Phone Number:

About your family:

How many adults live in your home?

 * required

Do you have any children living in your home?

 * required

If yes, how many and what are their ages?

Is anyone living in the home allergic to animals?

 * required
About your current pets:

Please list all pets you currently own.

1)  Please include name, type and age:

2) Please include name, type and age:

3) Please include name, type and age:

4) Please include name, type and age:

5) Please include name, type and age:

Please provide any additional information on your current pets you feel we should know:

 
About your past pets:

Please list pets you have owned in the past 5 years.

1) Please include name, type, age and how long owned:

2) Please include name, type, age and how long owned:

Please provide any additional information on your past pets you feel we should know:

 

What happend to the pets you no longer own?

Your Veterinarian:

Please provide information veterinary clinics who have provided medical care for your pets past and present.  Out of State veterinarians are ok. If you do not currently have pets please put which vet you plan to use.

Name of Veterinarian or Clinic:

 * required

Veterinarian phone number:

 * required

Some Veterinarians require that the owner calls to release information.

Will you call to give permission to release information about your pets?

 * required

What owner name are the pets listed under?

 * required

This Veterinarian:

Select all that apply (Ctrl to select multiple)

Pet Preferences and Care:

Why do you want to own a new pet?

 * required

Do you understand that owning a pet can be a commitment of 10 to 15 years?

 * required

Which pet are you interested in?

 * required

Where will your new pet live?

 * required

Where will your new pet live when it grows up?

 * required

How much time will your new pet spend alone?

 * required

Where will your new pet stay when alone?

 * required

Where will your new pet sleep?

 * required

Do you consider pets part of the family?

 * required

Will you have your new pet spayed/neutered?

 * required

Will you take your new pet to obedience classes?

 * required

How will you control fleas and heartworms?

 * required

Are you financially prepared to give your new pet routine medical care? (food, Yearly check-ups and shots, monthly flea and heartworm preventative)

 * required

What circumstances would cause you to give up your pet?

 * required

Is there any additional information you would like to provide?

Personal References:

Reference #1
Name:

 * required

Phone Number:

 * required

E-Mail:

Relationship to Applicant:

 * required

Reference #2
(not a family member)
Name:

 * required

Phone Number:

 * required

E-Mail:

Relationship to Applicant:

 * required
 

Before you click on the submit button, please review your application and be sure that you answered all questions especially the questions with *required next to them.  If any of those fields are not filled in, your application will not be submitted.  You will know that your application has been submitted successfully when you are directed to our page that tells you your application has been submitted.