Pet Adoption Application Form

Adoption Application and Waiver

Prespective Pet Owner Name*

First NameLast Name

Perspective Pet Co Owner

First NameLast Name

Ages*

Age Age

Name of Pet You Wish to Adopt*

Email Address*

Phone Number*

Area CodePhone Number

Address*

Street Address

Street ddress Line 2

CityState / Province

Postal / Zip CodeCountry

Do you own or rent your home?*

OwnRent

How long have lived here?*

Are there children in the home? (If yes, please list ages)*

Do you have a yard?Is it fenced in and what type of fencing?*

How many pets are currently in your home? Please list names, ages & breed*

Enter Number of Pets & Names

List the names of the pets you have owned in the last ten years not including current pets.*

Names, Age and Type of Animal

Have you used a trainer for any of your dogs? *

YesNo

Are your pets current on vaccinations?*

Are all pets spayed or neutered?*

YesNo

Do you do Heart Worm Prevention, if so name brand*

Please provide ALL veterinarian's name and phone number:*

Have you ever surrendered or rehomed a dog, If yes please explain.*

How many hours per day would the pet be alone?*

How would you deal with behavioral issues such as barking, chewing, destructive behavior, bathroom accidents indoors, unruly leash behaviors in your pet?*

Please provide the names, relationship, and contact numbers for 2 personal references:*

Please tell us why you would be the best parent for this dog?

By clicking the submit button, I agree to Nothing But Love Canine Foundation Inc.'s adoption process, and will undergo a homecheck, and interview at the discretion of Nothing But Love Canine Foundation Inc. By clicking the submit button, I understand Nothing But Love Canine Foundation Inc. will check my references including veterinary and personal. By clicking the submit button, I understand there is an adoption donation associated with the adoption of a pet from Nothing But Love Canine Foundation Inc. I know this donation helps offset vetting and transportation costs for the dog. By clicking the submit button, I agree to indemnify and hold harmless Nothing But Love Canine Foundation Inc. against any losses, lawsuits, claims, injury, damages incurred by me or to any persons or property by my adopted pet, once adoption has been completed. By clicking the submit button, I understand that Nothing But Love Canine Foundation Inc. will disclose any of the pet's health or behavior issues known by them before the adoption is completed. By clicking the submit button, I verify all of the above information is true and accurate.

Signature of Potential Pet Parent*