**PLEASE READ BEFORE YOU SUBMIT AN ADOPTION APPLICATION**

Our adoption fee is $425.00 payable by cash, bank certified check, money order or credit card ONLY. If you pay with a credit card, a processing fee of $15.00 will be added. This fee is from our credit card payment processing center. We DO NOT accept personal checks.

In order to be approved to adopt, a good vet reference is a REQUIREMENT. We require all CURRENT cats/dogs in the home to be spayed/neutered, up-to-date on vaccinations and all CURRENT DOGS must be current on monthly heartworm prevention. If you do not meet these requirements, you WILL NOT be approved. No exceptions unless a legitimate medical reason is provided by your vet.

If you have used multiple vets for your pets, please list them ALL. Along with what care each pet received at each vet (spay/neuter, yearly vaccinations, monthly heartworm prevention). If you have used multiple vets and you do not list them, your application CANNOT be processed. Please provide the NAME and PHONE NUMBER of each vet.

New England All Breed Rescue Adoption Application

First and Last name *

Address *

City *

State and zip code *

Phone Number *

Cell Phone *

Which dog/dogs are you interested in? *

EMAIL ADDRESS *

What experience do you have with this breed? *

Have you applied to other rescues? *

How many adults in the house? *

How many Children? *

Current ages of adults & children residing in the household? *

Vet Reference(s) CALL YOUR VET AND GIVE PERMISSION FOR THEM TO TALK TO US. Applications will NOT BE PROCESSED if permission is not given. Applications will not be processed if a PHONE NUMBER and ADDRESS are not listed.

Please list Vet Name, Phone number, Address and Name on the account.

Personal reference (non family, first and last name) *****required**** *

Contact info (easiest phone number to contact and email) *

Personal reference (non family, first and last name) *****required***** *

Contact info (easiest phone number to contact and email) *

How many visitors come to your home each day? Adults and Children *

Do you own other dogs? How many? *

What breed(s) are they? *

Do you own cats? *

Do you own other animals?? *

Do you have livestock? *

Are your current animals altered? (Spayed/Neutered) *

How many dogs have you owned in the last 5 years? *

Where are they if no longer with you? *

Have you ever had to give up or rehome a dog? If yes, why? *

Name and age of current and past dog(s)? *

What plans do have for this dog?
(pet) (therapy)(guard) *

Do you own your own home? *

Do you have your landlords permission to have a dog? *

Landlords name and number *

Do you have a fenced yard (physical fence, electric fence, etc. please specify )? *

Do you have a kennel run? *

If you and your family move from your current home what will happen to your dog? *

Do you want a puppy, young dog, or adult? *

Do you want a female or male? *

How much time per day will this dog spend alone? *

Where will your dog sleep? *

Who will take care of your puppy/dog during the day for potty training/breaks? *

Will you commit to taking this dog to obedience school? *

If a behavior problem arises with your dog what do you plan to do? *

By Filling out this application you understand that their are no guarrantees for adopting a dog from us. Your signature attests that the information you give is accurate and true and that you will abied by its terms.

Please type full name and initials_____________________________________ *

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