New Beginnings Animal Rescue (NBAR)
Adoption Application
Adoption Application

If you are interested in adopting one of our animals, please fill this form out completely. Once we receive it, we will begin the approval process and contact you within 48 hours. Please note that not everyone who applies for one of our dogs or cats will be approved. We have certain criteria that has to be met for someone to adopt one of our animals. Our dogs and cats are spayed/neutered, current on vaccinations, de-wormed. We also microchip all of our puppies and dogs.  If adoption from out of state, the dog will have an interstate health certificate guaranteeing it's health to travel.


Name of Animal You Are Applying to Adopt:

Your Email Address:

Name of 1st Applicant:

Name of Co-Applicant: (if applicable):

Age of 1st Applicant::

Age of Co-Applicant::

Daytime Phone Number:

Evening Phone Number:

Address:

Please indicate what type of home you live in?:  

Do you own or rent your home?:

Landlord Name & Phone (if rent):

How long have you lived at your current address?:

How many times have you moved in the last 5 years?:

If you moved where pets where not permitted, what would you do with them?:

Do you travel? If so, who takes care of your pets?:

Do you have a fenced yard?  How high is the fence?:

Do you have any current pets? If so, please tell us about them:
  Do you have a pet door?:  

Why would you like to adopt an animal? Please explain your primary reason:

How many adults are in your household?:

Please list the ages of any children in the house and whether they have experience with pets:

Is your current pet(s) spayed/neutered? If not, why?:

Is your current pet(s) current on vaccinations? If not, why not?:

If adopting a cat, will it be an inside or outside cat?:

Where will the animal sleep at night?:

Where will the animal spend its days?:

Do any of your current pets spend time outside? Tell us about that.:

Where will you put a cat litter box?:

What will you do if the cat stops using the litter box?:

Do you plan to declaw a cat?:

Have you ever had a pet with behavioral problems?:

How have you handled behavioral problems?:

Under which circumstances would you give up a pet?:

Please tell us the name, address and phone number of your vet:

How much do you believe the annual expenses for this animal will be?:

Who will be the primary caregiver of the pet?:

Do you have any health issues that would affect your ability to care for the pet?:

What major lifestyle changes do you anticipate in the next 15 years?:

Have you ever given up a pet? If so, please tell us why and what you did with it.:

Has any animal on your premises died of distemper, parvo, FIV or leukemia in the last 3 months?:

Have you adopted from NBAR before? If so, do you still have the animal? If not, where is it?:

Are you willing to allow our representative to visit your home by appointment?:

Personal Reference #1 Name, Phone & Relationship to you:

Personal Reference #2 Name, Phone & Relationship to you:

Do you have the time to provide adequate love and attention to a pet?:

How do you discipline a pet?:

Do you agree to provide healthcare for your pet if it gets sick?

Do you agree to keep a dog on heartworm and flea prevention?:

Has anyone in your household ever been accused or convicted of animal abuse, cruelty or neglect?:

Do you agree you will provide adequate food, water, and annual vaccinations for this pet?:

Do you agree that all the information you have given is true and accurate?:

Signature:

Date:

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