New Day Rescue
newday.petfinder.org
Adoption Application
To help insure the best possible placement of our rescued animals, and in order to determine that the proposed adoption is in the best interest of the animal, you and your family: Please complete each of the following questions. Please be as thorough as possible. Adoption approval status is based on review of your application, reference checks, and applicant interview via telephone and/or home visit.
*Please do not use highlighting or graphic features to identify your answers as they are not viewable by the Adoption Coordinators in gmail, thank you.
Type of Animal You Wish to Adopt:
Name of Animal:
Your Name:
Spouse’s Name:
Address:
City/State/Zip:
Home Phone:
Work Phone:
Cell Phone:
Email Address:
Place of Employment:
Household Information
1. Do you live in:
a: House
b: Apartment
c: Condo
d: Mobile Home
2. Do you:
a: Own
b: Rent
3. If you are a renter, does your lease state that pets are allowed?
a: Yes
b: No
Landlords name and phone #:
4. Length of time at current residence?
a: 1-3 years
b: 3-5 years
c: 5+years
If less than 1 year, please provide previous address and length of time at that residence:
a: 1-3 years
b: 3-5 years
c: 5+years
5. If you are planning on adopting a dog, do you have a fenced-in yard?
a: Yes
b: No
What type of fence (chain link, stockade, etc.)?
If you do not have a fenced yard, what arrangements do you plan to make for exercise and toilet duties:
6. Number of adults in home:
Age of adults:
7. Number of children in home:
Age of children:
8. Have allergies to animals been a problem to any household member?
a: Yes
b: No
9. Are all family members aware that you are considering adopting a pet?
a: Yes
b: No
Do they all approve?
a: Yes
b: No
Pet History
1. Do you own other pets?
a: Yes
b: No
Total number of animals:
2. Are they current on their vaccinations?
a: Yes
b: No
3. Are your dogs on Heartworm preventatives?
a: Yes
b: No
Do your cats go outside?
a: Yes
b: No
4. Please complete the following information for each pet:
Name:
Type/Breed:
Sex: Male/Female
Age:
Neutered/Spayed? Yes/No
Length of ownership:
5. Have you had other pets in the last five years?
What happened to them?
6. Have you ever adopted a pet from an Animal Shelter, Pound or Rescue before?
7. Have you ever given up a pet for adoption or surrendered an animal to an Animal Shelter, Pound or Rescue?
a: Yes
b: No
If yes, please explain the circumstances:
Pet Care Information
1. Will there be someone home with your pet during the day?
a: Yes
b: No
2. What is the greatest number of hours the pet will spend alone daily/nightly?
Daytime Hrs alone:
Evening Hrs alone:
3. Where will the pet spend most of its time?
a. Crate
b. Indoors
c. Outdoors
d. Garage
e. Basement
f. Run
4. Where will your new pets main sleeping quarters be?
a. Crate
b. Pet Bed
c. Share bed with owner
d. Designated Room
e. Outdoors
f. Garage
g. Basement
5. If adopting a dog, would you consider hiring a pet walker, pet sitter, have a neighbor or family member visit, or enrolling your dog in a Doggy Daycare on your long work days?
a: Yes
b: No
6. Do you plan to travel/vacation with your pet?
a: Yes
b: No
7. If not, where will the pet stay while you are away?
a: Friend or Family
b: Kenneled
c: In home pet-sitting
8. Have you ever taken a dog to obedience class?
a: Yes
b: No
9. Have you ever crate trained a dog?
a: Yes
b: No
10. What types of activities do you plan for you and your dog?
11. How much do you think this pet will cost you each year (please include food, heart worm preventative, flea control, medical and dental care, supplies, training,
grooming, boarding costs and toys)?
Desired Animal
1. What type of animal are you looking for?
2. What sex animal are you looking for?
a: Male
b: Female
c: No preference
3. What age animal are you looking for?
a: Baby
b: Young
c: Adult
d: Senior
4. Would you accept an animal that has a treatable medical condition?
a: Yes
b: No
5. Why do you wish to adopt this type of animal?
a. Watch dog
b. Companion
c. Breeding
d. As a gift for someone
e. Other:
6. If interested in a cat, are you planning to declaw him/her?
Are you planning to let the cat go outside?
Would you allow a Rescue representative to do a home visit?
References: Please call ahead to your Veterinarian's Office to make available & release your pet/s information to New Day Rescue & Adoptions.
1. Name of current veterinarian:
Address:
Telephone #:
Name & date/s of Pets treated at this facility:
2. Name of your local Animal Hospital
Address
Telephone #
Name & date/s of Pets treated at this facility
3. List 2 non-relative personal references:
Name
Address
Telephone #
Relationship
Name
Address
Telephone #
Relationship
Post Adoption Requirements
- If you adopt a puppy or a kitten, you are required to sterilize him or her by six months of age.
- Your adopted pet will live indoors with respect of a family member and not left restrained unsupervised outside.
- If adopting a dog, you will abide by your Town’s leash law.
- You will notify New Day if you feel you cannot keep your adopted pet: You must not sell the animal or give it to anyone else.
- You are responsible for providing proper shelter, food, water, exercise, medical care and humane treatment at all times for your companion animal.
- You will adhere & abide by all terms of New Day Rescue's Adoption Contract & Post Adoption Requirements.
“I certify that by submitting the information given on this application all entries are true and correct. If I am approved by New Day Rescue to adopt an animal, I agree to all the above requirements. I understand that failure to comply with any of the requirements will result in confiscation of the adopted animal.”
Signature of Applicant:
Date:
*Returning this form by email, your name in the signature line is your electronic signature.
Thank you for your interest in a Rescue Pet and for filling out an Adoption Application with New Day Rescue. Should the pet you are applying for have an adoption pending before you, you may resubmit the file when you see another available dog that you are interested in. New Day is committed to helping you with a future pet match for you and your family.
Sincerely,
New Day Rescue
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