Adoption application

Thank you for wanting to adopt from North Bay Canine Rescue and Placement.

If you are looking to adopt an animal that is with another rescue or shelter, please do not fill out this application. Please contact them about adopting.

North Bay Canine Adoption Application

Date
Name
First Last
Home Phone
Cell Phone
Email
Best Contact
- Home phone
- Cell Phone
- Email
Best time to call you
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Which of our dogs are you interested in?
What type and how high (in footage) is your fence?
How long have you lived there?
Type of housing
Do you:
- 1 - Own
- 2- Rent
- 3- Live in a Mobile home park
- 4- Have a Home/Condo/Townhouse Association contract
Please include the name and phone number of the person we should contact if you checked 2, 3, or 4 above
Breed Type
If Other, Please state what breed
Pure/Mix breed
- Pure breed
- Mixed Breed
- No preference
Dogs energy level
- Calm
- Mid-level
- Active
- Very Active
Prefered Age
- No puppies
- 8 to 16 Weeks
- 4 to 12 Months
- 1 to 3 years
- 3 to 8 years
- 8 years and up
- No preference
Prefered Sex
- Male
- Female
- Does not matter
Size of dog
- Under 15 pounds
- 15 to 25 pounds
- 25 to 50 pounds
- 50 to 70 pounds
- 70 to 90 pounds
- over 90 pounds
- No preference
flexable but no smaller than:
flexable but no larger than:
Length of Coat
Training
- Will train myself
- Needs some obidence training
- Will take to obedience training
House broken
- Willing to housebreak
- Must be housebroken
Activities you plan for your dog:
Use 3 words to describe your ideal dog
Where will the dog spend the day?
Please describe the area
How many hours will the dog spend alone?
Where will the dog spend the night?
Please describe the dogs sleeping area
If you move, what will happen to the dog?
What arrangements will be made if you go on vacation?
How many dogs have you had in the last 5 years?
Please describe the breed, sex, and temperment of the dogs no longer living with you. Please state the amount of time owned and why they are no longer with you
How many dogs currently live with you?
Please describe the breed, sex, and temperment of the dogs living with you
What other pets live with you?
How many childern live with or regularly visit you?
What are their sex's and age's?
Do the children have experience caring for a dog?
What are the children's attitudes towards dogs?
Including your self, How many Adult Males live in your household and what are their ages?
Including your self, How many Adult Females live in your household and what are their ages?
Home Atmosphere
How did you hear about North Bay Canine Rescue and Placement?
Submission
By submitting this form, I acknowledge that I am aware of the expenses involved in owning a pet which can be very high. All the information I have given above is true and complete to the best of my knowledge.
Name
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