ADOPTION APPLICATION

    Please remember that your new family member can be a 10-15 year commitment. For this reason, we take time to ensure that each pet is fitted with the right family.
    We are all volunteers and for that reason we only travel up to two hours ( one way) to do physical home visits. We do not do virtual home visits nor do we adopt outside of the two hour window from Cleveland County, NC. Thank you for understanding.
    The adoption process can take from a few days to a couple of weeks to process. If you are a renter, please check with your landlord to learn of any pet deposits they may require. We will contact your landlord to verify permission.


    Please understand and agree to the following adoption guidelines: (required)

    • What is the name of the dog you wish to adopt?

    • Adopter's Name:

    • Phone Number:

    • Email:

    • Your Street Address:

    • City:

    • State:

    • Zip Code

    • Driver's License No.

    • State Licensed Issued:

    • Occupation:

    • Employer's Name and Contact Information

    • Personal References:


    HOME INFORMATION


    • Number of people in the home?

    • Names, Ages & Relationships of people in the home?

    • Home Type?
    HouseApartmentMobile Home

    • Do you:
    OwnRentOther

    • If you rent, what is your Landlord's Name and Contact Information?

    • Where will your dog primarily stay?

    • Do you have a fenced in yard?
    YesNo

    • If yes, please describe type of fence, size, acreage.

    • How much time will your dog spend outside?

    • What shelter is available from the weather?

    • Will the crate method be used?
    YesNoNot Sure

    • Are your current pets primarily kept indoors or outdoors?
    IndoorsOutdoors

    • How many hours a day will your new dog be left at home alone?

    • All pets may need time to adjust and learn to potty-train. What method will you use for house training?

    • What is the likelihood you will move in the future, and what will you do with this pet if you move?

    • Your pet will need food, toys and chews, annual vaccinations, monthly heartworm prevention, and flea control. Have you factored these needs into your budget and can they easily be provided?
    YesNo

    • If your pet becomes ill or injured, have you thought about whether you are financially able to provide medical care?
    YesNo

    • All applicants must be willing to allow a representative from our group visit your home before the adoption is complete. What would be a good time for us to visit?

    • Have you ever for any reason, ever surrendered a pet to a shelter?
    YesNo
    • If so, please explain below.

    • Have you ever adopted from Clifford's Army Rescue, another rescue, or a shelter in the past? If so, please list the name.

    • What pets (please list names) do you own or have owned in the last five years and where are they now? Please list breed if known.

    • Are all current pets up-to-date on all vaccines, including rabies, and spayed/neutered?
    YesNo

    • Please list the name, address, and phone number of the Veterinarian for the above pets.

    Address:
    Phone:

    • When welcoming a new family member into our household, I am aware that our new family member will need some time to adjust to their new environment. I am willing to do all that is required to make the transition a success.
    YesNo

    I Agree
    • By electronically signing below, I certify that the information I have given is true and that I recognize that any misrepresentation of the facts may result in my losing adoption privileges. I authorize investigation of all statements on this application. I understand that C.A.R.E reserves the right to refuse adoption to anyone. This application is the property of C.A.R.E. We never sell information but it may be shared with other animal adoption agencies.

    Please allow up to 7 business days for our response.

    *** IF YOU SEE AN ERROR SIGN, PLEASE REVIEW AND MAKE SURE THAT ALL INFO IS FILLED IN. CHECK BOXES ARE REQUIRED ACKNOWLEDGEMENTS.

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