NEARR

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NOTE: A $25 application processing fee (non-refundable) must be received prior to NEARR processing your application. You have decided to mail in a check with your payment. Please make sure to send your payment to: 

North East All Retriever Rescue
 P.O. Box 756
Wellfleet, MA 02667-0756

Your application will not be processed until this payment is received.

 

Thank you for considering a rescued retriever!
We reserve the right to refuse any application. The $25 application fee is non-refundable.

Tell us how to get in touch with you:

 

Last Name  
First Name
Street Address
City
State
Zip Code
Home Telephone
Work Telephone
Mobile Telephone
Email Address
Alternate Email Address
Occupation
How Long employed?
Co-Applicant
Co-applicant's occupation
Are you applying for the foster-to-adopt program?
Are you involved with any breed, training or other dog related organizations?
How did you hear about NEARR?
Are you working with any other rescue organizations?

Please tell us about your residence.

Do you own or rent your current residence?
If renting, have you received permission from landlord to have a dog?
Please describe your home
How long have you resided at your current address?
Does the property have a fenced in yard or other fenced in exercise area?
Please provide details of yard/kennel or other area where you plan to exercise a dog:
What are the requirements for dog ownership in your community?
How many adults are in the house?
Are there children in the home?
If so, how many children are in the house?
Children over 12
Children 8 - 12 years old
Children under 8
If you have children, what responsibilities will the children have for taking care of the dog?
Are you planning to have children in the next 3 years?
If kids in 3 years, how will you acclimate a dog to the new baby?
Does anyone in your house have animal related allergies?
Does anyone in your home have a disability or have special needs?
Do you currently own any cats?
Do you currently own any dogs?
Please list details of any cats, dogs, or other animals that you own:
Have you previously owned a dog? If so, please provide details including what happened to any dogs that you no longer own:
Why have you decided that a retriever is the right breed of dog for you?
Please list the life activities that you plan to include a dog:

What type of dog are you looking for? (please select any/all appropriate options

Age

Under 1 year old
1 year to 3 years old
4 years to 6 years old
7 years to 9 years old
Senior (over 9 years old)
Special Needs (daily medications, arthritis, epilepsy, disabled, etc.)
What gender? (Male is most common)
Energy Level
Do you have any color preference?
Are you willing to adopt a dog that has NOT been kept in a NEARR foster home for two weeks? (Direct Placement)

What breed(s) of dog are you interested in adopting? Please select all appropriate options:

Labrador Retriever (Large majority of our dogs)
Retriever mixed breed (Second most common dog in our program)
Golden Retriever (A few per year)
Chesapeake Bay Retriever (We rarely get these)
Curly Coated Retriever (We rarely get these)
Flat Coated Retriever (We rarely get these)
Nova Scotia Duck Tolling Retriever (We rarely get these)

Questions concerning care of a dog.

Who will be responsible for daily care of the dog?
Please describe where the dog will stay during the day:
Who will care for the dog during vacations?
Where do you plan on having the dog off leash (be SPECIFIC)?
How will dog be exercised (leash walking, fetch, etc.)?
How much time do you have to exercise the dog per day?
Please describe how often someone will be home in a typical day:
What will you do if dog is destructive during the day?
Where will the dog sleep at night?
What is your definition of disciplining a dog?
Have you ever obedience trained a dog before?
What are your thoughts on obedience training
What behaviors do you consider NOT acceptable in a dog? (NEARR does not accept dogs into our program with known aggression towards humans)
What do you consider as a realistic cost of a dog for one year? Please explain

Almost done

Please list three personal references, one of which must be your veterinarian, if you have used a vet before. Include phone number(s), email addresses and a brief description of how they know you. Please do NOT list family members or relatives.
Please list circumstance that would cause you to surrender a dog:
Why have you chosen to get a Retriever through rescue?
Do you agree to return any dog to NEARR, if you can no longer keep or care for the dog?
Do you confirm that you understand that NEARR requires you to enroll in an obedience class within 60 days of adopting a dog?
Do you agree to allow a NEARR representative to come visit your home?
Do you confirm that you are financially and physically able to care for a dog? You are indicating that you understand that proper food and veterinary care can be costly and you are able to meet these requirements.
Typed Name as Signature
Please select "yes" to agree that this is a valid and legal substitution for your written signature on this legal document otherwise known as "NEARR Adoption Application".
Please select "yes" to indicate that you understand that if the information contained herein is found to be false, your application can be refused or said dog adopted shall be relinquished to North East All Retriever Rescue without a refund of monies paid.
Please select "yes" to indicate that you understand that should you adopt a dog from NEARR, the $275.00 adoption fee goes toward the cost of caring for all of the rescue dogs, and that you understand this fee is non-refundable.
Additional Comments:

Before clicking Save, we HIGHLY recommend that you print this application out, in case there is a problem with submission of this application. If you submission is successful, you will be redirected to a confirmation page with more details of the process. If you do not get this confirmation, please try going back and/or mailing in your application.



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