Adoptions

DOWN EAST ANIMAL REFUGE

P.O. Drawer 40

Scotland Neck NC 27874

DEARNC Adoptions

The Dogs Available for Adoption link will navigate away from www.dearnorthcarolina.org to 1-800-Save-A-Pet.com. All potential adopters will still need to print off and fill out the Pet Adoption Guidelines and Adoption form.

Down East Animal Refuge

Pet Adoption Guidelines and Application

Down East Animal Refuge P.O. Drawer 40 Scotland Neck, N.C. 27874 Phone: 252-826-2500

Applicants for animal adoption must be at least 21 years of age.
Applicants are required to provide proof of residency and directions to your home.
All applicants must furnish (2) personal references.
Applicants may be asked to provide proof of employment or source of income.
All adults on the household must participate in the selection of the animal and agree on the adoption.
All applicants adopting dogs must have an approved means of restraint. Approved methods of restraint include: fenced yard, kennel, or invisible fence.
In households where there are small children under the age of six (6) years, applications for adoption of puppies under (5) month of age shall be judged by the following guidelines: A.) Compatibility between the child and the animal, which will be evaluated by Animal Shelter staff prior to adoption.; B.) The child's previous experience with other animals.
Puppies aged five (5) months and younger cannot be adopted into a home where no one is home during the day for more than four consecutive hours. If you cannot meet this requirement then you are encouraged to choose an older dog.
All animals must be spayed or neutered before going into their new home.
Adopters must agree to comply with all state and local ordinances governing animals.
If the adopter cannot keep the adopted animal, the animal must be returned to Down East Animal Refuge. --No Exceptions-
Animals are placed as companions, not as guard dogs or mousers.
No animal will be adopted to persons having a history of ordinance violations, losing, giving away, selling, or having animals injured or killed by moving vehicles.
Photo identification is required at the time of application and adoption.
Down East Animal Refuge has the right to visit any adopted animal at any time to check on the well being of the animal. Neglected animals will be returned to the shelter by DEAR.
Adoption fee is $65.00 and non-refundable if the animal is returned for any reason.

Thank you for your interest in our dogs. We would appreciate your answers to the following questions so that we can best select the right pet for you. All information is treated as confidential. Submission of this application does not guarantee that you will receive a dog. Applications without addresses and phone numbers will be discarded.

Date: ___________

Name:_______________________________________________________________

Address: _____________________________________________________________________

City: ________________________________ State:: ______ Zip: ______________

Home Phone: __________________________ Work Phone:_______________

Cell Phone:___________________________ E-Mail:_______________________

Where did you hear about Down East Animal Refuge? ________________________________________________

Circle One: Own Rent Does your lease permit dogs? Circle One: Yes No

Circle One: House Apartment Mobile Home

Landlord’s Name: ____________________________ Phone:___________________

Circle One: Single Married Divorced

How many children are there in the home and what ages? __________________________________________________

Occupation of Head of household: _____________________ Work No._____________

Occupation of Partner: _______________________________ Work No._____________

List others in the home that may have contact with the dog, and their relationship to you:

________________________________________________________________________

Why are you interested in obtaining one of our dogs?

________________________________________________________________________

What do you like about our dogs?

________________________________________________________________________

What do you NOT want in the pet that you get?

________________________________________________________________________

How many other pets do you have in the home? Dogs:______________ Cats:_________ Other:___________________________

Would you prefer: Male Female Puppy or Adult Dog

Can you commit to caring for a pet for its lifetime? Circle One: Yes No

Where will your dog stay during the day and how many hours will it be left alone? _______________________________________________________________________

Where will your dog stay during the night? ______________________________________________

Type of fence: __________________________ Fence height ___________

How much time will you spend with your dog on a typical day? ______________________________

What will you do with the dog when you go on vacation? __________________________________

If you have to move, what would you do with the dog? ____________________________________

Have you ever taken a puppy through puppy class? Circle One: Yes No

Have you ever taken a dog through obedience class? Circle One: Yes No

If obedience classes are recommended for the dog, will you attend? Yes No

Your current Veterinarian: ________________________ Phone: __________________

Please add any information, facts or comments, which might aid in picking the right dog for you:________________________________________________________________.

List two personal references and phone numbers:_______________________________

______________________________________________________________________

Directions _______________________________________________

________________________________________________

Adoption Agreement

I agree to let DEAR call my veterinarian to verify the accuracy of the information given here. I also agree to permit DEAR to visit my home to verify the condition of the pet adopted if the need should arise. Any information given that is found to be inaccurate (if the living conditions and the pet are not found to be satisfactory), DEAR has the right to take the pet back without a refund to the adopter. If the pet does not fit your family situation, DEAR should be informed first and be given the opportunity to take the pet back. If, after a trial period of no more than 2 wks. you wish to return the pet, you may do so and get a refund (less $25.00 for handling fees). If the trial period is over 2 wks, no refund will be given. It is the responsibility of the adopter to transport the pet back to the DEAR animal shelter. I understand that every attempt has been made to determine the health and disposition of the pet and it has been explained to me. No guarantee has been made by DEAR as the pet might have been exposed to canine or feline diseases that may now show symptoms for several weeks, and that behavioral problems can occur due to a new environment and treatment of the pet, as would be the case regardless of where I adopt or obtain a pet.

Adoptee Signature:_____________________________________________ Date:_________________________________

MAIL TO: Down East Animal Refuge P.O. Drawer 40 Scotland Neck, N.C. 27874 Phone: 252-826-2500

DO NOT WRITE BELOW THIS LINE

Application received by: ______________________ Date: _______________

Application reviewed by: ___________________________________________ Date reviewed: __________________________

DEAR personnel making visit: ________________________________________________ Scheduled visit date: ________________

Site/Applicant Approved : ________ Yes ___________ No Scheduled Animal Delivery Date: ______________________________

Photo on file: ___ Yes ___ No Medical records check complete: ____ Yes ___ No

Adoptive Dogs Name_______________________________________

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This page last updated on 07/16/2006 11:56 AM