Adoption Application

Heart of America
Newfoundland Club

 

     Share Your Love!
 

Online Adoption Application

Please fill out the following form and click submit (at the bottom) when you're done. You will be asked for additional information prior to the approval of your application.

Name A value is required.
Home Phone A value is required.
Day Phone
A value is required.

Email

Street Address (no P.O. box) A value is required.
City A value is required.
State A value is required.
Zip Code
A value is required.
Have you been around Newfoundlands?
Have you owned a Newfoundland?

If YES, for how long and what happened to it?


WHAT PETS DO YOU OWN NOW?

Species (Cat/Dog/etc.)

Breed
M/F
Neutered (Yes/No)
Age
Indoor/Outdoor
How long have you had this pet
NUMBER OF ADULTS IN HOME:
Male
Female
Work Hours
Ages of Children in home
Has anyone in your household been convicted of animal cruelty?
Has anyone in your household ever given up a dog to a shelter/rescue?
Do you have a fenced yard?
Is your home a:
Are there any restrictions on pets where you live?
What Are They?
Do you:
Why do you want a Newfoundland?

PREFERENCES:
Do you have any preferences?
Age Range
Color
Other Preferences
Would you consider a special needs dog?
Who will be responsible for this dog?
Are you prepared to spend over $300.00 a year on routine veterinary care including vaccinations, heartworm tests, fecal exams and worming, daily or monthly heartworm preventative, flea control for a giant breed?
Have you ever taken a dog training class?
Would you be willing to take one?

REFERENCES:
Relationship
Name
Address
Phone
How did you hear about Newfoundland Rescue?

 

All adults in the household must sign this section.

 

I/We desire to adopt a rescued Newfoundland dog and make it part of our family. I/We am/are familiar with this breed of dog, including it’s drooling, shedding, need to keep cool and special health problems. I/We understand that a rescue dog may have very special needs. I/We agree that should a rescue Newfoundland be placed with me/us, I/we would provide it with adequate food water, shelter, affection, and veterinary care including annual vaccinations, fecal exams, heartworm tests, year-round heartworm preventative and emergency care as required. I/We will complete an approved dog obedience course with our rescue Newfoundland. I/We attest that all information in this application is true and complete, and that every member of our household is in agreement about adopting a dog and, specifically, this breed of dog. I/We understand that HANR carefully matches each rescue Newfoundland with the best possible adoptive home available at any given time; and that HANR does not place dogs in adoptive homes based solely on the length of time an adoption applicant has been waiting; and furthermore, that HANR. is under absolutely no obligation to place a dog with an adoption applicant. I/We give full permission to check references with our veterinarian, personal references, trainers and others who may have knowledge of our dog care history. I/We give permission for these businesses/individuals to share this information with HANR. I/We agree to hold HANR, its members and its officers harmless in the event of any damage or injury resulting from the placement of a rescue dog in my/our home.

Signature A value is required. Date
Signature Date
Signature Date