Godbey Creek Canine Rescue
Adoption Application
Date: *
First Name *
Middle Name:
Last Name *
Address *
City *
State *
Zip Code *
Home or Cell phone number *
Email address *
Driver's License Number *
(Required by North Carolina State Kennel/Rescue licensing guidelines)
Type of residence *
How long at this residence? *
If renting, please enter your landlord's contact information
Number of people at residence and their ages
Please provide 3 personal references *
Include names and phone numbers
If you currently have pets in your household, please describe the type(s) of pets in your household and list their names:
e.g. one dog aged 3 years, one cat aged 7 years
If you currently have NO pets but have had some in the past, please describe the pets you owned previously, their life span, and why you no longer have them.
Are all of your animals spayed or neutered? *
Name, address and phone of your current or previous veterinarian *
Please notify your veterinarian that Godbey Creek will contact them.
Tell us about the type of dog you would like to find: *
Preferred Age:
What energy level or traits do you seek in a pet?
What activity level do you seek in a pet?
What size limitations do you have in a pet?
Do you have specific limitation in the pet you seek; hair vs fur, breed limitations, etc.
Where will your pet live during the day?
Where will your pet live at night?
Do you have a fenced yard?
Please describe a typical day in the life of your adopted pet:
Do you have experience using a crate to train a dog?
Are you open to the idea of using a crate to train a dog?
Who will have primary responsibility for the dog?
How did you hear about us?
What arrangements will you make to care for your pet in the event of travel, emergency, vacation or a change of address?
What is the name of the dog at Godbey Creek in which you are interested OR are you interested in seeing more than one pet?
To enable Godbey Creek to rescue more homeless and abandoned dogs, we ask you to consider an adoption fee of $300. Circumstances may dictate that we establish a different adoption fee which will be communicated during the adoption process.
Godbey Creek averaged $1040 per pet in 2016 including medical care, training, socialization, food and associated staff to care for the animals and handle adoptions. We also have six highly dependable and qualified individuals who donate considerable time supporting our rescue. Our site, facility and maintenance, other than electric or when a pet destroys property , is fully 100% donated as is the vehicle we use. However, caring for, adopting and transporting pets on site 24/7 does require staffing, food, cleaning supplies, labor and insurance. We have benchmarked other similar facilities and learned that, while our cost per animal is comparable, we take a great many more pets that require high medical costs or are geriatric or qualify as "hard to adopt". This means we do a lot for these animals and your dollars are spent wisely as we operate with very lean staffing comparatively. If pets are returned within two weeks of adoption due to personal circumstances, $200 will be returned. If pets are returned for a serious illness or aggressive behavior within two weeks of adoption, a total refund will be offered. When returning a pet, the adopter must make an appointment and complete a surrender form. Failure to comply will result in forfeiture of any refund.
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