Godbey Creek Canine Rescue Adoption Application
Please complete all sections of this form.
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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 *
If you are a renter, you must obtain proof of permission from your landlord that you are allowed to own and care for a dog on your rented premises.   Please submit a copy to info@godbeycreekcaninerescue.org as soon as possible after submitting your application.   Until we receive that, we will not process your application.
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 (names & phone numbers) *
These references may not be immediate family members.
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 arrangements have you made in case you and your family become incapacitated and are unable to care for this pet? *
Godbey Creek Canine Rescue is very concerned about what happens to the pets we find new homes for, and want to ensure they will be cared for regardless of the circumstances of their new owners.   Please provide contact information for the person or persons who will take responsibility for your pet.  Please include a name, address, and telephone number.
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 help defray costs and allow Godbey Creek to rescue more homeless dogs, we have an adoption fee for all dogs.    The adoption fee depends on whether it is a puppy, adult, or senior dog and there is a higher charge for specialty dogs.  The fee for the dog you are interested in will be communicated to you when you apply.   For budgeting purposes, the fee ranges between a minimum of $300 (senior dog) to a maximum of $800 (specialty puppy). *
Godbey Creek spends an average of over $1500 for each rescue dog to pay for for medical care, training, socialization, food, and staffing to care for the animals and handle adoptions. We also have a number of highly dependable and qualified individuals who donate considerable time supporting our rescue. While our site, facility, and vehicle are fully donated, caring for, adopting, and transporting pets requires staffing, food, cleaning supplies, labor, maintenance, utilities, and insurance. We have benchmarked other similar facilities and learned that, while our cost per animal is comparable, we take in many more pets that require high medical costs, 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 comparatively lean staffing.
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