Novy's Ark Adoption Application
Thank you for your interest in adopting! Please take the time to fill out this questionnaire to help us find a good fit for you and for our pups. PLEASE NOTE WE RESPOND BY EMAIL WITHIN 48 HOURS SO PLEASE CHECK YOUR JUNK MAIL IF YOU DO NOT SEE A RESPONSE Thank for for considering adoption! 
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Email *
We will keep your application on file until we find you the perfect match!
Date of Application *
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Full Name of Applicant *
Phone Number *
Why are you interested in adopting a pet at this time? *
Required
Do you have a particular dog at Novy's Ark you are interested in? If so, please write their name. *
Are you looking for a particular breed? Age? Sex? Temperament? (we will keep our eyes peeled)
How did you hear about us?
Please list the full name of all other adults in your household and their relationship to you:
Please list the ages of any children in your household:
Address  PLEASE INCLUDE (Street, Apt, City, State, Zip) *
In what type of home do you reside? *
Do you rent or own your home? *
If you rent, please include your landlord's name, phone number, and general policy towards pets:
Do you have a yard? *
If you have a yard, is it fenced?
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If your yard isn't fenced, what is your solution to keep your pet safe?
If you don't have a yard, what is your solution to keep your pet exercised and stimulated?
Occupation
Employer's Name
Do you currently own pets? *
Please List type, breed and age of current pets:
Name, address, and phone number of current Veterinarian: *By providing us with this information you are allowing us to call your veterinarian. Please call and ask them to authorize the release of information to Novy’s Ark.
Are your current pets up to date on vaccinations?
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Are your current pets spayed or neutered?
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If your current pets aren't vaccinated, spayed, or neutered at this time, please explain why:
Is everyone in the household in agreement to adopt and care for a new pet? *
Do you agree to provide regular health care by a Licensed Veterinarian *
Is anyone in your household allergic to dogs? *
Where will your new pet spend daytime hours? *
Required
Where will your new pet spend nighttime hours? *
Required
Where will your pet go when you are out of town? *
Required
Average # of hours pet will be alone in a 24-hour period: *
Please rate your dog training experience level: *
What is your philosophy on disciplining your pets? *
Have you ever surrendered a pet? *
If you have surrendered a pet, please explain the circumstances and outcome:
Have you ever lost a pet to an accident? *
If you have lost a pet to an accident, please kindly explain the circumstances:
Do you plan to get pet insurance? *
What will you do if your new dog(s) requires medical treatment exceeding your budget? What will you consider as unreasonable amount to treat a dog for disease or injury? *
Do you understand that sometimes a complete history and temperament of a rescue pet may not be known? *
Do you understand that changing a pet’s environment may cause even a housebroken pet to have accidents and are you willing to take the time to housebreak a pet? *
Under what circumstances would you not keep your adopted pet? *
Required
Do you agree to contact us if you can no longer keep this pet for any reason? *
Will you be willing to let our representative visit your home by appointment? *
A copy of your responses will be emailed to the address you provided.
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