NC Yorkie Rescue: Adoption Application

Homeowner Details

Are there children (under 18) living in this home? *
I understand that NC Yorkie Rescue does not adopt dogs into homes with children under age 8. *
I live in a (choose one): *
Do you own or rent? *
I understand that NC Yorkie Rescue does not adopt dogs into rented homes. *
Does your home have an enclosed fence? *

Pet Selection

I want a: *
I want a: *
I want a: *
I would like to bring a dog home: *
Do you own (or have you owned) a Yorkie? *
When the dog is home alone, he/she will: *
The dog will sleep: *

Pet Owner History

I understand that NC Yorkie Rescue will contact this Vet to gather details about my pet owner history. *
Do you have other pets now? *
Is (was) your dog spayed or neutered?
Is (was) your dog on heartworm preventative?
Is (was) your dog current on all vaccines?
Is (was) your dog microchipped?

Home & Family Photos

As part of the application process, NC Yorkie Rescue Inc. requests photos of:

1. the home's front yard, back yard, enclosed/fenced area, and main living area

2. each person living in the home, including children or grandchildren under age 18

3. any pet(s) that live in the home

 
I agree to submit the photos needed to NC Yorkie Rescue, Inc. by emailing ncyrphotos@gmail.com *

Acknowledgements

1. I certify that the information provided in this form is true and accurate. If the information contained in this application is found to be false, I understand that NC Yorkie Rescue, Inc has the right to deny my application.
2. I am financially able to care for this animal. I understand that proper food and veterinarian care is costly and I am able to meet these requirements.
3. I am physically able to care for and exercise this animal.
4. I understand that home checks may occur randomly prior to, during or following the adoption process. If, upon inspection, we find that information contained in this application is false, NC Yorkie Rescue Inc. retains the right to remove the animal from your premises without a refund of the adoption fee.
 
1. I certify that the information provided in this form is true and accurate. If the information contained in this application is found to be false, I understand that NC Yorkie Rescue, Inc has the right to deny my application.
2. I am financially able to care for this animal. I understand that proper food and veterinarian care is costly and I am able to meet these requirements.
3. I am physically able to care for and exercise this animal.
4. I understand that home checks may occur randomly prior to, during or following the adoption process. If, upon inspection, we find that information contained in this application is false, NC Yorkie Rescue Inc. retains the right to remove the animal from your premises without a refund of the adoption fee.
 
1. I certify that the information provided in this form is true and accurate. If the information contained in this application is found to be false, I understand that NC Yorkie Rescue, Inc has the right to deny my application.
2. I am financially able to care for this animal. I understand that proper food and veterinarian care is costly and I am able to meet these requirements.
3. I am physically able to care for and exercise this animal.
4. I understand that home checks may occur randomly prior to, during or following the adoption process. If, upon inspection, we find that information contained in this application is false, NC Yorkie Rescue Inc. retains the right to remove the animal from your premises without a refund of the adoption fee.
 
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