Adoption Application

Thank you for your interest in Nileydog Rescue

* indicates required field

Note: NDR often does not place dogs in homes with children under age 6)


Describe those pets you currently own. (if you currently have no pets, skip this section)


Pet #2


Pet #3


Pet #4


*If several vets were used, please explain and provide approximate service dates. Please note that application review cannot be completed unless each vet's phone number is provided. All information will be confirmed by your vet.


If you rent:


Note: Secure, fully fenced yards are typically required for homes with children under age 12. For some dogs, fences of minimum 5 to 6 ft are required.

I have read the above information carefully and have filled out this application honestly. I understand that omission of information and/or failure to answer all questions and sign the application can result in this application being declined. Also, if an omission or untruth is discovered after an adoption takes place, I understand that Nileydog Rescue (NDR) reserves the right to annul the adoption and reclaim the animal. I give the Partnership permission to fully investigate the information provided as well as contact veterinarians and related officials. If the application passes this review, I agree to a home and yard visit on a mutually agreed date by a Partnership volunteer before an adoption decision is made.


In addition, I understand the adoption decision is dependent on many factors, including but not limited to the compatibility of the family and home to the individual animal, and other applications received on this animal. I understand it is the Partnership's prerogative to decide which home is most appropriate and that their decision is final, and therefore I will not argue with the decision. Unless otherwise indicated by the Partnership, I am free to apply and undergo the application process in the future.



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