Pet Re-Homing Guidelines and Application Down East Animal Refuge P.O. Drawer 40 Scotland Neck, N.C. 27874 Phone: 252-826-2500 Fax: 252-826-3252
Re-Homing Guidelines
1. Applicants for animal re-homing must be at least 21 years of age.
2. Applicants are required to provide proof of residency and directions to your home.
3. All applicants must furnish (2) personal references.
4. Applicants may be asked to provide proof of employment or source of income.
5. All adults on the household must participate in the selection of the animal and agree on the re-homing.
6. All applicants re-homing dogs must have an approved means of restraint. Approved methods of restraint include: fenced yard, kennel, or invisible fence.
7. In households where there are small children under the age of six (6) years, applications for re-homing of puppies under (5) month of age shall be judged by the following guidelines: A.) Compatibility between the child and the animal, which will be evaluated by DEAR staff prior to re-homing.; B.) The child's previous experience with other animals. Puppies aged five (5) months and younger cannot be re-homed into a house where no one is home during the day for more than four consecutive hours. If you cannot meet this requirement then you are encouraged to choose an older dog.
8. All animals must be spayed or neutered before going into their new home.
9. People receiving re-homed dogs must agree to comply with all state and local ordinances governing animals.
10. If the party cannot keep the re-homed animal, the animal must be returned to Down East Animal Refuge. --No Exceptions-
11. Animals are placed as companions, not as guard dogs or mousers.
12. No animal will be re-home to persons having a history of ordinance violations, losing, giving away, selling, or having animals injured or killed by moving vehicles.
13. Photo identification is required at the time of application and re-homing.
14. Down East Animal Refuge has the right to visit any adopted animal at any time to check on the welfare of the animal. Neglected animals will be returned by the DEAR staff.
15. Re-homing fee is $100.00 and non-refundable if the animal is returned for any reason
Down East Animal Refuge Re-Homing Application
Thank you for your interest in our dogs. We would appreciate your answers to the following questions so that we can best select the right pet for you. All information is treated as confidential. Submission of this application does not guarantee that you will receive a dog. Applications without addresses and phone numbers will be discarded.
Date: ___________________________
Name:_______________________________________________________________________
Address: _____________________________________________________________________
City: ________________________________ State: ______ Zip: ______________
Home Phone: __________________________ Work Phone:_______________
Cell Phone:___________________________ E-Mail:_______________________
Where did you hear about Down East Animal Refuge?
_____________________________________________________________________________
Circle One: Own / Rent / Other:___________________________________________________
Does your lease permit dogs? Circle One: Yes / No
Circle One: House/ Apartment/ Mobile Home/ Farm
Landlord’s Name: ____________________________ Phone:___________________
Circle One: Single/ Married /Divorced
How many children are there in the home and what ages?
_______________________________________________________________________
Occupation of Head of household: _____________________ Work No._____________
Occupation of Partner: _______________________________ Work No._____________
List others in the home that may have contact with the dog, and their relationship to you:
________________________________________________________________________
Why are you interested in obtaining one of our dogs?
________________________________________________________________________
What do you like about our dogs?
________________________________________________________________________
What do you NOT want in the pet that you get?
________________________________________________________________________
How many other pets do you have in the home? Dogs:______________ Cats:_________ Other:___________________________
Would you prefer: Male / Female Puppy / Adult Dog
Can you commit to caring for a pet for its lifetime? Circle One: Yes / No
Where will your dog stay during the day and how many hours will it be left alone? _______________________________________________________________________
Where will your dog stay during the night? ______________________________________________
Type of fence: __________________________ Fence height ___________
How much time will you spend with your dog on a typical day? ______________________________
What will you do with the dog when you go on vacation? __________________________________
If you have to move, what would you do with the dog? ____________________________________
Have you ever taken a puppy through puppy class? Circle One: Yes / No
Have you ever taken a dog through obedience class? Circle One: Yes / No
If obedience classes are recommended for the dog, will you attend? Yes / No
Your current Veterinarian: ________________________ Phone: __________________
Please add any information, facts or comments, which might aid in picking the right dog for
you:________________________________________________________________
List two personal references and phone numbers:
______________________________________________________________________
______________________________________________________________________
Directions ______________________________________________________________
_______________________________________________________________________
1. Am I ready to make a long-term commitment? Re-homing a pet means being responsible for it's health and happiness for the rest of his or her life, which could be up to 15 years for dogs.
2. Is the animal right for my household? A strong, active pet may be too much for a young child or elderly person to handle. Small pets may be too delicate for rough play with children. Always make sure that everyone in the household agrees to adopt an animal.
3. Who will be the primary caretaker for the animal? One adult in the home should be designated as the primary caretaker so that the pet's needs do not become lost in the shuffle of busy schedules.
4. Can I afford the animal? The cost of a pet is more than just the purchase price or re-homing fee; remember to include the cost of food, pet supplies, veterinarian bills and training.
5. Am I ready to commit to making this dog a good canine citizen? A well-trained dog is a pleasure and is welcome in public parks, on walks, and as a visitor. Research shows that people who take the time to train their dogs are more likely to keep them longer than people who don't.
Down East Animal Refuge Re-Homing Agreement
I agree to let DEAR call my veterinarian to verify the accuracy of the information given here. I also agree to permit DEAR to visit my home to verify the condition of the pet re-homed if the need should arise. Any information given that is found to be inaccurate (if the living conditions and the pet are not found to be satisfactory), DEAR has the right to take the pet back without a refund to the person receiving the animal. If the pet does not fit your family situation, DEAR should be informed first and be given the opportunity to take the pet back. If, after a trial period of no more than 2 wks. you wish to return the pet, you may do so and get a refund (less $25.00 for handling fees). If the trial period is over 2 wks, no refund will be given. It is the responsibility of the adopter to transport the pet back to DEAR. I understand that every attempt has been made to determine the health and disposition of the pet and it has been explained to me. No guarantee has been made by DEAR as the pet might have been exposed to canine or feline diseases that may now show symptoms for several weeks, and that behavioral problems can occur due to a new environment and treatment of the pet, as would be the case regardless of where I Re-Home or obtain a pet.
Re-Homing Party Signature:____________________________________Date:______________________________
MAIL TO: Claudia Harrell, Re-Homing Coordinator, Down East Animal Refuge P.O. Drawer 40 Scotland Neck, N.C. 27874 Phone: 252-826-2500
You can Email the completed application with signature as an image file to DEAR Re-Homing (mattsruby@aol.com)
DO NOT WRITE BELOW THIS LINE
Application received by: ______________________ Date: _______________
Application reviewed by: ___________________________________________
Date reviewed: __________________________
DEAR personnel making visit: ________________________________________________
Scheduled visit date: ________________
Site/Applicant Approved : ________ Yes ___________ No
Scheduled Animal Delivery Date: ______________________________
Re-homing Fee Paid on (date): _______________ Method (circle): Cash Check Money Order
Photo on file: ___ Yes ___ No
Medical records check complete: ____ Yes ___ No
Re-Homed Dogs Name____________________________
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