COHPBR Adoption Application

COHPBR Adoption Application

Please Note: We prefer local adopters within 350 miles of Raleigh NC 27614, We make exceptions on a case by case basis. PLEASE CHECK WITH YOUR LANDLORD, YOUR HOMEOWNERS INSURANCE, AND HOME OWNERS ASSOCIATION PRIOR TO FILLING OUT OUR ADOPTION APPLICATION. THERE IS NOTHING MORE HEARTBREAKING THEN ADOPTING A ANIMAL ONLY TO BE FORCED TO GIVE THE ANIMAL BACK DUE TO RESTRICTIONS. (STATE FARM) IS A FABULOUS INSURANCE COMPANY THAT COVERS ALL BREEDS.COHPBR WILL DENY ADOPTIONS WHEN APPLICATIONS ARE MISSING IMPORTANT INFORMATION PLEASE ANSWER ALL QUESTIONS IF YOU HAVE QUESTIONS PLEASE EMAIL US.
Today's Date

MonthDayYear
What is the name of the dog you are interested in? Please say Any if you do not have a prefrence.
Full Name

First NameLast Name
Birth Date

MonthDayYear
E-mail
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Are you a HOME OWNER?
Are you renting or do you have HOA
If you have Home Owners Association Rules and Restrictions Have you checked to ensure that there are NO BREED RESTRICTIONS OR WEIGHT RESTRICTIONS
Landlord's Name

First NameLast Name
Landlord's Phone

Area CodePhone Number
OCCUPATION
Employers Phone Number

Area CodePhone Number
Who will be the primary caretaker of this dog?
Do you have children please list ages of your children.
What level of supervision will the children have when with the dog?
Do you have pets now? Please tell us about the pets you currently own. Include the type, age, breed, and if they are spayed/neutered. How did you acquire them?Dominant? Submissive? Playful? Lazy?
Please tell us about other pets you have owned. For each pet, please include the following information: breed, age, length of ownership, how ownership ended. If the animal passed away, please include the cause of passing. If the animal was rehomed, please provide details.
Are you familiar with prevenative care for fleas/ticks intestinal parasites. and heartworms? Are you willing to pay for monthly prevenative costs?
Where will the dog be kept when you are home?
How many hours per day will the dog be left alone?
If you have other pets, how will they be managed when unsupervised?
How much do you plan on spending per month on the dog for health care prevenative, food, and toys?
Where will the dog stay when you are not home and the dog is alone.
If you have a fenced yard, please describe your fence. How high is it?What type of material? Wood? Chain Link?
Where will the dog sleep at night?
Personality you are seeking
What behaviors and Training are you ok with?
Have you looked into a local obedience class? What company are you considering?
Many dogs experience a transition period when brought into a new home. Some behavioral issues may arise while they are adjusting to their new home. Are there any behaviors that you are not willing to work with?
Under what circumstances would you not be able to keep your dog?
Do you currently have a veterinarian? If yes, please list the practice, Veterinarian's name, and phone number:
What you will you do if the veterinary care goes over your budget?
Has everyone in your family been included in the decision to adopt a dog?
Is there anything else you would like us to know about you?
How did you hear about us?
Adoption Agreement
By checking each box, you agree to the adoption terms set forth by COHPBR.
Should be Empty:

COHPBR Adoption Application

Adoption Agreement