Home
About Beagles
About Us
Board of Directors
About our Foster Care
About our Adoptions
Owner Assisted Placement
Sign Up
Blog
Testimonials
Our Dogs
Available
Adopted
Forms
Adopt
Foster
Owner Assisted Placement
Events
2016 Gallery
E-Newsletters
Feb 2016
June 2016
Spring 2017
Winter 2017
Photos with Santa
Spring/2018
Spring/2019
Newsletters
Fall 2017 Newsletter
Volunteer
Donation
Supporting Businesses
Contact Us
Adopt
North Bay Beagles Adoption Application
Contact Information
Name of Dog
*
Name
*
First
Last
Occupation
Address
How Long at this address
Daytime Phone
Evening Phone
Best Time to Call
:
HH
MM
AM
PM
Email Address
*
Family & Housing
How many adults are there in your family (their relationship to you)?
How many children (ages)?
What type of home do you live in single family, town home, apartment, farm, etc.?
Please describe your household
Active
Noisy
Quiet
Average
If you rent, please give the rules governing pets and the landlord’s name and number:
By providing this information you are allowing NBBeagles to contact your landlord. Please inform them of this call so they will speak with us
Does anyone in the family have a known allergy to dogs?
Is everyone in agreement with the decision to adopt a dog?
Do you have time to provide adequate love and attention?
What other pets do you have (specify type and number)?
Are these pets up to date on vaccines?
Are these pets spayed/neutered? If not.why?
Have you every surrendered a pet? If so, why?
Have you ever had a pet euthanized? If so, why?
Have you ever lost a pet to an accident?
How do you discipline your pets and why?
Do you have a regular veterinarian?
Yes
No
Veterinarian’s name:
First
Last
Clinic Name:
Clinic Address:
Clinic Phone:
(Providing NBBeagles with this information you are allowing NBBeagles to call your vet. Please call your vet and ask them to authorize the release of information to NBBeagles.)
About the Dog You Wish to Adopt
Where will the dog spend the day? (describe)
Where will the dog spend the night? (describe)
Number of hours (average) dog will spend alone?
Who will have primary responsibility for this dog's daily care?
Who will have financial responsibility for this dog?
Do you agree to provide regular health care by a Licensed Veterinarian?
Yes
No
Do you agree to keep the dog as an indoor dog?
Yes
No
When the dog goes out, how do you plan to supervise it? Fenced yard?
Do you agree to contact NBBeagles if you can no longer keep this dog?
Yes
No
Are you be willing to let a representative of NBBeagles visit your home by appointment?
Yes
No
How did you hear about NBBeagles?
Would you be interested in fostering?
Yes
No
Would like to know more
Personal Reference:
By providing this information you are permitting us to call your reference.
Name
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darrussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
US Minor Outlying Islands
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country
Phone
Relationship (relative, neighbor, friend, etc.):
All of the information I have given is true and complete. This dog will reside in my home as a pet. I will provide it with quality dog food, plenty of fresh water, indoor shelter, affection, annual physical examination and vaccinations under the supervision of a licensed Veterinarian. By submitting this form you are agreeing to the above.
Date
Date Format: MM slash DD slash YYYY
Please type name