NGAA

Dog Adoption Application

Welcome to North Georgia Animal Alliance (NGAA) Adoption Program. Pet ownership is a major responsibility with a life-long commitment to the adopted pet. The questions on this application are not intended as an invasion of privacy; it is information used for NGAA only in determining a good fit between our adoptable pet and the Adoptor. The information is not disseminated to any other individuals, groups or agencies. NGAA reserves the right to deny a pet adoption for any reason. To be considered for pet adoption, you must: 1. Be 18 years of age or older. 2. Have the knowledge and consent of your landlord (if applicable) 3. Have ID showing your age and present address. 4. Be willing to spend the time and money necessary to provide medical treatment and proper care of the pet during its life.

Dog’s name *
First Name *
Middle Name *
Last Name *
Date of birth *
Street Address *
Apartment number
City *
State *
Zip code *
Email address *
Telephone *
Work telephone
Driver’s License State *
Driver’s License number *
Driver’s License Expiration Date *
Employer and position *
Employer’s address
Length of employment
How long have you lived at your address *
What’s your living status? *
If renting, does landlord allow pets?
Landlord’s Name and Phone # *
Type of housing where you live *
Are you willing to have a home check? *
Do all residents in the home know about and want the dog? *
If not, explain:
Do any family members have a dog allergy? *
How many hours will the dog be alone? *
Lifestyle in the home *
How many kids are in the home? *
What are the ages of the kids that will be in the home?
Why do you want to adopt this dog? *
Do you have a fenced in yard? *
If yes, does it have a shelter in it?
Where will this dog live regularly? *
If both outdoor and indoor then how long will the dog be outside?
How will you keep the dog confined to your property? *
Are you willing to work with the dog if not fully potty trained? *
Have you ever crate trained a dog? *
Will you keep a collar with updated information on the dog at all times? *
Will you get the dog microchipped and keep the information updated? *
Do you plan to use flea and tick prevention? *
Do you know what Heartworms are and plan to use Heartworm prevention? *
Do you have a plan if you are no longer able to take care of your dog? *
Who will take care of the dog while you are on vacation? *
If you move, will you take your dog with you? *
Are you prepared to commit to take care of this dog for its entire life which could be 10-15 years? *
Have you ever surrendered a pet to an Animal Control/Humane Society/Rescue before? *
If yes, explain the circumstances
Have you ever give a pet away because things didn’t work out? *
If yes explain circumstances
Do you agree to return the dog to NGAA if you need to rehome him/her? *
How many animals are currently in the home? *
List all the pets in the home, breed, sex and if altered *
List all the pets you have had in the last 10 years and why you no longer have them *
Do you have a veterinarian? *
If yes list name and address
List the names, phone numbers and addresses of 2 references that don’t live with you *
Signature *
Date *

If a NGAA or store staff member (where pets are available for adoption) have any questions or concerns, then NGAA retains the right to reject the application outright or to do additional follow-up and/or home checks prior to adoption. If after an approved adoption, you are unable to keep the pet, for any reason at any time, you must return the pet to NGAA. To return a pet, you must call NGAA at 706-937-2287 and leave a message. A NGAA representative will call to make arrangements to return the pet to the organization. A pet cannot be returned to the store where it was adopted unless you have first called NGAA to make arrangements for the return. All of the pet’s medical documentation must be returned with the pet. Refunds are not issued for the return of a pet. NGAA, PO Box 5484, Ft. Oglethorpe, GA 30742 * Phone 706-937-2287 (leave msg) Email: ngaa.animals@gmail.com Website: northgeorgiaanimalalliance.org