Before completing this application, please note that we require an adoption donation that ranges from $200 to $375. Our adoption donations cover the cost of rescuing canines from high kills shelters, including transportation, veterinary costs, feeding, supplies etc which are required to take care of our rescued animals. We are a 501 (c) (3) non-profit organization. Please realize that dogs need vet care throughout their lives, including yearly boosters, heartworm and flea/tick preventive meds, etc. Please consider all associated costs prior to completing an application for adoption. Please note, we cannot accept applications from individuals under 21 years of age. If the applicant is living with someone that owns the home, we request that the homeowner completes the application.

Please complete all sections of this application. Failure to do so may result in an automatic declination of the adoption application.

Name of Animal you are interested in adopting:


1. If the particular animal you are applying for were not available, would you consider another pet from us?
Yes No

If yes, please indicate name or breed interested in:


2. Is everyone in your household in agreement with adopting a pet?
Yes No

3. Applicant's Full Name: * required field


4. Spouse/Co-Applicant's Full Name:


5. Applicant's Email Address: * required field


     Re-enter Email Address: * required field
    

6. Applicant's Home Address:


7. Contact Numbers:
     Home:
    

     Work:
    

     Cell:
    

8. Applicant's Occupation:


9. Spouse/Co-Applicant’s Occupation:


10. Please list place of employment for yourself and your spouse, if applicable:
     Applicant - Name and Address of Employer:
    
     Spouse/Co-Applicant - Name and Address of Employer:
    

11. Do you own or rent? Residence:
Own Rent

If you rent, you must provide your landlord's contact information so that we may verify that you are allowed a pet:
    

12. What type of housing?
Apartment House Condo Townhouse Trailer

     Other: Please specify:
    

13. Do you have a yard and is it completely fenced?
Yes No

     If yes, what type of fencing?
    

     If no, how do you plan on exercising your pet?
    


14. Do you have children?
Yes No

     If yes, please list names and ages of all children:
    

15. Are there any other individuals living at your residence?
Yes No

     If yes, please list name, age and relationship to applicant:
    

16. Does anyone in your house have any allergies/asthma?
Yes No

     If yes, please explain:
    

17. Do you have current pets?
Yes No

     If yes, please list all current pets in household:
     Name, Sex, Breed, Age, Altered?
    

18. Have you had pets in the past? If so, how long have you owned and what is the reason for no longer owning?


19. How many hours per day will the pet be left alone?


20. What provisions will be made for your pet when you go on vacation?


21. Where will you keep this pet (indoors/outdoors)? Please specify details?


22. Would you leave a pet unattended in your yard when you are not home?
Yes No

23. How long have you been looking for a pet?


24. How did you hear about CODAR?


25. Where have you looked for a pet prior to contacting CODAR?


26. Are you planning to change residence in the near future?
Yes No

     If yes, please specify details:
    


27. Do you understand all pets adopted from CODAR will have to be or have already been spay or neutered?
Yes No

28. Will you assume all financial responsibilities for the dog you adopt including inoculations, regular veterinary care, licensing, ID Tag and supplies required to care for the dog such as crate, leash, collars, dog bed, etc?
Yes No

Veterinary References:

Vet records are under the name of:


Vet Name:


Vet Address:


Vet Phone Number:


Personal References:

Please provide the name and contact info for two personal references (May include, friends, co-workers, neighbors, etc.)  Please note relatives cannot be used as a reference.

Reference #1:

Reference Name:


Relationship to applicant:


Phone number of reference:


E-mail address of reference:


Reference #2:
Reference Name:


Relationship to applicant:


Phone number of reference:


E-mail address of reference:


By signing below or submitting application online for pet adoption, I further certify that the information I have provided on this form is true and accurate.

I understand and agree that falsification of any of the above information is grounds to disqualify my adoption application and nullify all adoption(s) and/or adoption agreements between the applicant and Codar.  I certify that I am over 21 years of age.

Please add castleofdreamsar@yahoo.com to your safe list so you are able to receive communications from us.  Some e-mail services may block as spam.

Signature: By typing my name in the field, I am confirming that all information that I have provided is true and accurate.

Security test. Please identify the pictures:
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