(Fields marked with an * are required fields.)

*Name:

Name of spouse/partner:

*Address:

*City:

*State: *Zip Code:

*Home Phone: *Cell Phone:

*Best time to call:

*E-mail:

Children (name and age of each):

Other adults or family members living your home (name and age):

Do you have grandchhildren who frequently visit?    Yes   No
If yes, please state their ages:

Please provide any special circumstances to be considered when selecting a dog for your family.

PREFERENCES

1. Why do you want a Newfoundland dog?
2. We seldome have a puppy available for adoption. What age are you looking to adopt?
   Under age 2   Adult 2 - 4 years   Adult 4 - 6 years
   Older dog   No preference
3. Do you prefer a male or a female?   Male   Female   No preference
4. Are you willing to adopt a dog with special medical needs?   Yes   No
5. Are you willing to adopt an abused dog who needs extra love and attention?   
   Yes    No
6. Are you will to adopt a dog with behavior problems who needs additional training?
   Yes    No
7. Potential adopters may have to wait many months before a newf is available that is a good match for their family. How long are you willing to wait?
8. Our foster dogs are fostered in the homes of OWNC club members throughout Texas. Are you willing to travel to meet a dog who may be a match for your home?   
   Yes    No
9. Please provide any additional preferences to be considered when selecting a dog for your family.
   

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CARE AND RESPONSIBILITY

1. Feeding, veterinary care, heartworm medication, flea/tick preventative, and grooming for a Newf may cost more than $1,000 a year. Are you prepared to allot this much of your household budget for the care of a dog?    Yes    No
2. Newfoundland dogs have long, thick coats and shed very heavily. Are you willing to spend the time needed for grooming or provide professional grooming?   
   Yes    No
3. Will you provide exercise and basic obedience training to assure a well-mannered dog?    Yes    No

HOME ENVIRONMENT

1. Is everyone in your family agreeable to owning a Newfoundland dog?  
   Yes   No
2. Do you own your home?   Yes   No
   If not, is your landlord agreeable to your owning a Newfoundland dog?
   Yes   No
   Please provide the name and phone number for us to contact for verification.

3. Do you have a fenced yard?   Yes   No
   If no, describe how you will provide exercise and toileting.
   
4. Is someone usually at home during the day?   Yes   No
5. How many hours a day will the dog be alone during a normal weekday?
6. Where will the dog stay when no one is home?
7. Where will the dog sleep at night?
   
8. Where will the dog stay when the family is on vacation or out-of-town?

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PET OWNERSHIP AND HISTORY

1. Do you currently own one or more cats?    Yes   No
   If yes, how many?   
   
2. Please list the dogs you own at this time.
   Breed:   Age:       Male Female
   Spayed/Neutered?    Yes   No
   Breed:   Age:       Male Female
   Spayed/Neutered?     Yes   No
   Breed:   Age:       Male Female
   Spayed/Neutered?     Yes   No
   
3. Do you have any other pets?    Yes   No
   If yes, details:
4. Tell us about other pets you have owned in the past and why you no longer have them.

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REFERENCES AND HOME VISIT

A home visit is conducted and references are checked as part of the adoption process. If possible, please provide a reference that has knowledge of your current pets or pets you have owned in the past. References must be provided when submitting the application.

1. Name:
   Phone number:
   Relationship to applicant:
2. Name:
   Phone number:
   Relationship to applicant:
   
3. Veterinarian:
   Phone number:

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