NECPV Adoption Application

The answers you give on this application will help us to determine the Norwegian Elkhound best suited to your home and lifestyle, and be assured that it is placed in an environment that is compatible with its needs. Please read the adjacent article “A Safe Environment” and return the completed form to the address given at the end.

Name __________________________E-mail address_______________

Address__________________________________________________

City/State/Zip__________________________________________________

Phone Number (home) ______________ (work) _________________

What pets have you owned?__________________________________

Have you ever owned a Norwegian Elkhound? Yes ___ No ___

Have you owned other breeds of dog? Yes ___ No ___

What breeds?_______________________________________

When did you own these dogs, and what happened to them?____________________________________________

What you are looking for in your rescue Elkhound?_____________________________________________

Why do you want to adopt an Elkhound?_____________________________

Do you want to adopt a: Male ___ Female ___ No strong preference (either M/F ok) ___

Age preference: Under 1 year ___ 1-3 years___ Over 3 - under 8 years ___ 8 and over ___

Do you want to adopt a specific dog from Rescue?______
     If yes, what is the dog's name?___________________________

Temperament preferences (check as many as apply): Very outgoing ___ Reserved, laid-back ___ Barks at most noises ___ Quiet ___ Independent (can occupy itself with toys) ___ More interactive with people ____ Likes to give kisses ___ Doesn't give kisses ___ Other _____________________

Activity level preference: Low ___ Medium ___ High ___

Will you consider adopting a rescue that requires training for any of the following (check as many as apply): Housebreaking ___ Barking ___ Chewing ___ Jumping Fences ____ Running away off-leash ___ Pulling while walking on a leash ___ Crate-training___ Digging ___ Socialization (is fearful with strangers) ___ Other misc. problems ___

How soon would you like to adopt? within next month ___ anytime ___ other _______

Please describe your family and home:

Do you have children? Yes ___ No ___ If yes, what are their ages? ____________

Do you have other pets? Yes ___ No ___

If yes, what kinds of pets? Dogs ___ Cats ___ Birds___ Other (please describe)_________________________________

How many of each kind of pet? ______________________________

What are their ages?____________________________

Where do you live? House ___ Apartment ___ Condo ___ Mobile Home ___
Other (please describe) _________________________________________

Do you have a fenced yard? Yes ___ No ___

If yes, how high is it? under 4ft ___ 4ft ___ 5ft ___ 6ft ___

What kind of fence? Stockade ___ Chain-link ___ Split-rail ___ Kennel run ___ Other (please describe) ___________________________________________

If you don't have a fence, when and how will you exercise this dog?____________________ _________________________________________________

Where will the rescue stay during the day? In yard ___ In basement/porch ___ Inside ___

Where will the rescue stay at night? In yard ___ In basement/porch ___ Inside ___

How many hours a day will the dog be left alone? Under 4 hrs ___ 4 - 9 hrs ___ 9+ hrs ___

Who will take care of the dog? (Names of family members) ____________________

Where will the dog stay when you go on vacation? Boarded ___ At home (pet sitter) ___ With relatives ___ With friends ___ Other (please describe) ______________________

Vet's Name: ______________________________
Vet's Address:__________________________________________________________
Vet's Phone Number:______________________________

Previous Vet's Name: ______________________________
Previous Vet's Address:__________________________________________________________
Previous Vet's Phone Number:______________________________

Other information you would like to provide: _________________________________ ________________________________________________________________

All of the information I have given above is true and complete. If I/we adopt a dog, it will reside in my home as a pet. I will provide it with adequate food, water, shelter, training, affection, and medical care. All Norwegian Elkhound Rescue dogs are checked by a veterinarian, and observed for temperament, however I understand that it is my responsibility to see and evaluate the dog for myself before agreeing to adopt it. I am in full agreement with these terms of adopting. Nor- wegian Elkhound Rescue is in no way liable or responsible for any damages, accidents, or injury resulting from a placement of a dog into my household. Applicant’s signature (s) ________________________________________________

Parent sign if under 18 years __________________________________

Date___________________

Please e-mail this form to: Elkiehelp@gmail.com or mail it to: Pat Jarvis, P. O. Box 25, Spencerville, MD 20868. Email Elkiehelp@gmail.com if you have questions.