Adoption Form

I would like to *

Adopt
Foster

Are you 18 years of age or older? *

Name *

First

Last

Occupation *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone *

Email *

Please confirm email *

Do you live in a house, apartment/condo, or townhouse? *

House
Apartment/Condo
Townhouse

Do you rent or own your home? *

Rent
Own

Do you have a securely fenced yard? *

Yes, my yard is fenced in.
No, my yard is not fenced.

Please briefly describe your fence/yard area. *

Which NMDR dog are you interested in? *

Please enter the dog's name you are interested in, or N/A

What breed, size, and gender of dog are you interested in? *

The next step in the process is submitting photos of your outside area. Are you able to send photos of your yard or pottying/exercise area? *

Please list the last 3 breeds of dogs you have owned. *

Please list all current animals including age, breed, gender, spayed/neutered, and if they live inside or outside: *

Please list the names and ages of all humans who reside in the home: *

What amount of time will your dog(s) be left alone every day? *

Where will they stay while you are gone? *

How would you describe your lifestyle? *

How will you exercise your dog(s)? *

Will you consider a dog with special medical or behavior needs? *

Is there anything else you’d like to tell us to help us find the perfect dog for you? *

How did you hear about National Mill Dog Rescue? *

The applicant understands that while the applicant may be approved, final adoptions are not approved for a specific dog until all parties have met the dog and agree that it is a great fit for the adopters and the dog. The applicant is willing and able to provide photos of their home, yard, and fence if requested. *

I opt-in to receive email communications for NMDR with an option to opt-out anytime. *

Thank you so much for your interest in our organization and our dogs! We can't wait to help you find your new family member!

Please note, all fields must be completed before hitting SUBMIT.

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