Newfoundland Rescue Application
GENESEE REGION NEWFOUNDLAND CLUB
NEWFOUNDLAND RESCUE COMMITTEE
    	

ADOPTION APPLICATION FORM

Your Name:__________________________________________ Phone________________
Address

You have expressed an interest in acquiring a Newfoundland dog which will be placed by the Genesee Region Newfoundland Club (GRNC) Rescue Committee according to the conditions set forth in the Criteria for Newf Placement. Please answer the following questions and return this application form to:

Sue Auger
1239 Hunters Run
Victor,NY   14564

email denalinewf@juno.com
(585)924-4506

Why do you want a Newfoundland dog?




What place will this dog have in your family's lifestyle?




Who will have primary care, training, and grooming of this dog?



Do you currently have a fenced yard? YES or NO (If no, are you willing to fence an area for the dog's safety and security?) YES or NO



Have you ever owned a Newfoundland or any other large breed of dog? YES 
  or NO



Do you currently have another dog(s)? (If yes, what breed, sex, neutered/spayed?)



How many people live in your household? ______ Children and their ages?


Do you have other pets? What kind and how many?



Do you prefer a male or female? (choose one of the following) 

MALE 
FEMALE
No Preference 


I certify that I have read and understand the Criteria for Newf Placement and agree to the conditions for placement. I further understand that any misrepresentation on my part will be sufficient grounds for refusal of this application.

Signature:___________________________________________________ 

Date:_____________________

Your application will place you on the active list for consideration 
when a Newf becomes available for adoption.