Dog Adoption Questionnaire

Welcome to Noah’s Ark Society’s adoption program. We request the following information so that we can assist you in the selection of a new dog. This form and a consultation with a Noah’s Ark Society representative are designed to help you find the dog most compatible with your lifestyle.

To be considered as an adopter you must:

• Be 21 years of age or older
• Have identification showing your current address
• Have the knowledge and consent of your landlord and/or Home Owner’s Association (if applicable)
• Be able and willing to spend the time necessary to provide proper care for the animal you wish to foster.

Completion of this **questionnaire does not guarantee adoption of a Noah’s Ark Society dog. Please print legibly and complete all three pages. Thank you!

IMPORTANT INFORMATION FOR ADOPTERS OF PIT BULL, AMERICAN BULL, AND STAFFORDSHIRE BULL TERRIERS:

• Our policy is to limit the # of bull terriers in any home to a maximum of 3
• Our minimum adoption age for bull terriers is 24
• We will verify Breed Specific Legislation (BSL) restrictions in your state/city/neighborhood/HOA/or Rental Agreement
• We are not permitted to adopt Bull Terriers to service men or women living on base housing due to breed specific legislation within the armed services.
• We reserve the right to charge a $25 non-refundable application fee and request a criminal background check for all adopters of Bull Terrier dogs.

We appreciate your understanding of the policies which we have put in place for the lifelong safety of the dogs in our care. We sincerely hope that society will begin to understand how wonderful Bull Terriers are, but until then we have to enforce these extra precautions for the safety of our dogs.

* Indicates Response Required
**Courtesy of Best Friends Animal Society.





























  • (Include age, sex, and breed.)
  • (Please check all that apply.)








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