Adoption Application

Please read our Disclaimer before filling out this application.

Before completing this application, please note that we require a non-refundable adoption donation that ranges from $200 to $400. (Click Here for more information about the adoption donation cost.) Our adoption donations cover the cost of rescuing canines from high kills shelters, including transportation, veterinary costs, feeding, supplies etc which are required to take care of our rescued animals. We are a 501 (c) (3) non-profit organization. Please realize that dogs need vet care throughout their lives, including yearly boosters, heartworm and flea/tick preventive meds, etc. Please consider all associated costs prior to completing an application for adoption. Please note, we cannot accept applications from individuals under 21 years of age. If the applicant is living with someone that owns the home, we request that the homeowner completes the application.

Please complete all sections of this application. Failure to do so may result in an automatic declination of the adoption application. A * indicates a required field.
By checking this box, I acknowledge that there is a non-refundable adoption fee of $200 to $400.
If you rent, you will need to provide a copy of your lease agreement specifying that pets are permitted.

Pet History

Vet Reference

Please provide the contact information for your veterinarian. If you are a first time pet owner, please list the vet you plan on using.

Personal References

Please provide names for two personal references, co-workers, friends or neighbors. Relatives CAN NOT be listed as a personal reference.

Signature

By signing below or submitting application online for pet adoption, I further certify that the information I have provided on this form is true and accurate.

I understand and agree that falsification of any of the above information is grounds to disqualify my adoption application and nullify all adoption(s) and/or adoption agreements between the applicant and CODAR. I certify that I am over 21 years of age.

Please add codarnj@gmail.com to your safe list so you are able to receive communications from us. Some e-mail services may block as spam.
By typing my name in the field, I am confirming that all information that I have provided is true and accurate.

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