Adoption Application

Agreements and References

Have you considered the extra expenses that come with a new pet?*

Including but not limited to vet care, food, supplies and equipment (crates), toys, training and boarding? Please explain:

Are you prepared to take this pet for a complete veterinary exam within one week of adoption, and to provide any and all necessary medical treatment at your own expense?*

Yes
No

Do you understand that while our animals have recieved age appropriate vetting prior to adoption they may have underlying health issues that we aren't aware of?*

Yes
No

Do you agree to have this pet spayed or neutered by a licensed veterinarian on or before a specified date?*

Yes
No

Do you understand that having a cat de-clawed that is adopted from MDAR is prohibited?*

Yes
No

Are you willing and able to provide any medical and other care needed during this pet's life, including preventative vaccinations, grooming, etc.?*

Yes
No

Do you currently have a veterinarian?*

Yes
No
I don't currently have any pets

Your current veterinarian

Veterinarian's Phone

Have you ever surrendered an animal to a shelter, humane society or pound?*

Yes
No

Do you undersetand that you will be sharing your life with a pet who is totally dependent upon you for food, shelter, health and veterinary care?*

Yes
No

Are you willing and able to make this life-long commitment to a pet as a family member?*

Yes
No

References

We require a MINIMUM of two personal references. Please provide 1-2 additional references in case the first two references cannot be contacted. Please include name, address, phone number and how you know this person. We will require one non-family member as a reference

Reference 1: Please include name, address, phone number and how you know this person.*

Reference 2: Please include name, address, phone number and how you know this person.*

Reference 3: Please include name, address, phone number and how you know this person.

Reference 4: Please include name, address, phone number and how you know this person.

Are you aware of the adoption fee and that it is non refundable?*

Yes
No

Are you familiar with your local animal control laws?*

Yes
No

You understand that visiting the shelter to view the animal you are interested in is required prior to adopting. If you have other pets, a meet and greet will also be required prior to adoption.*

I certify that the information given on this application is true and accurate to the best of my knowledge. I understand that providing any false information can be cause for denial of my application or future forfeiture of the adopted pet. Leaving any questions blank or not filling out this form completely can be cause for the application to be discarded or denied. YOU MUST SUBMIT APPLICATION! IF YOU DO NOT RECEIVE A CONFIRMATION EMAIL PLEASE CALL US AT 701-577-7387*

Use your mouse to write your signature. If you're on a tablet or phone, you can use your finger or a stylus.

Disclosure*

Submission of this application does not guarantee that you will receive this animal. MDAR is not a first come, first serve adoption facility. Often times several applications are submitted for the same animal currently up for adoption. * You will hear back within 10 days, or please assume your application was not selected for this particular animal. This does not mean your application was denied for any future adoption possibility.

Step 1 of 4

Your Information

Household information

Pet-Related Information

Agreements and References

References