My name is Poncho!

Fee $70.00 NEUTERED, VACCINES
small 10 lbs
potty pad trained 2 years old
Would love to be the only baby in the home.
I am loyal and very loving do not want to share my person
I want all the love!!!!!!
READ ALL INFORMATION BEFORE MAKING CONTACT.
Poncho neutered and vaccines you get vet records.
purebred merle Chihuahua 2 years old.
He is 10 lbs and very loving.
Read please important !!!!
Not a fan of small kids either SO THAT MEANS NO KIDS !!!!
Pailey is Not fond of cats and scared of many dogs. That means no other PETS !!!!
He wants to be only pet, he loves attention.
why is this dog like this because past
owner allowed kids to chase him and other dogs to pick on him.
he deserves a good life.
Please COPY PASTE and submit application to ngas@cox.net

Dog Adopt Questionnaire

Applicant Name: ___________________________________________Age___
Co-Applicant Name:________________________________________Age____
Address____________________________________City________State____
Zipcode______________ Phone: __________________________________
Email:__________________________________ Can we text you?_____
Name of companion you are interested in adopting with us ____________________
Are you willing to have a visit to your home before or after this adoption? _____
Do you and all persons in household agree that you have the time, patience and finances to commit to this companion for their lifetime?_________
Do you have hands on experience with the breed you want to adopt with us___
Current companions: Dogs, #___ Cats, #____ Is your cat Declawed_______
Pets Ages_______________________Breeds____________________Other pets______________
Are they Spayed / Neutered?_____ IF NO, Why?________________________________________
Are your pets Indoor__ Outdoor__ Both__ Pet door___ Garage____ kennel___ Other_______
Who is your current Veterinarian___________________________________Phone____________________________
Do you have a vehicle to take this pet to a veterinarian? Yes__ No___
What brand of pet food will you be giving this pet as a regular diet____________
How many hours each day will this pet be alone______________________________
Companion History: When did you last care for a companion? _______age of pet_____
Were they spayed/neutered ? ____Were they indoor or outdoor?_________ Kennel___
Where is this companion now?_________________________________________
Will this dog get too big for your home or children once they are fully grown?________
Crate Hours: Daytime ______________Night Time_________ Potty training only____
What type of fence do you have?_____________________No fenced yard______
Taking dog for walks to go potty________Will be potty pad training________
When will this dog go outside to play and get exercise ?________________________________
Does your home have stairs?______How many_______ Are pets allowed on furniture____
Have you considered chewing and jumping issues? ____Will you have time to bring to training?
Going Away on vacation, work trips etc.
Will you take companion with you ?___ Have a Petsitter ___Board ____Take to family ,friend, neighbor home_____ Friend ,family, neighbor, name and phone_______________________________________
List everyone living in your home or visiting on a regular basis, weekends etc.
Adults ages __________roommates______ children ages__________ grandchildren ages______________________ _____________________________________________
When you are not home where will this companion be _________________________
Are you In a House____ Apartment___ Condo___ Mobile Home___ Hotel___ Temp housing___
Buying __ Military Housing__ Living with someone ___ Month to Month ___Renting __
Can you provide written permission from your property manager allowing this type of breed or pet where you live now?___ Manager/Landlord name and Phone___________________________
Have you paid your pet deposit?_________ When is your lease up?________________________
If you move, are deployed, have a baby, have a family member move in ,Will you keep this pet?____
If you must give up this companion do you have family who can care for them?______________
If you are unable to care for this pet where will pet go? __________________________________
What would cause you to give up this companion?______________________________________

Applicant Employment _________________________ Phone________________ supervisor________________ How long at this employment ?______
Co-Applicant Employment ____________________Phone____________________
REFERENCES, Please list references, Pet sitter, Groomer, Neighbor, Friend, Co worker
1. Name_________________________________ Phone #(____)_________________

2. Name________________________________________ Phone #(____)_________________
By signing below I attest that I have Never been convicted of animal abuse, Animal cruelty,
Neglect or abandonment in the state of Virginia Or any other state or country.
I certify that I am 21 years of age.
Any untruthful answers or not meeting the requirements for this adoption can result in the forfeiture of the companion adopted by me?
I have read this Questionnaire and understand that applying does not ensure approval. Visiting a companion does not ensure Adoption.
Applicant Name Print_______________________________Date_____
Applicant Signature________________________________Date_____
Co-Applicant Name print____________________________________Date_______
Co-applicant Signature______________________________________Date_______