In order for this form to submit properly, you MUST answer the 8 REQUIRED questions, designated by the asterisk (*).
Please answer ALL of the following questions in order for NoVa to properly process your application.
Please answer ALL of the following questions regarding your home:
Please answer ALL of the following questions regarding the environment for your new adoptive pet:
Please describe where and how the dog will live on a typical day:
Please answer ALL of the following questions regarding your personal pet experiences:
We will attempt to provide you with an honest evaluation of temperment on any dog we adopt to you. Do you realize that often times a complete history of a Rottweiler may not be known and you may encounter some behavioral problems?
How did you hear about Northern Virginia Rottweiler Rescue?
Please list the names of your current Veterinarian(s), the name of animal hospitals you have used, their address and phone numbers (if you have changed Vets in the last year, please also list the previous Vet):
Are you willing to sign a legal adoption contract?
PLEASE BE ADVISED THAT SIGNING A LEGAL ADOPTION CONTRACT MEANS THAT YOU ARE OBLIGATED TO ALL THE TERMS OF THE CONTRACT OR THE DOG MUST BE RETURNED TO NOVA ROTTWEILER RESCUE, OR THE DOG WILL BE REDEEMED THROUGH A CLAIM AND DELIVERY SERVICE.
Please list three (NON-RELATIVE) references including their name, address, and telephone number:
1. Name: Phone:
2. Name: Phone:
3. Name: Phone:
I certify that the above information is true and I understand that prior to being approved for adoption, the above information will be verified. In all cases, a home visit will be required. I also agree to a personal interview with a member of NoVa Rottweiler Rescue, if required, to determine the suitability of my home to care for a canine. 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 appliant and NoVa Rottweiler Rescue. I understand my electronic signature is legal and binding. I authorize NVRRL to obtain any information needed from all above references.
Please type your electronic signature here:
Please review your answers. When you are ready to send your application to NoVa Rottweiler Rescue, please hit the SUBMIT button below. Thank you for taking the time to apply for our beautiful dogs!