North Bay Canine Rescue and Placement 
P.O. Box 4522, Petaluma, CA 94955-4522

Remember our Number:
(707) 776-6855
Call for free and leave a message via Google Voice


If you prefer, you may print out the Adoption Application and snail-mail to the

    THANK YOU!!!


Adoption Application

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| Spay/Neuter | Success Stories | Surrendering/Last Resort |Volunteer Application

   Click here and you too can help us save a dogs life

In order for us to assist you in your adoption efforts, and so that we may readily contact you, please provide the following information to the fullest extent possible.

      Careful. . . 
if you hit the "enter" key, your form will be sent.  To move from box to box, 
either use the "tab" key or mouse click inside the boxes.

General Information: 



State:   Zip:
Home phone:        
Work Phone:
Best Contact: 
Best Time for phone calls:  
Qualities You Want in a Dog:

To make multiple selections:
Window & Linux users: hold your CTRL key while selecting
Mac users : hold your command key while selecting



If other, state preferred breed:

Energy level:




Flexible, but no smaller than lbs.
no larger than lbs




Activities & Training:


Activities you plan for your dog:

Do you plan to take the dog to obedience training


If not, how do you plan to train the dog

What are your reasons for wanting a dog

Use 3 words to describe your ideal dog:


Your Home and Family Life & What You Have to Offer a dog:

Where will the dog spend the day?

Describe the area:

How many hours will the dog spend alone?

What will be the dog's sleeping area?

Describe the sleeping area:

The house you live in:


How long have you lived there?

If renting: do you have permission from your landlord to keep pets? 

Can NBCR&P contact your landlord?


If no, why, not ?

Is your yard fenced? 

If yes: fence height at lowest point (in footage)

If you have to move, what will happen to the dog?

If you go on a vacation, what arrangements do you make for the dog?

Pet history:

How many dogs have you owned in the last 5 years?

None, I'm a first time adopter

If you have cats, how many?     Are they familiar with dogs?

How many dogs are living with you now?

Please describe breed, temperament, gender,  altered and age:

Other pets:

Dogs no longer with you:

Be specific, please state amount of time owned, breed/size, reason dog no longer is with you & circumstances:

People in your house:

How many children:     Ages and sex:

Adult males:        Ages:

Adult females:     Ages:

Do the children have experience caring for a dog? What is their attitude towards dogs?

Home atmosphere:


Where did you hear of North Bay Canine Rescue & Placement?

Is there a particular dog or dogs on the Web site that you are interest in?

By submitting this form, I acknowledge that I am aware of the expenses involved in owning a pet, such as vet, license fees, vaccines, boarding, toys, flea and heartworm control medication, etc., which can be very high. All of the information I have given above is true and complete to the best of my knowledge.