adoption application

ADOPTION APPLICATION

You Understand the Following REQUIREMENTS:

Fill it out as much as possible;
give us information that helps us know you are the right match;
Be 21 year's of age or older;
If adopting a Pit Bull or any Bully Breed Mix,
you must be at least 25;
Have identification showing your present address;
Have knowledge and written consent of your landlord;
Provide copy of rental agreement;
Be able and willing to spend the time and money necessary to provide medical treatment and proper care of your adopted animal;
Not able to cover vet expenses, consider insurance.

I have read REQUIREMENTS listed above and agree to the terms *

Name of the Dog You Want to Adopt? *

Do you want a male, female, or either *

What age dog do you prefer *

At adult stage, what size do you prefer *

Energy level preference *

Reason for Adopting *

Any specific dog behavior you cannot tolerate *

Puppies Under One Year Must Begin Basic Training within One Month of Adoption. Are you able to provide this for a new dog? *

TELL US ABOUT YOU

* Indicates required field

Name of Person Applying *

First

Last

Current Address: PO Box Not Acceptable *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Own or rent? *

Rent Own

How long at this current address? *

less than one year one to two year's two plus years

If less than two year's, provide addresses and contacts for the past five years. *

If you rent, provide the owner's name, address, and phone number. *

Employer's Name IF STAY AT HOME PERSON, LIST YOUR PARTNER'S PLACE OF EMPLOYMENT *

Employer's Address *

Employer's Phone Number *

PEOPLE IN YOUR HOME

How Many Adults in Your Home? *

Does Every Adult and Child Agree to a New Dog? *

List the full and complete name of each adult in home. *

How Many Children in Your Home and Their Ages *

ANIMALS IN YOUR HOME

List Animals Currently in Your Home *

Do you understand that bringing in a new dog, may introduce doggie cold viruses? *

If not current on vaccines, why not? *

If you already have dogs, why do you want another one? *

List Past Animals you have been physically and financially responsible for; where are they now? *

Either in the past or in the future, which services would you use to euthanize your pet? *

Has Every Person in the House Been Consulted and Does Everyone Agree to Adding a New Canine Companion? *

Dog or Human, We Get Left Alone! :) For How Many Hours Will Your Dog Be Left without Your Companionship? *

When you are gone to work, school, etc. where will the dog be kept? *

Will the dog be strictly inside, outside, or both? *

Who will be the Primary Caretaker? *

Vet Bills Can be Huge! If you cannot afford extensive vet bills, are you prepared to buy insurance? *

What type of yard do you have? *

How high is the fence? *

What type of material is used? *

10. Do you (or anyone in your household) have any special health conditions/limitations, allergies, or special needs that we should consider when finding you the right match? (Please explain.)* *

What will a typical day look like for your dog when not with you or other family members? *

What physical activities will you enjoy with your dog daily, weekends…. *

Describe a little more about the size, energy level, and temperament you want in your new dog *

Where will he sleep at night? *

Have you house trained before? What method did you use? IF not, what method will you use? *

Training is important for a long lasting, happy dog + human relationship! Share your training plans, or areas where you might need help. How much time are you willing to invest in training your dog? What are you plans for training (group class, private training, do it yourself)? Do you know what training methods you will be using? *

Under what circumstance would you NOT keep this pet? *

What provisions have you made or will make for this dog in the event of your illness or death *

CERTIFICATION WAIVER
By submitting this application, you agree that you have read it entirely and certify that, to the best of your knowledge, the information provided in this application is true and complete. You recognize that any misrepresentation of that information will result in losing the privilege to adopt a rescued dog from Karmic Connections Animal Rescue. And, you understand that Karmic Connections Animal Rescue has the right to deny my request to adopt a dog, and you authorize checking all information provided in this application.

I have read the Certificate Waiver Above and Agree to the Terms *

SUBMIT YOUR APPLICATION PLEASE

ADOPT YOUR NEW COMPANION