Adoption Application

HOW TO ADOPT

Adoption Process

Please fill out the adoption/agreement form below if you are interested in adopting an animal.
If you have any questions, please email us at krwbinfo1@gmail.com

Adoption Form
Please fill out the adoption form below to the best of your ability, including the Adoption Terms and Agreement section at the end, and click "SUBMIT" when you are finished.

TODAY'S DATE? *

Are you interested in a specific dog? If so which one? Will you consider another? *

* Indicates required field

Name *

First

Last

Occupation *

Current Address: PO Box Not Acceptable *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number Required NO WORK NO. *

Email address of applicant *

Do you live in an RV, mobile home, apartment, townhouse, house, condo, rent a room? *

If you rent, please give the landlord's phone number and full name. *

How long at this address? *

PEOPLE IN YOUR HOME

Names and phone numbers of adults in home. *

Are all adults 100% in agreement to adopt "a" dog? *

Are there children in your home? If so, how many and ages? *

ALL ABOUT YOU AND THE DOG :)

How will this dog fit into your activities? Do you like to hike, run, swim... or maybe you're more of a homebody. The more information the better. *

How do you discipline a pet, your pets and why? Give examples, don't just say 'positive discipline.' *

How will you "socialize" or introduce a new dog to sights, sounds, smells, places, other dogs, people, etc? *

Desired Age *

Desired Size *

Desired Sex *

Are you willing to adopt an outgoing, high energy dog? *

Are you willing to adopt a shy or fearful dog? *

Are you willing to adopt a dog that needs training? *

If you are not able to daily walk a dog, are you willing and able to pay a dog walker? *

Any additional comments you want to add? *

PAST AND CURRENT PETS

LIST PAST PETS: name, species, breed, and where are they now? *

LIST CURRENT PETS: name, species, breed, age. *

REFERENCES

Please list 2 references who are familiar with you and your pet(s) if you have any. List their phone number, email address, and relationship. *

LET US HELP YOU FIND THE RIGHT MATCH.

Are you a student, part-time, or full-time worker? How long will the dog be left alone during the day/evening? Where specifically do you want the dog to stay at these times? (free-roaming, crate, back yard, etc.) *

YARD OR PATIO: describe fenced, unfenced, material used, height of wall or fence. *

ADOPTION TERMS & AGREEMENT: Before you take home a new furry friend it is very important that we know that he/she will be loved and cared for for the rest of his/her life. In consideration for adopting from Karmic Rescue, please read and check each of the following terms below.

TERM 1:
I agree to accept and consider the dog as a household companion, not as an outside pet, and to provide him/her with humane care and treatment, including proper food, water, shelter, and exercise, and to give him/her a reasonable amount of time to adjust to new surroundings.

TERM 2:
I agree to provide proper medical/veterinary care, including yearly checkups, vaccinations, and heartworm prevention medicine, as well as veterinary care for unusual symptoms such as loss of appetite, coughing, vomiting, diarrhea, blood in urine/stool, allergies, skin conditions, and lethargy.

TERM 3:
I agree to safeguard the dog from loss or mishap.

TERM 4:
I agree to contact Karmic Rescue if I can no longer keep the animal.

TERM 5:
I agree to immediately notify Karmic Rescue or a local shelter/organization if the dog is lost, and to make every reasonable effort to recover the animal.

TERM 6:
I agree to NOT give or sell the dog to another person, relative, rescue group, humane association, shelter, pound, any medical or experimental laboratory, or similar organization.

TERM 7:
I agree to if it needed to pursue either professional training and/or behavior assessment.

TERM 8:
I agree to NOT change or alter the dog's appearance in any way, shape or form (e.g. cropping, docking).

TERM 9:
I agree to immediately notify Karmic Rescue of any change of address or telephone number within the first year following the submission of this contract, and of any change in circumstances which may prevent me from keeping the animal or to comply with any of the terms of this contract.

TERM 10:
I understand that no representations are made as to the temperamental or mental disposition of the animal. Accordingly, I hereby adopt the animal at my own risk.

TERM 11:
I agree to have the animal examined by a licensed veterinarian within ten days of adoption. I understand that the animal has been checked, spayed, and vaccinated by a licensed veterinarian and that his/her state of health is accurately represented to the best knowledge of Karmic Rescue. If upon such examination it is determined that the health of the animal is not satisfactory, I may return the dog only to Karmic Rescue and will not request a refund of my donation.

TERM 12:
I promise and agree to be solely responsible for any damages to people or property caused by the animal(s). I further promise and agree to indemnify and release Karmic Rescue and its team members of any and all liability arising from any known, unknown, or unanticipated damages to people or property caused by the animal(s).

TERM 13:
I understand that the animal's experience in the shelter or it's foster home may be different than what it displays in its new home.

TERM 14:
I agree to properly socialize all dogs whether a puppy, adult, or senior.

TERM 15:
I agree that I am financially capable of providing proper training if deemed necessary for any one of my dogs.

There are Fifteen (15) Term Items. Do You Agree To Each And Every One? If yes, submit your application and term agreement. *

SUBMIT YOUR APPLICATION PLEASE