OKK9 Adoption Application

OZARKS KAT & K9 ADOPTION APPLICATION

17290 Hwy 5 N, Sunrise Beach MO 65079 573-374-2629 ozarkskatandk9@gmail.com
ALL ADOPTERS MUST BE 18 YEARS OF AGE OR OLDER. Are you at least 18 years old?*

YesNo
I am aware that the animal I am applying to adopt is located at the Lake of the Ozarks in Missouri. I am willing and able to travel to the OKK9 Shelter to sign adoption paperwork and pick up the animal in person within a reasonable length of time following approval.
Initials
Today's Date

MonthDayYear
Date
Name of animal you are interested in adopting. If you don't yet have a specific animal in mind, please state whether you are interested in an adult cat, kitten, adult dog or puppy.*
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
must have for microchip registration
Occupation
How long have you lived at this address?
Are there any minor children living in the home? If yes, please list their ages.
What type of home do you live in?

single familytown homeapartmentfarmOther
If you rent your home, please provide the landlord's name and phone number and any rules governing pets in the residence.
By providing this information, you are permitting OKK9 to contact your landlord to verify that pets are allowed.
Do you have a fenced yard?*

Yesno
What material is the fence?

chain linkwoodOther
Height of fence
Do you currently have any pets?*

yesno
List the names, breeds and ages of any pets currently in the home
Are these pets up to date on vaccines?

yesno
Are these pets spayed/neutered?

yesno
List the names, breeds and ages of any past pets that are on file with your vet
Have you ever surrendered a pet? If yes, explain
Have you ever euthanized a pet? If yes, explain
How do you discipline your pets?
Do you currently have a regular veterinarian that you use?*

yesno
Veterinarian/Clinic Name and Phone Number
By providing this information, you are permitting OKK9 to call your vet to verify information on this form..
If the vet records are under a different name than on this application, please state that name here:
Where will this pet spend most of his or her time?
Average number of hours this pet will spend alone (without supervision) per day
Where will you keep this pet when you are not at home?

kenneledloose indoorsOther
Do you agree to provide regular health care by a licensed veterinarian?*

yesno
FOR DOGS: OKK9 does not allow dogs we adopt to be chained or left outside. Do you agree to keep this animal as an indoor pet?

yesno
FOR DOGS: When the dog goes outdoors, how do you plan to supervise it?

leash walkfenced yardOther
FOR CATS: OKK9 adopts cats as indoor pets only. Do you agree to keep this cat safely indoors?

yesno
FOR CATS: Do you agree that you will NOT declaw?

yesno
Do you have a plan in place for the future care of your pets if you are no longer able to take care of them in the event of death or incapacitation?*

yesno
If yes, please explain what that future care plan is.
Are you willing to let a representative of OKK9 visit your home by appointment?

yesno
All of the information I have given is true and complete. This animal will reside in my home as a pet. I will provide this animal with quality food, plenty of fresh water, indoor shelter, affection, and annual physical examinations and vaccines under the supervision of a licensed veterinarian. I understand that if I am no longer able to keep my adopted pet, I need to contact Ozarks Kat and K9 for return before attempting to rehome the pet myself.
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OZARKS KAT & K9 ADOPTION APPLICATION