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. Please provide your full date of birth. Valid photo ID will be required at time of adoption.

MonthDayYear
Birthday
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?

Other
Do you own or rent your home?

Other
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?
What material is the fence?

Other
Height of fence
Do you currently have any pets?
List the names, breeds and ages of any pets currently in the home
Are these pets up to date on vaccines?
Are these pets spayed/neutered?
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 or have used in the past?
Please provide the 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 owner's name than on this application, please provide 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?

Other
Do you agree to provide regular health care by a licensed veterinarian?
FOR DOGS: Do you agree to keep this animal as an indoor pet?
FOR DOGS: When the dog goes outdoors, how do you plan to supervise it?

Other
FOR CATS: Do you agree to keep this cat safely indoors?
FOR CATS: Do you agree that you will NOT declaw?
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?
If yes, please explain what that future care plan is.
Are you willing to let a representative of OKK9 visit your home by appointment?
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.
Signature
Should be Empty:

OZARKS KAT & K9 ADOPTION APPLICATION