Headed For Furever Adoption Application

Headed For Furever

Adoption Application
Name of Animal:
Type of Animal & Breed:
Date:

MonthDayYear
Date
In order to be considered as an adopter you must:
- Be 18 years of age or older
- Have identification showing your present address
- Have the knowledge and consent of your landlord and other people living in the home
- Be able and willing to provide a loving, safe and peaceful environment for this pet
- Be financially stable and willing to provide any necessary medical care
- Keep on a leash
- Contact us if there's any reason you can no longer keep your pet
- Do not resell your pet to make profit for yourself
We are a nonprofit organization that helps animals in our free time. We use money out of our own pockets to help them. We always appreciate donations if anyone ever wanted to donate. We spend a lot of time evaluating the animals that we take in and make sure they are healthy & happy before adopting them out. If you are interested in meeting and potentially adopting one of the rescues please fill out your information in good detail about you and your family. If none of the questions apply to you, you can put N/A
Name:
Age:
Phone Number

Area CodePhone Number
Email:
example@example.com
What is the best way to contact you?
Address

Address

Street Address Line 2

CityState / Province

Zip
Occupation:
Spouse's Occupation:
Please list the name, age and relationship to yourself of each person currently living in your house (ex Mary, spouse 35)
Does anyone living in your home have any known allergies?

Yes No
Type Of Property:

HouseCondoApartmentTownhouseOther
Property Information:

OwnRent
Length of time at current residence?
Do you plan to move within the next 6‐12 months?

NoYes
If you rent, are pets allowed?

YesNo
Is there a pet deposit? How much?
What is the name of the property owner/ agent?
Contact name and phone number:
Why do you want to adopt at this time?

Lonely & want a friendWant a family petcompany for current petOther
Why do you want to adopt at this time?

Add a family member to the familyOther
Do all adults in your household know you plan to adopt?

YesNoOther
Do your current pets get along with other animals?

YesNoOther
Will this pet will be:

Mostly IndoorMostly OutdoorOutdoor OnllyIndoor Only
Where will your new pet sleep at night?
In what areas of the house will the new pet be allowed?
How many hours per day on average will the pet be alone?

0‐22‐44‐66‐88‐1010‐12over 12
Do you have a fenced yard?

Yes, woodYes, chain LinkNoYes, vinylOther
Height of fence
Do you have a:

BalconyPoolPet DoorUnscreened Windows
Will you ever have your dog on a tie out?

YesNoOther
Do you travel?

Yes No
Where do your pets stay if and when you travel?
PAST/PRESENT PET HISTORY
Please list the name, type, age, gender, and if pet is spayed or neutered of ALL current animals. (example: Duke, Yellow lab, 1 year old, male, neutered)
Please list age, type, gender and if the pet was spayed or neutered for all animals you no longer have and what happened to that animal. (Ex Rosie, German Shepard, spayed female, passed away due to old age)
Are your animals current on all vaccinations?

NoYesOther
Date of last vaccinations:

MonthDayYear
Date
If adopting a CAT, do you plan to declaw?
How often do you think Your pet should go to the vet for routine care?
Name of current or last veterinarian? Name/phone number?
May we contact this vet as a reference?

YesNoOther
Which of the following situations would lead you to give away your pet?

Moving to another stateFleas or sheds too muchHaving a babyFinished school/ moving back homeRuins the furnitureChildren will no longer care for dogToo expensiveAllergiesGetting a divorce or marriedFound a new “no pet” rentalGrew too bigDigging/ ChewingWould not give up for any reasonOther
What would you do with your pet if you could not keep it for any of the reasons stated above?
Have you ever surrendered a pet to a shelter/pound?

YesNo
If yes, why?
Would you allow an inspection of your home and/or yard?
PLEASE PROVIDE TWO PERSONAL REFERENCES:
Name

First NameLast Name
EMAIL:
example@example.com
Phone Number

Area CodePhone Number
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
How did you hear about K&H Rescue?
Is there anything else you would like to tell us that you think would be important when considering your application?
Please read and sign below: Many factors determine which applicant will be matched with a particular pet. If you are not able to adopt a pet today, it does not mean that you are not considered a good pet owner or that your home is not acceptable. Our goal is to place all animals into homes that will best suit their individual needs. Please ask for clarification if you have any questions.
I have completed this application truthfully and fully understand the adoption process.
Signature:

Clear
Date:

MonthDayYear
Date
If we do not call or email you within 7 days of receiving your application it means that either: 1. The pet was adopted by a previous applicant. 2. We felt the situation presented on the application was not the right situation for that particular pet. We have a right to decline an application if we feel that the home wouldn't be suitable for the pet your requesting to meet.
THANK YOU FOR TAKING THE TIME TO COMPLETE THIS APPLICATION!
Should be Empty:

Headed For Furever

In order to be considered as an adopter you must:

PAST/PRESENT PET HISTORY

PLEASE PROVIDE TWO PERSONAL REFERENCES:

THANK YOU FOR TAKING THE TIME TO COMPLETE THIS APPLICATION!