K.A.R.E. Application

K.A.R.E.

Adoption Application Form
Animal you are interested in:*
We are a small rescue located in Texas, but that does not stop us from adopting cats out all over the United States. Please note that upon approval of the adoption process, K.A.R.E. will schedule and pay for transport for your animal to be flown to you (if you are not local). If you are unsure or nervous about this process we are here to answer any of your questions or concerns. Please reach out to Susan Koppang at 210-861-7733.
Contact Information
Full Name: (First, Middle, Last)*
Date Of Birth: (MM/DD/YYYY)*
Occupation:*
Street Address:*
State/City/ZIP:*
How long at this address?*
Daytime Phone #:*
Evening Phone #:
Best time to Call:*
Email address:*
Family & Housing
How many adults live with you AND their relationship to you. *
This should include anyone who may live there only a few days out of the week or weekends.
Full legal name(s) of ALL adults living with you:*
How many children live with you (ages)?*
This should include anyone who may only live there a few days out of the week or weekends.
What type of home do you live in? *
Please describe your household.*
Do you have a fenced yard? (N/A for Cats).*
Please describe the type of fence and the size of your yard. (N/A for cats).*
If you rent, please give the rules governing pets and the landlord’s name and number. If you own, please put N/A.*
By providing this information you are allowing KARE to contact your landlord - please inform them of this call so they will speak with us.
Does anyone in the family have a known allergy to dogs/cats?*
Is everyone in agreement with the decision to adopt a cat/dog? *
Do you have time to provide adequate love and attention?*
Other Pets
What other pets do you currently have/live with you? (What kind, and Their Ages) *
This should include any pets that you have partial custody of that may only be at the home certain days of the week. This should also include any pets that your roommates may have.
Are these pets up to date on vaccines?*
Are these pets spayed/neutered? If not, why?*
Have you ever surrendered a pet? If so, why?*
Have you ever had a pet euthanized? If so, why?*
Have you ever lost a pet to an accident?*
How do you discipline your pets and why?*
Do you have a regular/current Veterinarian?*
A regular Veterinarian is one that you would go to for yearly checkups, vaccinations, bloodwork, etc.
If you do not have a current Veterinarian (due to having moved or not having any pets at the moment) did you used to have a Veterinarian your pets would see?*
We understand that if you have just moved or do not have any animals you will not have a current vet. Providing us with a vet that you previously used is beneficial to making sure the pet was well taken care of.
Clinic Name:*
Clinic Address:*
Clinic Phone:*
(Providing KARE with this information you are allowing KARE to call your vet. Please call your vet and ask them to authorize the release of information to KARE.)
Is there anywhere else that your pets have received care? Clinic Name(s) / Phone Number(s) / Address
Scheduling appointments right now is difficult with Vets being booked out for many weeks, or even months. If you had to jump around different clinics to get your pet the care they needed, that is perfectly fine.
About the Animal You Wish to Adopt
What is your idea of an ideal cat/dog and why?*
Desired age & Desired size:*
Desired Breed:
Breed you would NOT adopt:
Willing to adopt:*

Outgoing/Hyper AnimalAnimal needing regular medicationAnimal that needs groomingShy AnimalAnimal that needs trainingNone of these
Desired Sex:*
Where will the animal spend the day? (describe)*
Where will the animal spend the night? (describe)*
Number of hours (average) the animal will spend alone?*
Who will have primary responsibility for this animal’s daily care?*
Who will have financial responsibility for this animal?*
Do you agree to provide regular health care by a Licensed Veterinarian?*
Do you agree to keep the cat as an indoor cat? (N/A for Dogs). *
Do you agree to contact KARE if you can no longer keep this animal?*
Would you be willing to let a representative of KARE visit your home by appointment?*
Are you interested in fostering?*
How did you hear about KARE?*
Use this space to tell us anything about you that you think we should know.
Personal References

Please have at least one reference that is NOT a relative. Please do NOT list people who live with you as a reference. If possible, include a reference that is familiar with your experience with animals.
Name #1:*
Address:*
Phone:*
Relationship:*
Name #2:*
Address:*
Phone:*
Relationship:*
Do you authorize KARE and its affiliates to perform a background check for the purposes of determining your adoption eligibility?*

YesNo
All of the information I have given is true and complete. If approved, this animal will reside in my home as a pet. I will provide it with quality food, plenty of fresh water, indoor shelter, affection, annual physical, examination and vaccinations under the supervision of a licensed Veterinarian.
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

K.A.R.E.

Contact Information

Family & Housing

Other Pets

About the Animal You Wish to Adopt

Personal References

All of the information I have given is true and complete. If approved, this animal will reside in my home as a pet. I will provide it with quality food, plenty of fresh water, indoor shelter, affection, annual physical, examination and vaccinations under the supervision of a licensed Veterinarian.