KC PAWS Dog Adoption Application

KC PAWS Dog Adoption Application
We pride ourselves in our match based adoption process. Upon receiving an approved adoption application, our adoptions counselors will spend quality time with each adopter to ensue that they are getting a pet that will be a perfect fit for their family and life style.
All KC PAWS dogs are fully vetted, spayed or neutered, and microchipped at the time of adoption. Our adoption kits include a leash and collar, a starter amount of food, and a few toys and treats for your new best friend.
We remain a resource to all of our adopted dogs through the remainder of their life. We provide in home training services, as well as 1 month free doggy daycare from the day of adoption. Our pet services are always available to all of our adopted alumni.
This questionnaire is designed to help KC PAWS and yourself determine if a specific dog is the right one for you and your household. All adopting parties are required to complete this form prior to adoption. KC PAWS reserves the right to deny any adoption based on answers to this questionnaire and/or interviews prior to adoptions.
Applicant Information
Please fill out this form to the best of your ability. You can input N/A for required fields that do not apply to you.
Name of the dog you are interested in:*
Why have you chosen to adopt a dog?
Your full name:*
Your age:*
Street Address:*
City, State, Zip*
Home Phone:

Area CodePhone Number
Work Phone:

Area CodePhone Number
Cell Phone:*

Area CodePhone Number
E-mail:*
Employer or occupation:
Household Information
Are all members of your household in agreement with this adoption?*

YesNoDon't Know
Who will be the pet's primary caregiver?*
Do you live in a*

HouseApartmentCondoMobile HomeOther
Do you own or rent?*

OwnRent
If rent, provide name and phone number of landlord:*
Are there any restrictions from your landlord or subdivision?*

Number of petsSize or weight restrictionsBreed restrictionsNone
Do you have a fully fenced yard?*

YesNo
Height and type of fence*
Do you have any of the following?

Underground fenceKennelDog Run
How many adults are in your household?*
How many children are in your household?*
If children, what are their ages?*
Have your children been around animals before?*

YesNo
Does anyone in your home have allergies to dogs or have asthma?*

YesNo
Current/Previous Pet Information
List any dogs you currently own, please be specific; AGE, SEX, BREED*
Are you current pets spayed/neutered?*
List any other animals in the home or on the property such as cats, chickens, etc.*
Where are these animals kept now?*
Please provide the name and phone number of your current and/or previous veterinarian or clinic:*
Do you use heartworm prevention? *
What Brand of preventatives do you use?
How often do you give heartworm prevention?
Tell us about any pets you've owned in the past*
Have you adopted from an animal welfare group before?*

YesNo
If yes, what group?*
Have you ever given up a pet?*

YesNo
If yes, what were the circumstances?*
References

Please list 2 personal references and their phone numbers.
Reference #1*
Phone Number*
Reference #2*
Phone Number*
New Pet Information
What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato)*
How many hours each day will your new pet be home alone?*
Are you aware of crate training?*

YesNo
Have you ever house-broken a dog or puppy before?*

YesNo
If the dog has an "accident" in your home, how do you plan to correct him/her?*
Where will your new pet sleep at night?*
How important is it to you that your dog be able to attend dog parks?*
Where will your new dog stay when nobody is home?*
What length of time will you allow your new pet to adjust to his/her new home?*
In the event that something were to happen to you, what would be the plan of care for your pet?*
Do you have any health related concerns or disabilities that would affect your ability to exercise a dog?*
What are behaviors that you are NOT willing to work with or tolerate:*
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?*

YesNo
Do you understand that a dog can be an 18 year commitment, and can cost $300 - $500 per year to care for?*

YesNo
Do you plan to take an obedience class with your dog?*

YesNoNot sure
If yes, where?
How do you plan to excersise your dog?
Are you aware that a large breed dog takes about two years to mature? Is this something you're prepared for?*

YesNo
What circumstances would lead you to give up your new dog?*
What will you do if you cannot keep your dog?*
How did you find out about KC PAWS Rescue?*

Adoptapet.comPetfinder.comFacebookFriend/Family MemberOther websitePetSmartOther
I understand that by submitting this application, I am allowing KC PAWS to call and check my personal references as well as lanlord and veterinarian if applicable.

I also understand that KC PAWS may do an in home visit to complete the adoption process.

I am aware that the KC PAWS staff will require introductions to any children or existing pets in my home to determine if the dog I am applying for or am being matched with is an appropriate fit for my home and family.
Should be Empty:

KC PAWS Dog Adoption Application

Applicant Information

Household Information

Current/Previous Pet Information

References

New Pet Information