Kentucky Paws Inc Animal Rescue
Where Pets are Family
Adoption Application
Pet Name
Pet age
Puppy 6 weeks to 1 year
Young adult 1 year to 2 years
Adult 3 to 5 Years
Senior 6+ Years
Pet size
Small 3LBS - 20LBS
Medium 20LBS - 45LBS
Large 50LBS - 70LBS
Extra Large 80LBS - 100LBS +
Breed
What makes you want this pet?
How do you feel about Pitt Bulls /Pit Mix
Adopter INFO Name
*
First Name
Last Name
DOB:
If something was to happen to you were would the pet go? If to a family member or a friend put there name and phone number. Please explain.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number (Mobile)
*
-
Area Code
Phone Number
E-mail
*
example@example.com
Do you work
*
Yes
No
Were do you work
*
If you do not work what type of income do you have
*
SSI
SSA
Retirement
Other
If your pet gets hurt or sick can you afford to take it to the vet
*
Do you own or rent?
*
Own
Rent
Do you have a fenced in yard?
*
Yes
No
Are there any children in the home? (If yes, please list ages)
*
Yes
No
Will you crate your pet?
*
Yes
No
How many hours of the day will the pet be alone at home?
*
If you have to leave town, emergent or planned, where will your pet stay?
*
How will you deal with behavioral issues such as barking, chewing, destructive behavior, bathroom accidents indoors, or unruly leash behavior in your pet?
*
Do you own any other pets? If yes, how many? (Cat or dog)
*
Pets Name:
When was the pet last seen by a vet and what for?
What is the breed of your pet?
*
What is your pets disposition and behavior toward other dogs?
*
Is your pet male or female?
*
Yes
No
Is your pet spayed / neutered?
*
Yes
No
Please provide three references including name and phone number.
*
Is your pet used to other pets?
Yes
No
Other
Do you have a regular veterinarian?
*
Yes
No
Veterinarian’s name
*
Clinic's Telephone
*
-
Area Code
Phone Number
Have you ever been convicted of an animal related crime, such as animal cruelty, animal theft, and or animal abandonment? (If yes please explain in detail)
*
How did you hear about us?
FaceBook
PetFinder
Adopt a Pet
Web Surch
Friend or family
Other
Pets are family not toys.
*
By clicking the submit button, I agree to Kentucky Paws Rescue adoption process. By clicking the submit button, I understand Kentucky Paws Rescue will check my references including veterinary and personal. By clicking the submit button, I understand there is an adoption donation associated with adoption of a pet from Kentucky Paws Rescue and that it is tax deductible according to IRS 501(c)3 guidelines. I understand this donation will ensure the organization is equipped to rescue another homeless pet and therefore, adoption donations and deposits are non refundable. By clicking the submit button, I agree to indemnify and hold harmless Kentucky Paws Inc Anima Rescue against any losses, lawsuits, claims, injury, damages incurred by me or to any persons or property by my adopted pet, once adoption has been completed. By clicking the submit button, I understand that Kentucky Paws Rescue will disclose any of the pet's health or behavior issues known by the above named rescue group before adoption is completed. By clicking the submit button, I understand that if I no longer want my pet, or am no longer able to care for my adopted pet at any time, I will Contact Kentucky Paws Rescue and go over the appropriate way of placeing mypet intoa new home. By clicking the submit button, I verify all of the above information is true and accurate.
Signature of Potential Pet Parent
*
Submit
Should be Empty: