Pet Adoption Application Form Template

At this time we have sevral pets with low adoption fees. The adoption fee is $66.00 The appoment fee is to help with gas to meet the adopter.

All Cat Adoptions are $50. Pluse the $36. to help meet the adopter.

Do you understand that our pets are not to have any kind of ear or tail cropting or Declawing of any cat. This is Inhumane.*

YesNo

Pet Name that you are looking to adopt*

Pet breed*

Pet color*

Pet age

Puppy 6 weeks to 1 yearYoung adult 1 year to 2 yearsAdult 3 to 5 YearsSenior 6+ Years

Pet size

Small 3LBS - 20LBSMedium 20LBS - 45LBSLarge 50LBS - 70LBSExtra Large 80LBS - 100LBS +

Are you willing to travel to pick up this pet? We meet in Lexington KY or London Ky*

YesNo

Meeting place*

Lexington KYLondon KYOther

we do from time to time adopt pets that are to young for spay and neuter. We give the adopter the option to either bring the pet back and pay the full adoption fee or have spay or neuter done at their vet. Pets must be 6 mo or older for spay or neuter.*

yes I will use my vetNo I need the pet fixed before adoptiong

All of our adopters are required to follow the 333 pet adjustment guide. This means giving the pet 3 days to adjust. 3 weeks to settle in. 3 months to develop trust and bond. Are you familiar with this?*

From Time to time we have adult pets that are on a waiting list for spay and neutering. This takes time but we still give the adopter the chance to adopt the pet and have spay or neuter done. do you have any questions regarding this?

Adopter INFO Name*

First NameLast Name

DOB:

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

How long have you lived at this address?*

Previous Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

How long did you live at this address?*

Phone Number (Mobile)*

Area CodePhone Number

Best time to call you:

Morning11Am-3PmAfternoon3Pm-5PmEvening 5Pm-7PmNight 7Pm -9Pm

E-mail*

example@example.com

Do you work?*

Where do you work?*

How long have you been there?*

Previouse employer*

How long was you at this Job?*

Are you affiliated with Rescue? Do you foster, transport or help?*

YesNo

If yes who? What is your roll in it?*

Have you spoke with anyone from the rescue yet?*

It can take up to 2 weeks to hear back from us do you under stand? (Note) It don't always take this long but there are times it can.*

NOYES

What makes you want this pet?

Why should we consider you as this pets new mom or dad?*

What would make you want to give a pet up or return it back to a rescue?

If you have a older pet how do you think that pet will do with a new pet?

How long do you think it takes a pet to adjust to a new home?

How long are you willing to allow a new pet to adjust to your home?*

What do you look at when meeting a new Rescue pet in person?

What does animal rescue mean to you?

If you are on a fixed income how will you care for this pet?

How do you feel about Pitt Bulls /Pit Mix

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.

If your pet gets hurt or sick can you afford to take it to the vet *

Do you own or rent?*

OwnRent

Do you have a fenced in yard?*

YesNo

Are there any children in the home?*

YesNo

Will you crate your pet?*

YesNo

What is the primary reason you would want to create train your new pet?*

How many hours of the day will the pet be alone at home?*

If you have to leave town for a 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)*

When was the pet(s) last seen by a vet (need a date) 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?*

YesNo

Is your pet spayed / neutered?*

YesNo

Please provide three references including name and phone number. *

Is your pet used to other pets?

YesNoOther

Do you have a regular veterinarian? (A account that is in your name not a family members name)*

YesNo

Veterinarian’s name*

Clinic's Telephone*

Area CodePhone 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?

Do you understand that if you adopt a pet from rescue that you are not buying a pet and the adoption fee is non-refundable?*

NOYESOther

Do you understand that there is a non-refundable $36.40 Appointment fee that is not a deposit.*

YesNo

Our adoption fees vary. And all adoptions are a mandatory Spay and Neuter. We will check in to make sure the pet has been spayed or neutered. How do you feel about this?*

Our adoption fees. ============ For a fully vetted pet the adoption fee is $650. It is the same if the pet needs to come back to us for spay or neuter. The average adoption fee is $250. to 350. ============ There is also a $36.40. appointment fee that helps us with gas to meet. The$36.40 fee does not come off of the adoption fee. ============ READ THIS CAREFULLY ((When we get in smaller more high demand pets they are considered a legacy pet and their adoption fees can be more as they are more demanding and those pets help the rescue with funding.)) ============((What we consider a legacy pet. 1.Small 2 to 15lbs pets 2. Chihuahua, Yourki, Poodle, Maltese, Corgie, Dutchhound these can be mix breeds.))*

Would you like to be added to our Mailing list to keep you up to date on what we are doing here at Kentucky Paws animal rescue?

NoYes

If Yes please put a good Email

example@example.com

Would you like to start helping Kentucky Paws with donations as we run solely by donations. We are a 501(c)3 tax-exempt non-profit organization. All funds go to help us care for the pets in our care. We do mail out tax receipts at the beginning of the new year as any donation is a tax write-off *

Do you have any questions ingeneral?

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 *

Kentucky Paws Inc Animal Rescue

Adoption Application