Kentucky Paws Inc Animal Rescue
Where Pets are Family
Adoption Application
Adopter INFO Name
*
First Name
Last Name
DOB:
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How long have you lived at this address?
Phone Number (Mobile)
*
-
Area Code
Phone Number
Best time to call you:
Morning11Am-3Pm
Afternoon3Pm-5Pm
Evening 5Pm-7Pm
Night 7Pm -9Pm
E-mail
*
example@example.com
Do you work?
Where do you work?
Work phone number:
How long have you been there?
Have you spoke with anyone from the rescue yet?
Patricia
Jarred
Skyler
Aleah
No one
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.
NO
YES
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?
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?
*
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 (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?
*
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? (A account that is in your name not a family members name)
*
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
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?
NO
YES
Other
Do you understand that there is a non-refundable $36.40 Appointment fee that is not a deposit but does hold the pet till you arrive?
Yes
No
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 $550. It is the same if the pet needs to come back to us for spay or neuter. We do offer the adopter the option to have spay or neutered done at their vet and cover the cost. That would make the adoption fee lower. There is also a $36.40. appointment fee that holds the pet till you arrive to meet the pet. The$36.40 fee does not come off of the adoption fee. If you would like to know more about the pets with lower fees let us know. Do you have any questions about the adoption fee's? 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.
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
*
Submit
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