Dog Adoption Application
Thank you for your interest in adopting a pet from the Kaua`i Humane Society!
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you know the name of the dog(s) you are interested in?
*
Yes
No
What is the name of the dog(s) you'd like to apply for?
Which of the following options best describes your housing type?
*
House
Apartment/Condo
Townhouse
Duplex
Guest House
Mobile Home
Other
Do you have any breed or size restrictions on the type of dog you can have?
*
Yes
No
If you answered yes to having any restrictions, please explain:
Tell us about who lives in your home.
*
(Number of people, their ages, frequent visitors)
Do you have other dogs in the home?
*
Yes
No
If you have dog(s), please describe their behavior around other dogs:
*
If you have dogs, please select the size categories for them (check all that apply):
*
Small (0-20 lbs)
Medium (21-40 lbs)
Large (41lbs or larger)
Are there any other dogs on the property where you live?
*
Yes
No
Are there cats in the home?
*
Yes
No
No, but we have community cats outside
Do you have any other pets besides cats or dogs?
*
Birds
Fish
Reptiles
Farm Animals
Horses
None
Other
Which best describes your lifestyle?
*
Active (I run marathons)
Mixed (I hike ... sometimes)
Low (Netflix + chill)
What kind of dog are you looking to add to your family?
*
(If you are looking for a specific size, please include weight.)
Additional preferences (check all that apply):
*
I'm open to an older dog
I'm open to a dog with medical needs
I'm open to a dog with a specific training plan
I'm open to a dog with a buddy
I'm open to any and all dogs
None
Is there anything else you would like us to know?
*
Submit
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