Naked Kisses Dog Rescue Adoption Application

Please be as thorough as possible when completing the application in order to ensure your application is processed in a timely manner. Our rescue dogs are not adopted on a first come, first serve basis, but to the family who will be the best match. Since all of our dogs are in foster homes, we set up meet and greets only once there is an approved application on file.

Adoption fees are used to recoup a portion of the veterinary expenses that our rescue incurs on incoming dogs. Please remember that your paid adoption fee to NaKiD Rescue may be tax deductible; consult with your tax preparer.

We do not maintain a waiting list for adoptions. If there is not a dog available that you are interested in, please hold off on completing an application.

* OUT OF STATE APPLICANTS*

Before submitting your application for one of our rescue dogs, please understand that it is the responsibility of the approved adopter to arrange transportation. Arrangements must be approved by our rescue prior to any adoption being final. We do not have the resources to assist with transporting an adopted dog to you, so please plan to travel to the foster dog in order to pick it up and take it home. Some dogs may not qualify for airline travel and can only be transported by automobiles.

Please tell us what your plan would be for pickup of the dog, if you are approved for adoption. *

If you would like to review our Adoption Contract prior to completing an application, you may do so here.

Do you understand that if you are approved to adopt a dog, the adoption contract is a necessary part of an adoption completion?*

YesNoI don't like to read

Name*

First NameLast Name

Your age:*

You must be 21 years of age to adopt. Please be prepared to show your state or federal identification card at the time of adoption if requested by the rescue.

Street Address:*

City*

State*

Zip*

Cell Phone:*

Area CodePhone Number

E-mail:*

This is our primary source of communication. Double check spelling.

Please re-type your e-mail to ensure it is correct:*

Keep an eye on your inbox AND junk folder for communication.

Employer:

Personal References - non family member*

	Name	Phone Number	Email	City & State
Reference 1
Reference 2

Name of the dog(s) you are interested in:*

PLEASE READ THE DOG'S BIO BEFORE APPLYING!

We do not maintain a waiting list for adoptions. If there is not a dog available that you are interested in, please hold off on completing an application.

VERY IMPORTANT: Have you read the bio for the dog you are interested in?*

YesNoN/A

*If the dog you're interested in has specific requirements, such as it needs a fenced yard, etc., you MUST meet those requirements to be considered for that dog.

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*

Do you own or rent?*

OwnRent

If rent, provide name and phone number of landlord:

Does your landlord allow dogs?

YesNo

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?*

How many adults are in your household?*

Name(s) of adult(s):*

How many children are in your household?*

If children, what are their ages? *

If no children, type N/A.

Have your children been around animals before?

YesNo

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

YesNo

List all pets you currently own, their breeds, and their ages.

NAME, BREED, AGE

How did you acquire your current pets?

Please explain.

How many of these pets are spayed/neutered?

Are there any additional animals at your home temporarily (ie, fostering or family staying with you.)*

If yes, please elaborate on any extra pets in your home at this time.

List all previous pets you owned in the last 5 years, their breeds, and their ages.

NAME, BREED, AGE

Where are these animals now?

Please explain.

Have you applied for an animal from an animal rescue group before, and been denied?*

YesNo

If yes, what group and why?

Have you adopted from an animal rescue group before?*

YesNo

If yes, what group?

Have you ever given up a pet?*

YesNo

If yes, what were the circumstances?

The first step in our application screening process is a detailed vet reference check. Please let your vet know we will be contacting them to verify all your pets currently meet the following requirements:

Are your dogs up to date on annual heartworm testing?*

YesNoN/A

Are your dogs on monthly heartworm prevention?*

YesNoN/A

Are your pets up to date on state required vaccines (ex: rabies)?*

YesNoN/A

If you answered no to any of the last three questions, please elaborate.

Current Vet Office:*

Office Name

Vet's Phone:*

Office Number

Current Pets on File:

What pets does this vet see?

Previous Vet Office:

Office Name

Previous Vet Phone:

Office Number

Previous Pets on File:

What pets did this vet see?

What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato)*

What type of traits would you have a difficult time tolerating or dealing with?*

Are you familiar with crate training?*

YesNo

Are you willing to house train a dog?*

YesNoMaybe

Have you ever house trained a dog or puppy before?*

YesNo

What method of house training do you use?*

How many hours each day will your new pet be home alone?*

Where will your new pet sleep at night?*

How will you supervise the dog's outdoor activity?*

Where will your new dog stay when nobody is home?*

What length of time will you allow your new pet to adjust to his new home?*

Are you willing to work through your new pet's issues, if any?*

YesNo

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 a minimum of $300 - $500 per year to care for?*

YesNo

Are you financially willing and able to cover the costs of supplies, quality dog food, grooming, routine vet care, and unexpected illnesses or surgeries?*

YesNo

Do you agree to having a rescue volunteer conduct a home visit or your submitting a detailed video walkthrough for a pre-adoption visit and/or a follow up adoption visit?*

YesNo

Do you object to providing detailed updates, including photos, 1 month, 3 months, 6 months, and 12 months after adoption?*

YesNo

Have you researched and do you understand possible medical issues that Chinese Cresteds can have?*

YesNo

What circumstances would lead you to give up your new dog?*

If you had to give up your dog, what would you do with him/her?*

If you selected a dog you are interested in, what about that dog makes you feel it would be a perfect fit in your home?*

Please provide several sentences detailing why the dog would be a good fit.

Please let us know any additional information you think we might like to know.

How did you find out about NaKiD Rescue?*

If you would like to review our Adoption Contract prior to completing an application, you may do so here.

If approved, we require the signed Adoption Agreement and the adoption fee to be returned to the rescue within 24 hours of official email approval. This is to secure the adoption of the dog, otherwise we will continue processing other applicants for the dog. Is this something you are willing and able to do if you are approved?*

YesNo

I understand that Naked Kisses Dog Rescue (NaKiD Rescue) has the right to deny any adoption, for any reason. By completing this application and signing below, I certify that I am at least 21 years of age and will assume all responsibility for the care and well-being for the dog that I am adopting through NaKiD Rescue. I further agree that I will be contractually bound to:

· Take my dog to the vet at least once annually for a physical exam, heartworm testing/preventative, and any shots required or suggested by the veterinarian and/or local/state regulations.

· Take my dog to the vet in a timely manner if it is ill.

· Maintain proper care, including routine dental care, heartworm prevention, any necessary flea/tick treatments.

· Return this dog at my own expense to NaKiD Rescue, if for any reason I feel that I am unwilling or unable to continue caring for this dog in a loving and humane manner. Two weeks notice must be given to arrange to take the dog back.

Signature

Naked Kisses Dog Rescue Adoption Application

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information