KEYSAR RESCUE ADOPTION FORM

Our Adoption Process

To begin the adoption process, please fill out an application. The application is non-binding, and you can change your mind at any time before submitting the form.

Name of the pet you are applying to adopt?*

Answer

Your Full Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

How long have you lived at this address?*

What is your routine for exercising your foster?*

Name(s) and age(s) of everyone living in your home?*

Do you currently have any pets?*

YesNo

Do you have a fully puppy/dog proof fenced property? (required)*

YesNo

If 'yes' what height is your fence?

How many hours per day will the dog be left alone? *

What (if any) behaviors would you not tolerate in a dog?*

What kind of life can you offer a rescue dog?*

Do you own or rent your home?*

OwnRentOther

If you rent, please provide your landlords name and phone number:*

I agree to adopt a dog from Keysar Rescue and will abide by the terms of the agreement.

I agree to abide by Keysar Rescue recommendations regarding the care and welfare of my adopted dog.

I or any member of my family have never been subject to a formal complaint or legal action for cruelty or neglect of any animals and have never owned animals which have been confiscated by any agency for violations of any laws, regulations or animal adoption agreements.

Once I sign agreement to all terms and have taken possession of my new adopted dog, I will from that day onwards accept full care and responsibility for the dog that I have adopted.

I agree to indemnify Keysar Rescue for any liability, costs or expenses that may arise as a result of my actions or omissions (including negligence) or of my adopted pets condition, health or behavior.

I also understand the adoption fee is non-refundable after a 7 day period and/or change of circumstance.

I acknowledge that Keysar Rescue will have immediate rights to remove the dog if for any reason the Rescue feels the dog is unsafe at any given circumstance or time and/or it's current living situation is chained or kept outdoors and/or shelterless.

(We'd like all our dogs to sleep and have access indoors).

If the dog needs to be rehomed for any reason whatsoever, I will contact Keysar Rescue in the first instance to discuss my situation. Any acceptance of returned dogs will be at Keysar Rescue's sole discretion and cost contribution requirement..

Only when so required I/We give consent to Keysar Rescue to take urgent action without notice if they determine that the life of my adopted dog is at risk and/or quarterly updates are not given.

By submitting this form, I/We declare that:

All the information provided herewith is correct and true and that I will adhere to this declaration. I also declare that I am over the age of 18.