Application

** If you would like to fill out the application please copy and paste it into your email and email it back to us.

Thank You

Kindred Canines Application to Adopt

Date:

Full Name:

Home Address:

Email Address:

Phone: (Home)

(cell)

Name of Employer:

Name of dog you wish to adopt:

Please list the names and ages of everyone who will live with the dog in the home:

Please provide 3 personal references that we may contact:

1. Name: Relationship: Phone:Email:

1. Name: Relationship: Phone:Email:
2. Name: Relationship: Phone:Email:

Please answer the following questions honestly and with as much details as possible.

1. Where will you new dog sleep?

2. How active do you consider yourself & your family on a scale of 1-10, 10 being exceptionally active ie: biking, running, marathons etc. and 1 being the lowest meaning it is rare that you get off the couch. 1 2 3 4 5 6 7 8 9 10

– Please list the activities that led you to choose the number you chose.

3. Do you own or rent your residence?

1. 1. A. If you rent, what is the name of the landlord and the phone number?

— Are pets allowed? How much time will your dog spend alone each day?

4. Why do you want to adopt this dog in particular?

1. 1. 8. Do you understand and accept that changing a dog’s environment may cause the dog to have accidents, especially in the early days of the adoption?

5. What do you think are the most important responsibilities in owning a dog?

6. How long has it taken you to decide to adopt a dog?

7. Are you willing to take the time to work with a pet on housebreaking issues, should the need arise?

-Are you willing to work with your rescue dog if accidents do become and issue?

9. If a behavioral problems arises, such as jumping, pulling on the leash, submissive urination, chewing, barking etc. what steps will you take to work on it?

10. Does any member of the family have any allergies to animals?

-If yes, please explain:

11. For whom are you adopting the animal (yourself, friend, etc)?:

12. Have you or the people living in the home ever owned a pet before?

13. Please describe any pets you still own, in as much detail as possible (type, age, sex, etc.).

– Is/are /were the animal(s) spayed/neutered?

14. What do you consider a good and valid reason for giving up a pet?

15. Please provide a veterinary reference that we may contact:

Name: Phone: Email:

16. Is everyone in the family equally as enthusiastic about adopting the pet?

17. Should your application be approved, will everyone in the family be able to come to meet the dog you are interested in?

-If not why?

18. How much time will your dog spend alone each day?

19. When you dog is home alone, where will your dog be kept? Examples: Crate, yard, bathroom, roaming free in the house, dog run.

20. What kind of veterinary care do you think a dog needs yearly to stay healthy.

21.Is shedding an issue for you or anyone in the home where the dog will live?

22. Have you ever had a dog with behavioral issues?

23. What does the term “rescue” dog mean to you and what does it mean to you when we say a dog needs “rehabilitation”.

24. In the absence of the primary caretaker, who will take care of the animal?

25. Have you done or do you intend to do any reading in preparation for a new pet? Please specify:

26. Are you aware and do you accept that Kindred Canines requires that all dogs in the household be spayed/neutered before an adoption of a rescue animal can take place?

27. We are a non-profit organization and all adoption fees are immediately absorbed by the cost of the next rescue case, making adoption fees a donation to our organization and therefore NON-REFUNDABLE, do you acknowledge this policy? Please answer Yes or No:

28. Can you commit to this animal for the remainder of his/her life, which could be 15+ years?

29. If, for any reason, you are unable to keep your animal, do you agree to notify Kindred Canines immediately?

30. If this is a long distance adoption, and you are unable to keep your animal, are you willing to assume the responsibility, including travel and financial responsibility, for returning the animal to Kindred Canines?

31. Please list any preferences you have in adopting an animal (age, sex, breed, personality, etc.)

32. lease list any concerns or final questions here:

I have read the above information carefully and have filled out this application honestly. I understand that omission of information and/or failure to answer all questions and sign the application can result in this application being declined. Also, if an omission or untruth is discovered after an adoption takes place, I understand and accept that Kindred Canines has the right to annul the adoption and reclaim the animal.

I give Kindred Canines permission to fully investigate the information provided as well as contact veterinarians and related persons. If the applicationpasses this review, I agree to a home and yard visit on a mutually agreed date by a Kindred Canines representative before an adoption decision is made.

Furthermore, I understand and accept that the adoption decision depends upon many factors, including the compatibility of the family and home to the individual animal and other applications received on the animal. I understand and accept that it is Kindred Canines prerogative to decide which home is most appropriate for the individual animal, and therefore I will not take issue with the decision. Unless otherwise indicated by Kindred Canines, I may be considered for another animal.

Signature**:

Date:

**Please be aware that an electronic signature is as legally binding as a handwritten signature. By typing your name, you are swearing your identity for the purposes of this application only.