Kane's Krusade Assistance Application:
Please note: Kane's Krusade does not rescue, house or adopt out dogs. If you need assistance with re-homing your dog in the Greater Springfield area , please contact the Dakin Humane Society at 413-781-4000.

At this time, we only provide services to families with dogs in the Greater Springfield MA area including the following cities and towns: Agawam, Chicopee, East Longmeadow, Holyoke, Indian Orchard, South Hadley, Springfield, West Springfield and Westfield.

Email address *
Date Submitted *
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First and Last Name: *
Your answer
Best phone number to reach you: *
Your answer
Email: *
Your answer
Street Address *
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City *
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Zip Code *
Your answer
Alternate Contact Name and Phone Number
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Referral Source: *
If you were referred by someone, please let us know who!
Your answer
Employment Status *
Please write your occupation & annual income. If you are not employed, please verify your income source.
Your answer
Do you receive assistance from any of the following programs? (Check all that apply or Other for None) *
Required
When are you available for home visits? *
During which time of the day are you available for C.A.R.E. Kit drop offs and ongoing support?
Required
If you own your home, is your dog listed on your homeowner's policy? *
If you rent, do you have permission from your landlord to have your dog on the property? *
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