K-9 Karma Adoption Application
Thank you for your interest in saving a life. Please complete the application below. Questions marked with an asterisk are required to be filled out for the form to be submitted, however you should be complete and thorough with the application.
Name (First, Last) *
Your answer
Which animal are you applying for? *
Your answer
Address *
Your answer
City, State, & Zip Code *
Your answer
Home/Cell Phone *
Your answer
Work Phone
Your answer
Place of Employment *
Your answer
Work Hours *
Your answer
Email address *
Your answer
How did you hear about us?
Please choose your living arrangement *
Do you own or rent your home? *
If you rent, are you allowed to have pets? *
If you rent, please provide your landlord name and phone number
Your answer
What is the approximate square footage of your home? *
Your answer
Do you have a fenced yard? (please provide type and height of fence) *
Your answer
How many adults are in the home? *
Your answer
How many children in the home?
Your answer
If there are children in the home, please list ages.
Your answer
Number of pets currently in the household *
Your answer
Type, age, and gender of current pets *
Your answer
Are your current pets spayed or neutered? *
Are your current pets up to date on vaccinations? *
Are you pets on heart worm preventative? *
Where will the pet spend the majority of their time? *
Your answer
Where will the pet sleep? *
Your answer
Have you had other pets in the last five years that you no longer own? *
If yes, what happened to them? (be specific)
Your answer
Have you ever house trained a pet before?
Please tell us why you would like to adopt this animal. *
Your answer
Current Veterinarian Name *
Your answer
Name and phone number of Vet Clinic *
Your answer
Standard medical care costs average $100-$200 annually. Emergency care and older animals can be higher. are you willing and to provide standard and emergency care for this pet?
Personal Reference 1 (Name, relationship, phone)
Your answer
Personal Reference 2 (Name, relationship, phone)
Your answer
BY SUBMITTING THIS FORM, I CERTIFY THAT THIS INFORMATION GIVEN ON THIS ADOPTION APPLICATION IS TRUE AND CORRECT.
Thank you for your interest in adopting a new family member from K-9 Karma. We will contact you shortly regarding your application.
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