Adoption Application
By signing below, I certify that the information given is true and correct and I recognize that any misrepresentation of facts will result in my losing the privilege of adopting a pet. I also give my veterinarian permission to release any vet care records and information about my current and past pets to the Karma’s Rescue. I understand that this application is the property of the Karma’s Rescue and that Karma’s Rescue has the right to deny my request to adopt.
Email address *
Full Name *
Your answer
Address *
Your answer
City, State, Zip *
Your answer
Phone: *
Your answer
Email: *
Your answer
Which pet(s) are you interested in? *
Your answer
Have you ever adopted before and if so from whom? *
Your answer
Who will be interacting with your pet on a regular basis? *
Your answer
Other pets that will be interacting with your pet? *
Your answer
How many hours per day will your pet be left alone and where will he be kept? *
Your answer
Do you live in a house or apartment? Own or rent? Fenced yard? *
Your answer
Has it ever been necessary for you to surrender a pet and if so why? *
Your answer
Please provide name, address, phone and email for your vet reference: *
Your answer
Do you agree that this will be an inside pet and will not be left outside unattended? *
Do you agree to return this pet to Karma’s Rescue if for some reason he can no longer stay with you? *
Please tell us how you heard about Karma’s Rescue and who referred you. *
Your answer
Sign (type) your full name: *
Your answer
Date: *
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A copy of your responses will be emailed to the address you provided.
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