Adoption Application

The information we request in this form is to ensure that we are finding a quality permanent home for our pets. This information assists us in achieving the best match between our pets and a potential new owner.

* Applicants must be at least 21 years of age

Pet Info

Name of pet you want to adopt *

Applicant Info

Name *

First Name

Last *

Last Name

Co-Applicant Name

Co-Applicant First Name

Last

Co-Applicant Last Name

Address1 *

Address 1

City *

City

State *

Zip *

Home/Work Phone *

Cell Phone *

Email *

Best time of day to be contacted

Residency Info

Primary Residency *

How Long?

Pets Allowed? *

Is fence attached to the house? *

Do you have an invisible fence? *

Is there shade in the yard? *

Is there shelter in the yard? *

Is there a dog door into house or garage? *

Will the dog ever be left outside unattended? *

If so , how long?

If no fence, how will the dog be let outside?

If so , how long?

Is anyone home during the day? *

How many hours would dog be alone?

Where will the dog stay when home alone? *

Do you own or have you ever used a crate? *

Can we conduct a home visit prior to adoption? *

What do you do with your pets while on vacation? *

Why are you interested in adopting this dog? *

Are you looking for a dog as a: *

Have you/anyone in the household ever owned a dog? *

Are there children in the household? *

If so, what ages?

Do all adults in the household agree on adopting? *

Do you have any neighbors, family, and/or friends who have children that will visit? *

If so, what ages?

Is there anyone in your household with asthma or allergies to cats/dogs? *

Landlord Reference

If you do not own your home, we will need to speak to your landlord to confirm you can have a dog and discuss any pet restrictions on your lease; adults living in a home owned by their parents will need to list their parents as landlords. We highly recommend reviewing your lease and/or speaking to your landlord about your plans to adopt a dog in advance; that way you will be aware of any restrictions and any fees that may be imposed in your lease.

What other pets do you currently have?

Pet 1

Type

Breed

Name

Age

Sex

Spayed/Neutered?

Pet 2

Type

Breed

Name

Age

Sex

Spayed/Neutered?

Pet 3

Type

Breed

Name

Age

Sex

Spayed/Neutered?

Where are these animals kept?

What other pets have you had in the past five years? *

What happened to them? If any of your pets have passed away, please provide age and cause of death.

What kinds of problems, if any, did you have with them?

Have you ever surrendered a pet to or returned a dog to a shelter? *

If yes, explain.

Have you ever given away or sold a dog? *

If yes, explain.

Adopted pets need time to adjust to their new surroundings. Are you willing to give the new dog at least a one month trial to allow the dog adequate time to adjust? *

What would you consider a reason for not keeping an adopted pet? *

If you currently have a dog, what type of food do you use?

How often do you feed them?

Do you use heartworm prevention with your pets? *

What kind?

Do you use flea prevention with your pets? *

What kind?

Veterinarian Info

Name of Veterinarian: *

Veterinarian Address

City

State

Zip

Veterinarian Phone

May we contact your veterinarian? *

If no current Veterinarian, provide the name and number of Veterinarian used in the past.If no Veterinarian reference, please provide the name and number of 2 personal references other than a relative. These may include neighbors, coworkers, breeders, trainers, etc.

By submitting this application, I agree that:

1. I am at least 21 years of age.
2. If I am approved for adoption and I cannot keep the adopted dog for any reason, it will be returned to Auction For A Kaws immediately.
3. I am authorizing, through submission of this form, the Veterinarian(s) named above to release any information and records concerning past or present care of animals to Auction For A Kaws. I agree to hold harmless and indemnify said Veterinarian(s) for providing such information.
4. I have not, nor has anyone in my household ever been charged with any form of animal abuse, neglect, or cruelty.
5. I am 18 years of age and I have read this application in its entirety and have answered each question honestly and to the best of my ability.
6. I understand and agree that upon adoption decision the adoption fee must be paid within 14 days or dog must be returned.
7. I understand and agree that the $350 adoption fee is nonrefundable.

Application Agreement *