Adoption Application

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Kind Hands 4 Paws

PO Box 452

Zanesville OH 43702-0452

740-819-5328

Email *

Incomplete applications to adopt will not be accepted

Your answers to these questions will assist us in determining the best homes for our Rescue dogs, and the best Rescue dog for your family. By applying for the adoption of a Rescue dog from our Rescue, you hereby give your Veterinarian(s) and other references permission to disclose information to KHFP Animal Outreach.

Signature is implied and assumed on email & online Applications to Adopt.

If unsure about the answer to any of the following questions, proceed as instructed:

Put N/A in any blank that does not apply to you and/or you can cannot answer

Which dog are you applying for? *

Full Legal Name *

Age *

Home Phone *

Cell Phone *

E-mail *

Address *

City *

State *

Zip *

Applicant Occupation *

Employer *

Spouse's Name *

Spouse's Age *

Spouse's Occupation *

Spouse's Employer *

Do you live in...
*

House

Apartment

Trailer

Other:

Do you...
*

Own

Rent (We require a copy of the Landlord statement/Lease Agreement for Renters)

Previous Address
*

Do you have a fenced yard?
*

Yes

If no, how will exercise/toilet be handled?
*

Describe Fencing/Kennel
*

How many adults in home and relationship to applicant(s)?
*

Children in home?
*

Yes

If yes, list their ages
*

Are there any family members who need special consideration for any reason? Please explain
*

Do you have any other dogs?
*

Yes

If yes, dogs names *

Are they spayed/neutered? *

Yes

Breed(s), Sex and Age(s) of other dogs *

Any other pets/livestock? *

Yes

If yes, list type, sex and age *

Who is your current veterinarian? (Please contact your vet and give permission to release info!) *

Vet Address *

Vet Phone *

Name and number of any other vets you have used *

How many dogs have you owned in the last 5 years? *

What breeds and names? *

What happened to your last dog? *

Have you ever given away or surrendered a dog? If so, why? *

Briefly tell us why you would like a dog? *

What are your plans for this dog? *

Pet

Guard

Hunting

Obed.

Other:

Do you want... *

Male

Female

Doesn't matter

Age preferences *

Under 2 years

2 to 4 years

4 to 6 years

Over 6 years

Where will the dog spend most of each day? *

Where will the dog sleep? *

How many hours will the dog be alone each day? *

What is your opinion on formal obedience training classes? *

Return dog immediately to KHFP if you can no longer keep or care for? *

Yes

Allow an KHFP agent to visit your home prior to and after adoption? *

Yes

Are you familiar with crate training? *

If so, what are your thoughts regarding crate training? *

If KHFP doesn't consider the dog you originally selected as being suitable for your home, are you open to a different more compatible dog? *

Yes

Signature Waiver:

A) I agree by initialing this line that typing my name in is the same as signing my name to this legal document.

B) I give permission for the KHFP Rescue Agent to type my name to this document, causing it to be the same as my legal signature on this document.

(Type initials below)

Financial and Physical verification:

I hereby testify that I am financially and physically able to care for this dog. I understand that proper food, veterinary care, bedding, toys, crate and so on can be costly and I am able to meet these requirements. I further testify that I am physically fit to provide necessary activities with my dog.

(Type initials below)

Truthfulness:

I understand that if the information contained herein is in any way found to be false, my application can be refused or said adopted dog shall be relinquished to KHFP Rescue without a refund of the adoption fee.

(Type initials below)

Adoption Fee Statement:

I understand that the adoption fee in non-refundable.

(Type initials below)

If at any time the adopter cannot keep the animal, it must be returned to KHFP Rescue, NO EXCEPTIONS!!

By entering my name below, I acknowledge that I completely read this questionnaire, comprehend it fully, I am aware that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application or the adoption contract can result in the forfeiture of any rescue dog adopted by me.

(Sign and date below)

Send me a copy of my responses.

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