Adoption Application

We appreciate your interest in our dogs & puppies. Please complete the following so that we may know you better.
Your application will be reviewed and a member of K-9 Stray Rescue League will contact you.



 
If it is late in the week and you plan on attending one of our weekend shows and want to apply online, please print the application before you push the "submit" button and bring it with you. Sometimes our volunteers are unable to get the e-mail prior to the shows.
THANKS!! K 9 Stray Rescue League.
 


If you have any problems completing this form or just have a question,
please email us at: k9strayrescue@yahoo.com or call us at: (248) 628-0435.



Adoption Questionnaire
How did you find this Web site?
Date
Which dog are you interested in?
Have You Adopted from K9SRL before?
Primary Adopter Name
Secondary Adopter Name
Street Address
City, State, Zip
Home Phone
Work Phone
Best Time to be Contacted
Why do you want to adopt a dog/puppy?
Which sex do you prefer? M F No Preference
What age range do you prefer? Up to 1 year 1-3 years 3-5 years
5-7 years 7 years and up No Preference
Preferred Breed
Primary Adopter Occupation
Work Phone Number
Secondary Adopter Occupation
Work Phone Number
Primary Adopter's e-mail Address
Secondary Adopter's e-mail Address
How Long at Present Address?
Do you.. Own Rent
If you rent please forward a letter of permission from your landlord to have a dog.
Name of Landlord
Landlord's Address
City, State, Zip
Landlord's Phone
Do you live in a/an Apartment House
Condo Townhouse Trailer Park
Are There any Pet Restrictions? Yes No
How Many Adults Reside in your Home?
How Many Children Reside in Your Home?
What are the ages of children in contact with the dog?
Does Anyone in Your Home Have Allergies? yes no
If Yes, Who?
If You Move in the Future, What WIll you do with your Dog?
Do you Have a COMPLETELY fenced Yard? yes no
Fence Height?
Fence type?
If no or if not completely fenced in,
how will you contain your dog to your property? (Be Specific)
What Type of Shelter will be Provided when the Animal is in the Yard?
What kind of accommodations do you have for the dog in the cold?
Is anyone home during the day? yes no
How many hours would the dog be left alone?
Where will the dog stay during the day when alone?
Where will you keep the dog during the night when you are sleeping?
What will you do with the dog if you need to travel
for business or personal reasons?
What dogs/cats do you currently have? Breed M F Age Spayed/Neutered?
What dogs/cats do you currently have? Breed M F Age Spayed/Neutered?
What dogs/cats do you currently have? Breed M F Age Spayed/Neutered?
What dogs/cats have you had? Breed M F Age Spayed/Neutered?
What dogs/cats have you had? Breed M F Age Spayed/Neutered?
If you do not currently own a dog, have you owned one before in your adult life? yes no
How do your dogs/cats get along with other dogs?
Have you ever breed a litter? yes no
Have you ever returned a dog to a shelter? yes no
If yes, please explain.
Do you own or have you used a crate? yes no
Are you willing to obtain a crate/kennel and crate train the dog if necessary? yes no
Ever train in obedience? yes no
Are you willing to train in obedience? yes no
If no, What are your plans for training the dog? (Be Specific)
How do you plan on excercising the dog?
Name of Veterinarian
Veterinarian Address
City, State, Zip
Veterinarian Phone
Rescue animals need time to adjust to a new home. Are you willing to give this new dog adequate time to adjust to ensure proper adjustment - at least 3 weeks in some cases? yes no
If no, how long to you feel is a fair amount of time to adjust?
What would be unacceptable behavior in your home for you to want to give up the dog?
Are you willing to have a K9SRL member visit your home? yes no
Does your household budget allow you to provide regular veterinary care for this adopted pet (averaging between $150 and $250 yearly)? Which includes annual vaccines, heartworm test, heartworm preventative, diagnosis & treatment of any illness. yes no
Do you agree to have necessary/regular check-ups and vaccinations administered by a reputable vet? yes no
Are you aware that some dogs may fit into your lifestyle & others may not? yes no
Do you agree to select a dog based upon a "good fit" for BOTH your household and the dog? yes no
We are always in need of temporary homes for our rescue dogs. Would you be willing to foster a needy dog or puppy if it is compatible with your lifestyle and other pets?
For how long?
Until placed?
I/We acknowledge that all the information contained on this form is true & correct. I/We understand that any misrepresentation of fact may result in the removal of the adopted dog from my/our home by K-9 Stray Rescue League. I am aware that I must notify a K9SRL representative within 24 hours if the situation should arise in which I can no longer keep the adopted animal, or if it appears that the animal is lost or stolen. Please type both adopters names in the area below, this serves as your signature.

Again if you are planning to attend the show please print this form prior to submitting. You will also need to click here to print the contract. You will need Adobe Acrobat. Thank you for considering a rescue animal as your loving companion!


Please enter any comments or questions here:

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