ADOPTION APPLICATION

Please complete the application below or click here to download the application.

If you have any questions please contact us at KyAnimalRelief@gmail.com

Animal Information

Name of animal you are interested in adopting*

How did you find out about this animal

Applicant Information

Name of Applicant*

Phone*

Age

Email*

Address*

Number and ages of people currently living in household

Veterinarian Information

Who is your current veterinarian?

Can your vet be used as a reference? Yes No

Additional Information

In general, dogs may need up to two weeks to adjust to a new home. Excluding risk of harm, are you willing to provide this? Yes No

Have you ever given up a pet? If so, explain. Yes No

Are there any circumstances that would cause you to return a dog to the rescue organization?

Under what circumstances do you believe euthanasia is appropriate?

Are you willing to have a representative of K.A.R.F come to your home to see where the dog will be living? Yes No

Are you financially able and willing to provide quality food, shelter and medical care, including, but not limited to: yearly exams, any necessary blood tests, dental cleanings as needed, risk-appropriate vaccinations, treatment of parasites, fleas and ticks with non-over the counter products, monthly heartworm prevention and prompt treatment of illness and injury? Yes No

Personal Reference (Not living with Applicant)

Name*

Phone*

All answers I have given are true to the best of my knowledge.

Signature*

Date*

Security Code

Thank you for your application. We will respond as soon as possible.

KARF Adoption Committee