Skip to content

Kinder4Rescue

Hear the Cry, Rescue Don't Buy!

Home
Services
Prices
Schedule
Dental Information
Location
Donate
Patient Forms
Adoptions
Resources

Facebook page opens in new window Twitter page opens in new window Dribbble page opens in new window

Home
Services
Prices
Schedule
Dental Information
Location
Donate
Patient Forms
Adoptions
Resources

Adoption Application

You are here:

Home
Adoption Application

Adoption Application

Name or Type of dog that you're interested in adopting*
Personal Information
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Main Phone #
Alternate Phone #
Occupation*
Spouse/Partner Occupation
Your Age*
How many adults live in your home?*
Who will be the primary caregiver?*
How many children live in your home?*
What are their ages?
Do you or anyone else in your household have pet allergies?*
- Yes
- No
Veterinarian's name and number:*
Do we have permission to check past vet records?
Your Home
Which do you live in?*
- House
- Apartment
- Townhouse
- Condo
- Mobile home
Do you own or rent?*
- Own
- Rent
If you rent, do you have your landlord's permission to own a dog?
- Yes
- No
If yes, we would also want to contact the owner to get confirmation.
Are there any breed or weight restrictions?
- Yes
- No
Please explain the breed or weight restrictions at your rental property
Do you have a yard?*
- Yes
- No
Is the yard totally enclosed?
- Yes
- No
What is the lowest height of your fence?
Is the fence/gate kept locked?
- Yes
- No
Have you recently checked the entire perimeter of the fence to ensure that a dog cannot escape?
- Yes
- No
LOOK FOR SOFT DIRT TO DIG UNDER, BARS SPACED TOO FAR APART, etc
Do you have a pool?*
- Yes
- No
Is the pool fenced?
- Yes
- No
Do you have a doggie door?*
- Yes
- No
Can you ensure that your gardener, housekeeper, etc will not let the dog out of the yard?*
- Yes
- No
Future Dog and Pet History
Do you have any other pets?*
- Yes
- No
Please list their breed and age
Do they live inside or outside?
- Inside
- Outside
Are they up to date on their vaccinations?
- Yes
- No
Are your pets neutered/spayed?
- Yes
- No
Are they dog socialized?
Have you ever introduced a new dog into your home? If yes, how did it go?
Do you walk your dogs? If yes, then where?
If you were to see a Coyote on your walk what would you do?*
Which of the following are true?*
- I have never seen a coyote, I'm not worried,
- Coyotes come out during the day
- Coyotes can jump over an 8ft. fence
- Coyotes will attack dogs even on leashes
- Coyotes are not afraid of humans
- All of the above
Check all that apply
If you drive a pick-up truck, would you allow your dog to ride in the back?*
- Yes
- No
Have you ever owned a pet before that you no longer have?*
- Yes
- No
Please list them all and explain what happened to each one*
Eg. Passed away, given away to family, taken to a shelter, ran away, etc.
Was your last dog obedience trained?
- Yes
- No
Have you ever turned your pet into a shelter?*
- Yes
- No
If yes, please explain.
Please enter a number from 0 to 24.
Why do you want to adopt this dog?*
- Companion for you
- Companion for children
- Playmate for other pets
- Guard dog/protection
- Therapy dog
- Gift
- Other (please explain)
Check all that apply
How many hours will the dog be left alone on a typical weekday?*
Please enter a number from 0 to 24.
Where will the dog be kept during the day?*
- Indoors (loose)
- Indoors (in one room)
- Laundry room
- Crated
- Balcony
- Tied up
- Yard
- Enclosed patio
- Dog-run
- Garage
Check all that apply
Will any place be off-limits for the dog when you are home? (i.e.- furniture, bedrooms, etc)*
Would this dog be left alone in the yard at any time? If yes, please explain.*
Where will the dog sleep at night? (please be specific - eg. garage, kitchen, etc)*
Brand and Type of food you will feed the dog?*
Which pet store will you purchase the food from?
What type of flea control will you use?
How will you care for your dog's teeth?*
How much are you willing to spend on medical bills for your dog?*
- up to $100
- up to $500
- up to $1000
- up to $5000
- whatever it takes
Check all that apply
If you did not answer "whatever it takes" - what would you do if the vet bills go over the amount you chose?
Under what circumstances would you consider giving up this dog?*
- Destructive chewing
- Barking
- Not housebroken
- Biting
- Too shy
- Shedding
- Separation anxiety
- Medical problems
- Not obedient enough
- Grows too big
- Too hyper
- Pets don’t get along
- Working too many hours
- Moving
- New baby
- Divorce
- Allergies
- Financial problems
- Personal health problems
- None of the above (I would not give up this dog)
Check all that apply
If you move will you take the dog with you? If no, please explain.*
What will you do if you move somewhere where dogs are not welcome?*
For what reason would you euthanize a dog?*
Do you think it's necessary for your dog to wear an ID tag?*
What provisions will you make for the dog if you should become unable to care for it?*
Who will take care of the dog when you travel?*
What methods will you use to train this dog?*
- Praise
- Verbal commands
- Clicker training
- Hit with newspaper
- Spanking
- Shock collar
- Hire a trainer
- Group classes
Check all that apply
What method will you use to potty train?*
When would the dog be off-leash outdoors?*
Will you use a choke chain? If yes, then when and why?*
May we conduct a home check prior to finalizing the adoption?*
- Yes
- No
Are you ABSOLUTELY SURE that you are ready to make this LONG TERM COMMITMENT?*
- Yes
- No
How did you hear about us?
Phone
This field is for validation purposes and should be left unchanged.

Leave a Reply Cancel reply

You must be logged in to post a comment.

Home
Services
Prices
Schedule
Dental Information
Location
Donate
Patient Forms
Adoptions
Resources

Contact Info

Phone number:
(818) 505-0006
Address:
4926 Vineland Ave. North Hollywood 91601

Home
Services
Prices
Schedule
Dental Information
Location
Donate
Patient Forms
Adoptions
Resources

home-anchors