Adoption Application

Have you read about how to adopt a puppy/dog from The Cat House on the Kings?

Note: Please use this form only if you do not have any specific dog in mind. If you have already found a dog in whom you are interested, please go to the Adopt page and click on the the dog's picture. Then you will find an "Adopt name" link to begin your adoption application.

Adopter Information

First name:
  Last name: 
Spouse's / Housemate's name: 
Address: 
City:   State:   Zip: 
Home phone:
Work phone:
Cell phone:
Email:
How long at this address?
Is it a: House Apartment Other
Do you Rent Own
Does your home have a fenced yard? Yes No
Number of adults in the home?
Does your housemate agree to a new pet? Yes No
Number of children in the home? Ages of Boys? Ages of Girls:
Does anyone in the home have allergies? Yes No
Do you currently have pets? Yes No
Veterinary Clinic you (will) go to: Clinic Phone:
Is this pet for someone outside your immediate family? Yes No
Describe the personality/temperament of the ideal dog:
Where will your puppy stay during the day?     At night?  
Where will your adult dog stay during the day?     At night?  
How many hours will the puppy/dog be left alone during the day?
Have you ever surrendered an animal? Yes No
Do you know how to treat the following?
 
Fleas: Yes No
Ear Mites: Yes No
 
Tape Worms: Yes No
Round Worms: Yes No
How much do you think it will cost per month on average to care for the puppy/dog? $
Who will be primary caretaker for the puppy/dog?
Who will take care of the puppy/dog if you go away for a few days?
Non-household Family Reference:
 
Phone:
Would you consent to a home visit? Yes No
How did you hear about us?
If you move, what will you do with the puppy/dog?
Do you have someone who will care for the puppy/dog if you are unable to?
Are you financially able and willing to give the puppy/dog the medical care he/she may need? Yes No
Are you prepared to care for the puppy/dog for his/her natural life (which may be over 15 years)? Yes No
May we call you at work if unable to reach you at home for our follow-up calls? Yes No

Signature

I certify that the above information is true and understand that misrepresentations may result in the cancellation of the adoption.
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We do not share your information with any other organization or company for any purpose whatsoever.