Please completed application to:

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Edmund Hancock
7 years ago
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1 Please completed application to: Kitty Connection 6 Cudworth St. Medford, Ma Dog Adoption Application You must be at least 21 years old and be able to provide proof of age to adopt from Kitty Connection Inc. Our goal is to match the right family to the right dog. Please know that there may be other applications for the same dog. A home visit and reference checks are part of our process. Name of dog(s) for which you are applying: PERSONAL INFORMATION Name: Address: City: State: Zip: Age: Day/work phone: Occupation: Evening/home phone: Employer: HOUSEHOLD Spouse/Partner s Name: Occupation: Employer: Residence: ( ) Own ( ) Rent

2 Please note: If you own, proof of ownership will be required for the adoption process. If you rent, you must provide your landlord s contact information below so that we may verify that you are allowed to have a pet. Landlord s Name: Landlord s Address: Landlord s Contact phone #: List below all other people who currently live at this residence: Name Relationship to you Age Does anyone in the household have known allergies to dogs? ( )Yes ( ) No If so how do you plan to manage this? How many pets currently live in your household? CURRENT PETS Please list all current pets below Type/Breed How long owned? Sex Age Spay/Neutered? DOG/HOUSEHOLD INFORMATION Why do you want to adopt a rescued dog? Have all members of the household been informed of your decision? ( ) Yes ( ) No If no, please explain: Do they agree with your decision to adopt? ( ) Yes ( ) No If no, please explain:

3 Who will be the dog s primary caregiver? Please be clear. Children cannot be expected to be the primary caregiver. It is the primary caregiver s responsibility to make sure the dog is fed, watered, exercised as well as emotionally and medically cared for. REFERENCES Please provide the contact information for a veterinarian you have used before and plan to with your new dog. Vet references are checked. Vet Name: Vet Phone: Vet records under the name of: Please provide the name of at least two personal references. Include their name, phone # and how this person knows you and your ability to provide a good home for a dog: Have you owned a dog before? ( ) Yes ( ) No If yes, please provide us a brief history of what happened to the dog. If your previous dog died, please provide date and circumstances: WHEN THE DOG COMES HOME Do you have a fenced yard? ( ) Yes ( ) No If yes, type (chain link, electric etc.) & height: If you have no fence, how do you plan to have your dog relieve itself? How do you plan on giving your dog proper exercise? Do all the adults work full time? ( ) Yes ( ) No How many hours each day will the dog be home alone?

4 Where will the dog be kept when home alone (crated, run of the house, kiddie-gated in room(s), left outside, etc.) Where will the dog sleep? What sort of training do you plan on providing your dog? What type of activities do you plan on doing with your dog? DONATION The adoption fee ranges from $200-$400 for most adult dogs (decided on a case-by-case basis). This is to help defray the costs of spaying, neutering, transportation and shots for our dogs. All dogs are spayed or neutered, examined by a vet, given medical shots and treated for any medical condition they may have, prior to adoption. Donations above the adoption fee are always welcome! Please realize that dogs need veterinary care throughout their lives including yearly boosters, heartworm and flea/tick preventative medication, etc. Including food and grooming the cost of a small dog can start at $ a year and the cost of a large dog can start at $ a year. Remember that before you adopt, this is a lifelong commitment to the dog (8-15+ in human years). I certify that I have read the above Adoption Application and donation information. The completion of this application in no way guarantees the adoption of a dog from Kitty Connection. For our records, can you tell us how you heard about Kitty Connection? You will be asked to sign this application when you meet with the foster family. Signed: Date: Please completed application to: KittyConnectionInc@yahoo.com We are an all volunteer rescue organization. If you do not hear back from a volunteer within 24 hours, please contact us again via to make sure your application was received. Thank you for your interest in adopting a rescue dog!

5 To be filled out by representative of Kitty Connection Inc. References Checked By: Date: Adoption Application: Approved Denied Notes: Signed: Date:

THE ARK FOSTERCARE PROGRAM

THE ARK FOSTERCARE PROGRAM In order to assist you in finding your new family member, we ask that you read and complete the attached application. ADOPTION REQUIREMENTS: Completed application Waiting period