Kanine Kids Adoption Application

A Welcome Home Rescue Adoption/Foster Application Janet Hart (404) 520-1060 This is your chance to give us an idea of what kind of dog you’re really looking for. We will only use your personal information for contact and your consideration as a home for a rescued dog.

The providing of false information herein will result in the forfeiture of any adoption.

Which dog are you interested in? ______Applicant Name: ______Age: ______Address: ______City: ______State: _____ Zip: ______Home Phone: ______Work Phone: ______Cell Phone: ______Email: ______Occupation: ______Applicant’s Current Employer: ______Co-applicant Name: ______Age: ______Relationship to applicant? ______Co-applicant’s Occupation:______Co-applicant’s Cell No.______List any Humane Societies, Organizations, Breed or Training Clubs you’re associated with: ______

1. Do you live in a house, apartment, condo/town home, or mobile home? ______2. Do you own or rent your home? ______3. If you rent, name and phone number of landlord: ______4. Do you have landlord’s approval to have pets? ______What’s the pet deposit? ______5. Does your landlord or HOA have breed restrictions? ______If so, what breeds are restricted?______6. How long at current address? ______7. Are you planning on moving within the next two years? ______If yes, explain: ______8. Do you travel for work at all? ______If yes, how much of the time are you out of town? ______9. Do you have a fenced yard? ______How tall and what kind? ______10. Do you have a cable or kennel run set up for a dog for exercise? ______11. Does your fence have any holes or gaps at the bottom or places that need repair where a dog could escape? ______12. Do you have an invisible fence? ______13. How will the new dog be exercised? ______14. Do you have a doggie door? ______15. Do you have a second home or rental property? ____ Where? ______16. How many adults in your house? ______17. How many children: ______Ages: ______18. Is there anyone in your home with pet allergies? ______19. Please list breed, age and sex of all pets in your household: ______20. Are current pets spayed/neutered? ______Were your past pets spayed/neutered? ______21. Are your current pets up to date on vaccinations?______22. How many dogs have you owned in the past? ______23. What happened to them? Be specific:______24. How many dogs do you have now? ______Types?______25. Have Cats?______How many?______What type? ______26. What heartworm prevention do you currently use or have you used in the past? ______27. Have you used flea prevention? ______What kind? ______28. Where will this dog stay during the day - crate, kitchen, backyard, basement, garage, etc? (Be specific) ______29. Where does your current dog stay during the day - crate, kitchen, backyard, basement, garage, etc? (Be specific) ______30. If you have a dog now, where does it sleep? ______31. Where will the new dog sleep? ______32. If you don’t have a crate, will you be willing to purchase one if the new dog needs to be crated? ______33. Do you have any experience crate training a dog? ______34. Approximately how long will the new dog be alone during the day? ______35. What percent of time will the new dog spend inside the house? ______36. What type of housetraining methods will you use? ______37. What kind of dog food do you feed or will you use with the new dog? ______38. What would you consider a realistic cost to properly care for a dog for one year? ______39. What is your vet’s name and number? ______Or past vet? ______40. Have you ever tried to adopt from another humane society, shelter or rescue group?______If so which group? ______41. Have you ever had a situation where you had to find your pet another home because of a move, new baby or behavior problems, etc? Please explain: ______42. Would you allow us come visit your home prior to adoption? ______43. Do all adults in your house know you’re looking for a dog? ______44. Do you think it’s necessary to spay/neuter your pets? ______45. Do any of your pets or previous pets stay or prefer to stay outdoors? ______46. What circumstances to you are acceptable to find your dog another home? Check all that apply: ____ Moving ____ New baby, no time for dog ____Not getting along with other pet ____ Divorce ____ Getting out of fence ____ Shedding ____ Allergies ____ Shedding ____Increased work hours ____ Aggressive ____ Not housebroken or marking in house ____Medical problems ____ Gets too big ____ Chewing/Destructive behavior ____Not getting along with child ____None ____ New Relationship ____ Other ______What if your pet develops a frequent urination problem, what would you do? ______

47. Have you ever had a serious behavioral problem with a pet? If so, what did you do? ______48. If your dog has any behavioral problems in the future what would you be willing to do? ______49. What if your pet comes down with a serious medical problem that’s very expensive, what would you do?

_____ Find him a new home _____ Put him to sleep ______Find him another home _____ Give him to a humane society or back to rescue group ______Pay whatever it takes _____ Other ______

50. If you decided to move to a place that didn’t allow pets, what would you do?

_____ Give the dog to a friend ______Give the dog to a rescue group _____Give dog to a family member _____ Find the dog a new home ______Don’t move there _____Return dog to the Rescue that Adopted him 51. What activities do you plan to do with your new dog? ______52. Is this dog going to be a surprise for anyone? ______53. Do you plan to take this dog to work with you? ______If so, where will he stay at work? ______54. Do you think it’s necessary to have id on your pet at all times?______If not, why? ______55. Most pets require time to adjust to their new home. How much time are you willing to give this pet? ______56. Are you planning on enrolling this dog in obedience classes? ______57. Where will the dog stay when you go out of town? ______58. Will the dog have access to a balcony, patio or porch? ______59. Is your dog or were your past dogs ever trained off-leash? ______60. Do you think a dog should be allowed or trusted off-leash in an unfenced area? ______Explain:______61. Do you allow any of your current dogs to go from the house into the car w/out leashing them?? ______62. Do you allow your dogs to walk around the neighborhood w/out being leashed? 63. Do you go to DOGGIE Parks? ______Do you let him/her off lease in that enclosed park area? ______64. How does he/she act when in the park? ______65. Do you expect any major life changes within the next 10 years – marriage, children, etc? ______66. Please provide three personal references that we may call to verify information above. Name ______Phone no. ______Name ______Phone no. ______By signing below you are in agreement and compliance to our application process and agree that everything on this application is true.We understand AWHAR will check veterinary references.

Signature ______Date ______

Note: Falsification of any of the above information will be grounds for disallowing the adoption of a rescue animal and possible removal of said animal from the home.