ADOPTION APPLICATION TO BE PRINTED, FILLED OUT, COPIED & RETURNED (after you make a copy) TO SAVE A DOG & KIDS WITH LETTER OF REFERENCE FROM YOUR VETERINARIAN, A RESCUE THAT HAS DONE A HOME VISIT, OR A PROFESSIONAL LETTER OF REFERENCE EITHER FROM LANDLORD OR EMPLOYER, AND ADOPTION FEE IN A MONEY ORDER TO: SAVE A DOG & KIDS
In order that we may be assured that the dog or cat you are applying to adopt will be best suited to your home and lifestyle, and that it will be placed in an environment that is compatible with its needs, would you please fill out this form and return it to us as soon as possible.
Please think carefully about this adoption. If you are not prepared to make a lifetime responsible commitment to this pet, then the best solution is for you to wait till you aer ready to make this commitment. We assume no liabilities concerning the information given us by the original owner. We pass any information on to you as the owner gave it to us. If the pet was a stray and we purchased the pet from one of the many animal shelters we deal with, we will tell you what we know after working with and raising this pet. We socialize all pets with dogs, cats, kids and strangers as much as possible. We crate train the dogs and litter train the cats in order for them to continue to be indoor only pets in your home. No outside pets will be allowed. We have taken care of all the medical expenses and taken care of all expenses for inoculations, spaying or neutering, deworming, testing as needed, health exam and certificates, and microchip. We never get any pet spayed or neutered if it is under 3 months of age. Most of the time we do not know the petís real name, so we give the pet a name for identification purposes in the computer. You are welcome to keep or change the petís given name. You should allow at least four weeks for the pet to bond to you and your family, and not allow it to go outside unless on leash or in a pet carrier especially since they donít know where they are and have never been let off leash and for cats, never been outside. It is a good rule to designate one room for them at first that they can become housetrained in, feel safe and stress free, and there will also be less chance of a front door being left open accidentally for them to get out and get lost or hit by a car. You must keep dogs on leash at all times unless in the house or in the fenced back yard that is safely locked at the gate. Even the best trained dogs have been tempted by something and ran out in front of a car. Inside trained dogs and cats stay healthier and have less chance of contracting disease, train much faster, learn less bad habits like barking, digging, chewing, or running away, and bond better with their family. You must contact Save A Dog & Kids right away no matter what time of day if you do lose your pet so we may be in contact with you and the animal control/shelter personnel in your area who will contact us with the microchip number, and also so we can advise you of all you can do to find the pet right away. We have 10 years plus experience with that and have recovered every microchipped pet. If you fail to call us and we are called by any animal control to come pick up the pet and pay the impound fee, and any costs to have someone pick them up including a mileage charge of not less than $25, and we will do a determination of whether the pet is being protected from running into the street properly or take the pet back, you will also be charged these fees. We will do everything in our power not to allow any of our rescued pets stay in a shelter more than one day. If you refuse to pick up the pet the day we or the animal control notify you, you will also be charge these fees, and we will take the dog back. Please sign this section to indicate that you have read and agree with all contained in it. X____________________________________________________________________________________
PLEASE ANSWER THESE QUESTIONS COMPLETELY AS THEY APPLY THE CAT OR DOG
Print your full name_____________________________________ Spouse__________________________
Physical Address_________________________________ City______________________Zip__________
Mailing Address if dif._____________________________City_______________________Zip_________
Phone_______________________Work Phone______________________Cell Phone_________________
Alternate phone of friend or relative for Emergency: Name______________Phone____________________
Do you own or rent your place?__________________________Please describe and length of time_______
Do you plan to move in near future and purchase or rent?________________________________________
Do you understand that under no condition can you put this pet out in the yard on a chain or rope or tie out?________ Or in a kennel or caged area outside?________ Or in the garage?_________________
Do you have children?____What ages?_____________ Any allergies?_________________________
Do you own a cat?__________ What other pets, description, spayed?, ages?_____________________
What kind of fence do you have?___________Is it completely enclosed?_________HOw Tall?______
Will you put padlocks on the gates so meter man wonít leave it open?______During the day the pet will be_______________in house _________yard__________garage_________other. HOw many hours each day do you estimate that the dog will be left alone?__________Many dogs and cats are stolen each year and are sold for profit or medical research! Will you protect yours carefully and follow our suggestions as well as get professional dog training which is required for all dogs adopted?_________What kind of activities does your family do that you can share with your dog?_______________________________________________________________________________
What are your views on spaying/neutering?___________ Have you ever attended a dog obedience course before?_____________ For dogs, will you attend at least 7 weeks of group obedience training for socialization with other dogs and people, bonding and analysis and suggestions from a professional_____ and will you provide us with certificate of completion of course?_______ Are you aware that the veterinarian bills for a dog or cat may run between $100 to $500 a year?___Yes___No. Who is responsible for feeding, housebreaking, walking, cleaning after and training your new pet?_______________Where will the pet sleep?_____________What happened to previous Pets (please list each and what happened to them)?______________________________________________________________________________
What types of pets have you had? (Attach if not enough room and if you wish to tell us about them, this will help in our confidence in your love and ability to care for a pet.)
Breed/Type Sex Age died and how Spayed/Neutered
Of course you understand that any pet adopted from Save A Dog & Kids is an inside pet?________Cats never to be allowed outside?_________If you are successful in adopting this pet would you object to someone from our organization or another rescue or shelter making a visit to your home at any time?______
Will you allow us to help you crate train/litter train, continue socializing, and do dog obedience?_________
Will you purchase a pet carrier big enough for the pet to stand up and turn around in?_____The Spay/Neuter will be done by our Veterinary Clinic we utilize and the pet will be microchipped. For dogs, I want to adopt a dog because____personal protection____for my kids to take care of_____ personal companion____. If you own a pick up truck, will the dog ride in the back?____Would you put him in a dog carrier?____ Will you always keep your dog on leash when outside of your home unless in a fenced in yard, doggie day care or dog park?____ When you go away more than one day, who or where will you take your pet to be cared for? _____________ Did you know that pets have ran more ofter from Friends and relativesí homes because they donít know where they are and want to go home?________________
Would you be willing to take your pet to a Veterinarian or best for dogs a Doggie Day/Boarding ________ or get a professional pet sitter_____
Please sign here that you have read the above info and agree with it____________________________
You will receive shots, spay/neuter, microchip certificates. They will tell you when the next shots are due. If you return the pet, then you must return the medical papers to us. If you have lost the papers you will be charged $35 for the replacement cost. If you have lost your rabies tag then you must contact the Clinic and get a replacement when you return the pet. Did you know that you should never take off your petís collar and tags, not even for a bath. One of our recent adoptive families learned the hard way, and now she will never remove his tags since she was very lucky to have him returned after much worry. If he had been wearing his tags with her phone number, the people that found and kept him for a while would have called her right away.
YOU CANNOT UNDER ANY CIRCUMSTANCES GIVE OR SELL THIS DOG AWAY OR TURN IT INTO SHELTER AT ANY TIME IN THE FUTURE! IT MUST ALWAYS COME BACK TO SAVE A DOG & KIDS EVEN IF YOU NEED TO PAY FOR SHIPPING THE DOG OR CAT BACK ON DELTA AIRLINES FOR $167.50 IN A PET CARRIER. IF YOU HAVE SOMEONE INTERESTED IN ADOPTING YOUR PET, THEY MUST GO THROUGH OUR ADOPTION PROCESS AS YOU DID. THIS ENSURES THAT EVERYONE OF OUR RESCUED PETS HAS A PROPER HOME THE REST OF THEIR LIVES AND THAT WE KNOW WHERE THE PET IS.
The microchip in your pet stays in our name with our 24 hr number. Shelters are more willing to work with rescues to keep the pets alive until the owner can be found. You need to keep us updated with changes in address and phone numbers throughout the life of your pet . Save A Dog & Kids 24 hour 7 day a week number has been payed for with Voicestream now T-Mobile for the past 5 years just to be there for the pets. We also require that you purchase a tag made at Petsmart for $6 with your last name, street address and 24 hour phone number before you get your pet, a buckle not snap collar, leash for dogs and cat carrier for cats, and any other supplies you will need. We highly recommend the least allergic (NO CORN OR WHEAT), most natural, enriched, and thanks to COSTCO wholesale warehouses, cheapest food: NUTRA Dog & Cat Food to save you Vet bills in the long run. SIGN HERE THAT YOU AGREE WITH ABOVE_________________________________________.
RELEASE OF LIABILITY: By your signature you are certifying that you will not hold Save A Dog & Kids or any of our volunteers accountable if your dog or cat harms any person or another animal or property:
Did you know that chocolate is toxic to dogs? _____ (It speeds up their heart beat and can cause an attack)
Did you know that onions are also toxic?_____Antifreeze is a deadly poison to dogs or cats and need emergency care ASAP. They like the sweet taste. Never feed your dog or cat table scraps, since they have been so inbred over the years, their organs can no longer digest people food and get many allergies like itching, hot spots, over weight and later cancer if fed foods high in corn, preservatives, artificial color and taste. HEY JUST LIKE PEOPLE! We do not recommend any foods that contain CORN or do testing on animals like Science Diet.
MISSING OR MISPLACED ANIMALS: AGAIN NOTIFY US IMMEDIATELY ANYTIME! We have pictures of you and your pet, we also keep good working relationships with shelters and are experienced in searching for lost pets.
MEDICAL RELEASE OF LIABILITY: Save A Dog & Kids will not be responsible for any medical bill for your pet after adoption unless arranged for at adoption. If your pet becomes ill and the bill is too much for you to bare, please contact us. There are funds that help with these for low income families in most communities. You can also help build up this fund by donating your tax deductible donation to Save A Dog & Kids for all needy pets.
WE RESERVE THE RIGHT TO DO SURPRISE HOME CHECKS DURING THE LIFE OF THE PET YOU ADOPT FROM US TO ENSURE THE PET IS PROPERLY BEING CARED FOR ACCORDING TO OUR GUIDELINES. WE RESERVE THE RIGHT TO TAKE BACK ANY PET THAT IS FOUND CHAINED OR TIED UP, ABUSED OR NEGLECTED IN ANY WAY, OR NOT BEING PROPERLY CARED FOR. I/we further understand and agree that:
In consideration of the adoption of this dog, I/we agree to assume full responsibility for the conduct of this dog upon the date of this contract. I/we further agree to hold harmless the Rescue Program, its board of directors, its officers, its volunteers, and any individuals associated with the Rescue Program and to indemnify such organizations or individuals for any damages or costs resulting from liability, known or unknown, anticipated or unanticipated, as a result of the dog's conduct after the date of this adoption contract.Signed this ________________ day of ________________, 20_______
AGREEMENT: I have read the terms of this application and the adoption of this pet named below, and by signing below I certify that the information I gave in this application is true, and any misrepresentation of facts may result in my losing the priviledge of adopting a pet through Save A Dog & Kids in the future. Also by signing below I agree to all the terms as set forth herein by Save A Dog & Kids in this application.
Pet's Name:______________________________ Description____________________________________
Signature X____________________________________Print your full name_______________________
Driverís License Number________________________Veterinarianís Name/Number_________________ _____________________________________________Donation(Nonrefundable)____________________
Name and Number of Reference Person______________________________________________________
Please print out this form, fill it out, make a copy for yourself and then mail the original to:
Save A Dog & Kids, 851 E. High Country Dr., Orem, UT 84097
(any questions to firstname.lastname@example.org)
Don't forget your letters of reference and the adoption fee agreed upon with Save A Dog & Kids.
The fee will be refunded if you are denied adoption for any reason of this pet mentioned herein.