ADOPTION APPLICATION


In order that we may be assured that the animal you are applying for will be best suited to your home and lifestyle, and that it will be placed in an environment that is compatible with its needs, please read the below agreement and fill out the application completely.

Please use N/A (Not Applicable) where necessary - do not leave anything blank.

Failure to fill out application completely may result in a denial of application.

ATTENTION:

Completion of this agreement does NOT guarantee that you will be approved for the adoption of this pet. Good Karma Dog Rescue, Inc. (GKDR), is dedicated to placing our pups in the best homes possible. Therefore, we may decide to take more than one application on any of our animals and will contact references that you have provided to ensure that we make the best decision for both the potential adopting individual/family and the pet. We appreciate your patience while we make our decision. 

Full name of applicant who will be responsible for this dog: *
Full name of applicant who will be responsible for this dog:
Date of Birth
Date of Birth
Address: *
Address:
Are you on Facebook?
Work Phone
Work Phone
Are all adults living in this household agreeable to adopting this dog?
Does anyone in the household have allergies to animals?
Is this adoption a gift for someone else?
Will the dog be kept at a different address?
What type of residence do you live in?
Do you own or rent your residence? *
Does your property have a front/backyard?
Is the yard enclosed with fencing?
If "yes", what type of fencing?
Where will this pet live? (Check all that apply)
How will this pet spend its time home alone? (Check all that apply)
Will any other pets be in contact with your new pet on a regular basis?
If you move, are you willing to bring this animal to live with you in your new residence?
Do you currently own any other pets?
Are your current pets spayed/neutered/up to date on shots?
Are your current pets on monthly flea/tick preventative?
Are your current pets on a Heartworm preventative?
Are you aware that the regular veterinarian bills can run between $100 & $500 a year?
Are you aware that an emergency vet visit can run anywhere from $500-$5,000 per visit?
Are you prepared to spend these amounts if necessary?
Have you ever given a pet to a shelter?
Have you ever had to euthanize a pet?
Are you willing to participate in training programs or behavior classes if your pet requires it?
Please initial or sign after reading and agreeing to these terms: GKDR believes that all pets should be indoor-only pets. The animals we adopt out are never to be allowed to roam outside due to the potential hazard of getting hit/run over by vehicles, injuries from other wild or domesticated animals/spreading of disease. *
Please initial or sign after reading and agreeing to these terms: GKDR believes that all pets should be indoor-only pets. The animals we adopt out are never to be allowed to roam outside due to the potential hazard of getting hit/run over by vehicles, injuries from other wild or domesticated animals/spreading of disease.
Good Karma Dog Rescue has a “no refund” policy. Is this acceptable to you? *
Please initial or sign after reading and agreeing to these terms: Good Karma Dog Rescue reserves the right to reclaim any animal that is found chained or bound in an inappropriate manner, abused, neglected, or improperly cared for. *
Please initial or sign after reading and agreeing to these terms: Good Karma Dog Rescue reserves the right to reclaim any animal that is found chained or bound in an inappropriate manner, abused, neglected, or improperly cared for.
Pledge I pledge to make a reasonable commitment of time and effort and to adjust scheduling and lifestyle in order to make this relationship work. I understand that I may need to confine and seclude this pet in my home in order to provide an adjustment period and build a relationship by earning his/her trust. *
Pledge I pledge to make a reasonable commitment of time and effort and to adjust scheduling and lifestyle in order to make this relationship work. I understand that I may need to confine and seclude this pet in my home in order to provide an adjustment period and build a relationship by earning his/her trust.
RELEASE OF LIABILITY: I, release GKDR, volunteers, foster volunteers and representatives of GKDR from any and all claims and actions, whether it’s for property damage caused by the animal(s) or for personal injury to me, family members, other persons and other animals (including personal pets, livestock, or other animals) from biting, scratching, transmittal of disease, and/or any other matter attributable to said animal(s). *
RELEASE OF LIABILITY: I, release GKDR, volunteers, foster volunteers and representatives of GKDR from any and all claims and actions, whether it’s for property damage caused by the animal(s) or for personal injury to me, family members, other persons and other animals (including personal pets, livestock, or other animals) from biting, scratching, transmittal of disease, and/or any other matter attributable to said animal(s).
MEDICAL RELEASE OF LIABILITY: Good Karma Dog Rescue will not be responsible for any medical bills for your pet after adoption unless arranged for at time of adoption. *
MEDICAL RELEASE OF LIABILITY: Good Karma Dog Rescue will not be responsible for any medical bills for your pet after adoption unless arranged for at time of adoption.
I/We further understand and agree: 1. To return the dog to GKDR if unable to keep the dog. To never abandon the dog or surrender, sell, or give the dog to a shelter, pet dealer, or a laboratory. 2. To notify GKDR if the dog is lost or stolen and to make all reasonable efforts to locate the dog. 3. To never allow this dog to be trained for or used for protection or as an attack dog. 4. To treat this dog as a family pet with affection and kindness, never subjecting this dog to abuse or cruelty. 5. To provide regular veterinary care, including annual shots, heartworm preventative, and parasite checks. 6. To always keep this dog within a fenced yard (not on a chain), on a leash, or safely within the home. 7. To not transport this dog unconfined in an open vehicle. 8. To regularly check the tightness of any collar. To affix any licenses and tags to the collar and to never leave a choke chain on the dog when not attended. 9. To permit GKDR to make follow-up calls and/or visits. 10. To contact GKDR, a veterinarian, or an obedience trainer when problems arise so that the problem may be eliminated or alleviated. I/We further understand and agree that: 1. Non-compliance with any of the above terms and conditions may result in the immediate forfeiture of the dog and that GKDR may reclaim this dog without payment of compensation to me/us. 2. GKDR has explained the typical characteristics and temperament of the pet. 3. GKDR has advised me/us that the dog can sometimes dig, chew, soil, and exhibit other undesirable traits unless properly supervised, confined, and trained. 4. GKDR has given me all information necessary to make an informed decision to adopt this dog. 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 GKDR, its volunteers, and any individuals associated with GKDR 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. I have read the terms of this application and the adoption of the pet that I am applying for, 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 privilege of adopting a pet through GKDR in the future and the forfeiture of this dog or cat. Also by signing below I agree to all the terms as set forth herein by GKDR in this application. *
I/We further understand and agree: 1. To return the dog to GKDR if unable to keep the dog. To never abandon the dog or surrender, sell, or give the dog to a shelter, pet dealer, or a laboratory. 2. To notify GKDR if the dog is lost or stolen and to make all reasonable efforts to locate the dog. 3. To never allow this dog to be trained for or used for protection or as an attack dog. 4. To treat this dog as a family pet with affection and kindness, never subjecting this dog to abuse or cruelty. 5. To provide regular veterinary care, including annual shots, heartworm preventative, and parasite checks. 6. To always keep this dog within a fenced yard (not on a chain), on a leash, or safely within the home. 7. To not transport this dog unconfined in an open vehicle. 8. To regularly check the tightness of any collar. To affix any licenses and tags to the collar and to never leave a choke chain on the dog when not attended. 9. To permit GKDR to make follow-up calls and/or visits. 10. To contact GKDR, a veterinarian, or an obedience trainer when problems arise so that the problem may be eliminated or alleviated. I/We further understand and agree that: 1. Non-compliance with any of the above terms and conditions may result in the immediate forfeiture of the dog and that GKDR may reclaim this dog without payment of compensation to me/us. 2. GKDR has explained the typical characteristics and temperament of the pet. 3. GKDR has advised me/us that the dog can sometimes dig, chew, soil, and exhibit other undesirable traits unless properly supervised, confined, and trained. 4. GKDR has given me all information necessary to make an informed decision to adopt this dog. 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 GKDR, its volunteers, and any individuals associated with GKDR 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. I have read the terms of this application and the adoption of the pet that I am applying for, 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 privilege of adopting a pet through GKDR in the future and the forfeiture of this dog or cat. Also by signing below I agree to all the terms as set forth herein by GKDR in this application.
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