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APPLY FOR A CAT

Several of our cats are housed at the

PetSmart on Ward Pkwy and the Petco at 95th and Quivera,

come meet them today!

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Licensed with the state of Missouri

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Last Updated:
02/08/2010 08:14 PM

Adoption Form

Adopt a Dog

Thank you for interest in adopting a homeless pet! Please read all questions carefully and answer them as thoroughly as possible.

Firstname: * Required
Lastname: * Required
Address:
City:
State:
Zipcode: -
Home Phone:
Work Phone:
Cell Phone:
Fax:
Email: * Required
Alternative Email:
Text/Pager Email:

What is your age range:  * Required


What is your occupation:  * Required


If you listed a cell phone number, are you a texter:  * Required


Which dog are you applying for:  * Required


What is your second choice, if any:


What traits are you looking for in a dog:  * Required


Is this dog a gift? If yes, who is the dog for:  * Required


Have you or any family member ever adopted or applied to adopt from us or another rescue group or shelter:  * Required


If yes, which group did you apply with and did you end up adopting an animal:


Please list any pets you have had in the past 10 years. Please list their name, age, breed, sex, and if they are/were spayed or neutered:  * Required


Do you still have these pets? If no, where are they now (i.e. deceased, in a different home, lost, gave up to rescue group/shelter, etc.):  * Required


If you have pets that currently reside in your home, what are their living conditions? For example, where do they stay during the day and at night:


How long have you been at your current residence:  * Required


In what type of home do you live:

Single Family	Duplex
Apartment	Townhouse
Condominium	Mobile Home
Military Housing	Farm

Do you own or rent your home:

Rent

Own

If you rent, please enter your landlord's name AND PHONE NUMBER:


Please list the names and ages of everyone in your household:  * Required


Who in the household will care for this dog:  * Required


Is your yard fenced:

Yes

What type and height of fence do you have? (check all that apply):

None	Privacy
Chain Link	Invisible
picket	Rail
4'	5'
6'

If you don't have a fence, how do you plan to exercise your dog:

Will this dog be kept:

Inside Only	Outside Only
Inside and Outside

How many hours per day will this dog be alone:  * Required


Where will this dog be kept when you are not home:  * Required


Where will this dog be kept when you are home:  * Required


Where will this dog sleep:  * Required


How do you plan to train and discipline your dog:  * Required


What do you consider to be normal medical care for your dog? What is required monthly and yearly:  * Required


What do you know about heartworms and heartworm prevention:  * Required


Have you ever given up a pet? If yes, please explain the circumstances and what happened to the pet:  * Required


If you move, what will you do with your dog:  * Required


What circumstances would cause you to give up this dog:  * Required


Veterinarian's Name AND PHONE NUMBER:  * Required


If you do not have an established veterinarian, please provide the name and contact information for 2 personal references:  * Required


How did you hear about us:  * Required

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