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KGARL Adoption Application

Please answer each of the questions below. When you have completed the application select the Submit button at the end of the form. Your answers will be automatically forwarded to a League officer for review.

Type of Pet Requested: Cat Dog

Gender of Pet Requested: Male Female No Preference

If showcased on our website, what is the animal’s name or ID Number?

When can you accept your new pet?

Personal Information:
Applicant's Name:
Applicant's Age:    (must be 21 years or older to adopt)
Applicant's Work Phone Number:
Applicant's Home Phone Number:
Applicant's Cell Phone Number:   

Applicant's Address:
Street: 
City:    
State:  
Zip:     

Applicant's Email Address:
Applicant's Employer:       
Position:                           
Employer's Phone:            

Spouse or Co-Applicant's Name:
Co-Applicant's Age:    (must be 21 years or older to adopt)
Co-Applicant's Work Phone Number:
Co-Applicant's Home Phone Number:
Co-Applicant's Cell Phone Number:   

Co-Applicant's Address:
Street: 
City:    
State:  
Zip:     

Co-Applicant's Email Address:
Co-Applicant's Employer:       
Position:                                  
Employer's Phone:                   
Relationship to Applicant:        
Are you currently expecting a child? Yes No

Are you contemplating/planning children in the next 10 years? Yes No

Would the arrival of children affect your decision/commitment to love and care for your pet? Yes No

Are you willing to take responsibility for your pet for the next 10 years or more? Yes No

Average number of days applicant is out of town per month (business or pleasure):

Household Information:

Do you live in a:

How long have you lived in your current residence?

Do you: Own Rent

If you rent, have you discussed having a pet with your Landlord? Yes No

Landlord’s Name: Phone Number:

List all residents of the household (other than applicant or co-applicant):

Name: Age:
Name: Age:
Name: Age:
Name: Age:

Does anyone in your family suffer from allergies? Yes No
Allergies to Cats? Dogs?

How do you plan to prepare your children for the arrival of a new pet into the family?


If you have children, what has been their exposure to pets?
Type of exposure: With a small dog With a large dog With a cat Other

Is anyone home during the day? Yes No
How many continuous hours per day will the animal be left alone?
And where will the animal be during that time?
General Questions:
Have the applicant and co-applicant discussed and agreed to adopt from a Rescue? Yes No

Have all other residents of the home agreed to caring for and loving your adopted pet? Yes No

Who will be responsible for the pet?

Indicate reasons why you want to adopt:

Please explain the type of pet you are looking for (energy level, size, gender, temperament, etc):

Please explain the research you have done before applying for this animal:

What behavioral or training issues are you able to work with?

What behavioral or training issues are you NOT able to work with?

All animals will be spayed/neutered. Do you have any reservations or questions about this? Yes No
Explain:

Where will the pet be kept during the day?

Where will the pet be kept at night?

How will you exercise your pet?

How much do you think it will cost to take care of this animal each year (food, vet bills, license)?

How will your pet be cared for during the times when the responsible parties are out of town (business, vacation)?

If you move what will you do with your pet?

Have you/someone in your family ever dropped off an animal or released an animal to an animal shelter or humane organization? Yes No

If so, when and why?

This section is for Military and Spouses of Military Personnel only:
How many members of your family are active military?
How long have you been stationed here?
How much longer will you be stationed here?
Did you have any animals at your last duty station?
If yes, where is that animal now?
What would you do with an animal if you are transferred to another duty station here, or abroad?
If Applying to Adopt a Dog:

Have you ever owned a dog? Yes No
Have you ever housetrained a dog? Yes No
Have you ever crate trained a dog? Yes No
Have you ever obedience trained a dog? Yes No
How many times a day do/will you feed a dog? 
What brand of dog food do/will you use?

Do you have a fenced yard: Yes No

If yes, what type of fence? Dimensions of the fence (length, width, height)?

If no fence, how will you keep your dog in the yard?

Who will supervise all outdoor activities?


How do you feel about crate use?

What method of housetraining do you plan to use?

How many hours is reasonable to expect a dog to hold it's bladder while home alone? 

 
If Applying to Adopt a Cat:

Have you ever owned a cat? Yes No 
Have you ever litter trained a cat? Yes No
How many times a day do/will you feed your cat?
What brand of cat food do/will you use?

Do you plan to de-claw your cat? Explain your reasons:

What are your views on vaccinating an indoor-only cat?

If you have other cats living in your house, have they been tested for FIV/FeLV? Yes No Not Applicable

Pet History:

Please list all pets you have owned in the past five (5) years: None
Name: Cat Dog     Male Female       Age: Neutered/Spayed? Yes No
Breed:  Indoor or Outdoor?
Currently lives where or cause of death?

Name: Cat Dog     Male Female       Age: Neutered/Spayed? Yes No
Breed:  Indoor or Outdoor?
Currently lives where or cause of death?

Name: Cat Dog     Male Female       Age: Neutered/Spayed? Yes No
Breed:  Indoor or Outdoor?
Currently lives where or cause of death?

Name: Cat Dog     Male Female       Age: Neutered/Spayed? Yes No
Breed:  Indoor or Outdoor?
Currently lives where or cause of death?

Have all of your pets been spayed or neutered? Yes No
If no, why not?

Are your pets up to date on vaccinations and licenses, etc? Yes No Not Applicable

Do you have a veterinarian? Yes No

If yes, who is your veterinarian?
Phone number:

If no, what are your plans for finding a veterinarian for your new pet?

If you ever have had a pet die at an early age or due to an accident, please give details:

Please tell us a little about yourself and why you feel you could provide a good home for a rescued pet

References:

Please provide names and phone numbers of three non-family references (good references include rescue volunteers, friends who know your pet history, neighbors, etc. ):

Name: Phone: Cell: Relationship to you:
Name: Phone: Cell: Relationship to you:
Name: Phone: Cell: Relationship to you:

Have you applied to any other rescue groups? Yes No      
Which groups?  
What was the outcome of your application?

Are you willing to drive to King George, Virginia to pick up your new pet? Yes No

In lieu of a home visit, KGARL can accept digital photos of your home & yard (at their discretion).

Can you provide digital photos via email to us? Yes No
If yes, please send photos to adoptions@kgarl.org as soon as possible to expedite our application process.

If no, please give specific directions to your home:


How did you hear about the King George Animal Rescue League?

Are you interested in volunteering for KGARL if your application is approved? Yes No

Before submitting this application, you must read and agree to the following:

I ACKNOWLEDGE THAT ALL THE INFORMATION ON THIS FORM IS TRUE AND CORRECT. I UNDERSTAND THAT ANY MISREPRESENTATION OF FACT MAY RESULT IN THE REMOVAL OF THE ADOPTED PET FROM MY HOME BY THE KING GEORGE ANIMAL RESCUE LEAGUE.

I ACKNOWLEDGE THAT IF THIS APPLICATION IS APPROVED, I WILL HAVE SAID ANIMAL SPAYED/NEUTERED BY THE AGE OF SIX (6) MONTHS AND SEND PROOF OF THAT SPAY/NEUTER TO THE KING GEORGE ANIMAL RESCUE LEAGUE, PO BOX 1003, DAHLGREN, VA 22448, OR FAX TO 888-542-7582, WITHIN TEN DAYS OF THAT PROCEDURE. 

I CERTIFY THAT I/WE HAVE NEVER BEEN CONVICTED OF ANIMAL CRUELTY, NEGLECT, OR ABANDONMENT.

I, THE UNDERSIGNED, AFFIRM THAT THE INFORMATION CONTAINED IN THIS APPLICATION AND IN ANY ATTACHMENTS TO THIS DOCUMENT ARE BOTH CORRECT AND COMPLETE TO THE BEST OF MY KNOWLEDGE.

I have read, understand and agree to the above mentioned requirements: 
Yes No