Karma's Rescue of Missouri

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Adoption Application

If you would like to meet one of our adoptable pets, please complete the application below. Please call 816-509-6006 if you have general questions about our adoption process. A completed application is required for all adoptions. Thank you for your interest!

Karma's Rescue Dog/Cat Adoption Application

In order to be considered for an adoption you must:   1) be 21 years of age   2) have the knowledge and consent of all adults living in your household   3) have a valid ID with current address   4) understand that completing this application does not guarantee adoption and that Karma’s Rescue must approve your application.  
A completed application is required for all adoptions.

Name of animal you are interested in:
Today's Date:
Your name: *
Your street address:  *
 Your city, state, zip code :  
Your date of birth: *
Names of other adults living in your home: *
 Cell / Home contact #s:  
Email address: *
Place of employment: *
 How did you hear about us?
Do you live in an house, apt, mobile home?
Do you own, rent, live with parents?  *
Are there any pet restrictions where you live? *
Landlord's name / contact #: *
How long have you been at your current address: *
If less than 1 year, what was your previous address:
How many adults / children in your home: *
Children's age(s): *
Does anyone in your household have allergies? : *
Please explain allergies, if applicable:
Do you have any plans to move in the near future? : *
If you have moving plans, what would you do with your pet?:
Who will have primary responsibility of your new pet (food, water, training, grooming, exercise)? : *
 Why do you want to adopt a pet from us? (companion, gift, for a child, hunting, guard dog, companion for another pet, other) *  
 What other pets do you have in your home currently? : *  
 Please describe other pets, type, breed, ages, fixed, why you no longer have (use additional comments section below if needed)
 Have you adopted from an animal shelter/rescue group in the past? Name and date? *  
 Are your current pets up to date on their vaccinations? *  
 How often do you bring your pets to the vet?
 Are your dog or cats on heartworm preventative? *  
If no, why not?
What kind of Flea Prevention do you use?
What veterinarian would have records past/present?: *
Which veterinarian do you plan to use? Please provide name and phone #: *
 How much time will this dog or cat be alone (without human companionship, hours/days per week): *  
 Will your dog or cat stay: primarily inside? primarily outside? outside only?
 Where will the dog or cat be kept when home alone?
How often and where will you exercise this dog?  
 Do you have a fully fenced yard? (type? height?)  
 What type/brand of food will you feed your new pet? *  
 How often will you groom/brush your new pet?  
 Describe how you will housebreak a dog or cat: *  
 When, or if yard not fenced, will you use a leash: *  
  If discipline were needed, what method would you use?
 A dog or cat can live well over 14 years and requires a major commitment of time, finances, and emotion. Do you feel you can make that kind of commitment at this time?  *  
 Are you interested in an adult dog or cat? Puppy or Kitten? Approx age looking for?
 What breed or type and hair length, weight/size as an adult? Gender? Any other specifics?
 What is the activity level of the dog or cat you are looking for?
 What do you consider undesirable traits? *  
What will you do if the dog or cat displays bad behavior such as barking, digging, chewing, etc: *
 Will you be willing to take your dog to obedience training?
  Do you ever tie or chain your pets outside?
 There are times when unexpected and often very expensive medical conditions occur. Are you committed to providing whatever medical care your veterinarian deems necessary for your dog or cat?
 List your own personal reasons for wanting a dog or cat:
 If you could no longer care for your dog or cat what would happen to it?
 What would you do if the animal was lost, or picked up by animal control:  
  List 2 references (w/ phone #) who can verify you would be a good pet owner. : *  
 Additional comments you would like us to know::  
Please type your full name as an electronic signature, verifying the above information is accurate. *
By my elecronic signature, I certify that the information given is true and correct and I recognize that any misrepresentation of facts will result in my losing the privilege of adopting a pet. I also give my veterinarian permission to release any vet care records and information about my current and past pets to the Karma’s Rescue. I understand that this application is the property of the Karma’s Rescue and that Karma’s Rescue has the right to deny my request to adopt.

****Your application is not complete until you electronically sign it above and click on SUBMIT. After you click submit, you will be redirected to the Home Page.  We appreciate your patience in responding to your valued application as we are likely out rescuing pets. If you do not receive a response within 24-48 hours, please email karmasrescue@hotmail.com 
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