This application can be printed off and filled out, then mailed to:
KASPCA
P.O.Box 141
Ketchum, OK 74331
or copied and pasted into a blank email and sent to: ketchumaspca@yahoo.com.
Adoption Application
Today's Date:
Applicant's Full Name:
Applicant's Date of Birth:
Applicant's Social Security #:
Applicant's DL#/State:
Applicant's Email Address:
Home Address:
City/State/Zip:
Home Phone:
How long have you lived at this address?
Rent or Own?
Type of Residence:
*Landlord's Name and Phone:
(*Letter required with copy of lease agreement*)
Applicant's Occupation:
Applicant's Employer's Name:
Employer's Address:
Employer's Phone:
Spouse's Full Name:
Spouse's Date of Birth:
Spouse's Social Security #:
Spouse's DL#/State:
Spouse's Occupation:
Spouse's Employer's Name:
Employer's Address:
Employer's Phone:
Which particular animal or type of animal are you interested in adopting?
Why do you wish to adopt from KASPCA?
Have you ever adopted a pet before?
When?
Where?
Check one that applies:
Home Environment: Very active
Some activity
Sedate/Routine
Couch potatoes
Pet Ownership Experience:
Number of pets in the last 5 years:
Breed/Ages:
Time owned/Current status:
Reason for absent pets:
Spayed and neutered?
If not, why?
Current on vaccinations?
If not, why?
Kept indoors, outdoors or both?
Flea/Tick prevention used?
What kind?
How often?
Wormers used?
What kind?
How often?
Current Vet's Name:
Address:
Phone:
Where will pet sleep?
Who is the family member who will be responsible for pet's care?
*Are you prepared to provide all necessary medical care, manditory annual rabies vaccinations, feeding, shelter, licensing, fees,
etc.
(*Average yearly cost of $350 per year)?
Household Members:
Number of adults:
Children and ages:
Pet alergies?
Hours spent daily with pet:
Hours daily pet is left alone:
Is there sufficient time spent with the pet for exercise, training, grooming and playing?
Check or circle all that apply:
I have:
Fenced in yard and height of fence
Unfenced yard
No outside area or yard
Dog run
Dog house
Garage
Other - explain:
Adopting the pet for:
Family companion
child's companion
Gift for someone else
Guard/Security/Protection
Companion for other pet
Hunting
Other - explain:
Pet shall live:
Outside only
Inside only - Let out only to eliminate and for supervised play outdoors
Outside during day - Inside at night
Outside and in garage only
Train and let roam freely
Tied up/Chained in yard
Free reign of home - we're moving to the dog house
Other - explain
Agree to leash walk?
Understand importance of spay/neuter?
Understand/agree that if you are unable to keep the pet, it must be returned to the KASPCA?
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