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This is the KT Sanctuary Dog Adoption Application

Items marked with an * are required fields

A no-kill, non-profit animal rescue, dedicated to the care and proper placement,
of abandoned, adoptable animals for life.
Phone: 843-399-0934

Please answer ALL questions, if I need to call you about an incomplete application, I will ONLY call COLLECT, if YOU DO NOT accept the call, your application will be discarded.

First Name*: Last Name*:
Home Phone*: Work Phone:
Cell Phone: Street Address*:
City*: State*:
Zip Code*: Email Address*:
Do you own or rent your home?
Own Rent 		If you rent, are pets permitted in your lease?
Yes No
Please indicate weight limit, if applicable: Is your yard fenced? Yes No
If not, are you willing to install a fence?
Yes No
Landlord's Name: Landlord's Phone:
Landlord's Address:
We must have the Landlords Name, Address and Phone number, so that we can verify pet's are OK. You MUST answer all of these questions if you rent.
Type of Home:
Single Fam. Duplex Condo
Townhouse Apartment Farm
How long have you lived here: 		If there are children in the household,
what are their ages?
No children Under 2 yrs. 2-5 yrs.
6-10 yrs. 11-15 yrs. Over 15 yrs.
How did you hear about us?
 How many adults in your home including you?
Do you plan on moving in the next 6 months?
Yes No 		Would your pet go with you if you moved?
Yes No
List animals you currently own or that are in your care/house and those you have owned in the past five years, if you need more room list in comment box below:
Dog
Cat
Other 		Name

If other, what:
 Male
Female 		Spay/Neuter
Yes
No 		Housed
Inside
Outside
Both 		How Long
Owned?
 Where is it
now?
Dog
Cat
Other 		Name

If other, what:
 Male
Female 		Spay/Neuter
Yes
No 		Housed
Inside
Outside
Both 		How Long
Owned?
 Where is it
now?
Dog
Cat
Other 		Name

If other, what:
 Male
Female 		Spay/Neuter
Yes
No 		Housed
Inside
Outside
Both 		How Long
Owned?
 Where is it
now?
Dog
Cat
Other 		Name

If other, what:
 Male
Female 		Spay/Neuter
Yes
No 		Housed
Inside
Outside
Both 		How Long
Owned?
 Where is it
now?
Dog
Cat
Other 		Name

If other, what:
 Male
Female 		Spay/Neuter
Yes
No 		Housed
Inside
Outside
Both 		How Long
Owned?
 Where is it
now?
Dog
Cat
Other 		Name

If other, what:
 Male
Female 		Spay/Neuter
Yes
No 		Housed
Inside
Outside
Both 		How Long
Owned?
 Where is it
now?
What is your motivation for getting a Dog at this time:
Which Dog are you interested in adopting?
Who will be responsible for this Dog?
Is anyone in the household allergic?
Yes No 		Would you adopt a special needs puppy/dog (ie. blind, timid, 3 legged)
Yes No
Where will this Dog be kept while you are
away from home?
Who will be responsible for this Dog while
you are on vacation?
Would you still be able to care for this Dog if your home or family situation changed (divorce, relocation)?
Have you ever given away/sold or released an animal to a shelter or rescue group? Yes No
If yes, why?
Will you provide annual vaccinations and any necessary medical care? Yes No
How many hours a day will this Dog be alone?
Where will this Dog be kept during the day?
Where will it be kept at night?
Vet's Name: Vet's Phone:
Vet's Address:
Comment box for additional pertinent information:

"If one of our Adopted Animals is being abused, neglected, not getting proper medications or vet care KT Sanctuary has the legal right to reclaim the pet. Any violations of our aggreement may/will result in the Animal being picked up and returned to Us with no return of adoption fees and, with no liability on our part for medical bills or any other expenses you may have incurred. If legal action must be taken to reclaim the pet all court costs will be the adoptees expense and responsibility. If for some reason you can no longer keep the Dog - it must be returned to us or adopted into a new home with our written approval."

This information will be printed right on your signed application. This is a legal, binding document and will be used in a court of law if necessary (at your expense).

*You must check that you have read and agree to this contract (contract will not be processed without your agreement)
*Yes - I fully understand and agree to ALL the terms of this legal document.
*No - I do not agree to ALL the terms of this legal document (your application will not be processed if you answer no to this question).
Signature*: Date*:

After you click Submit Form (only once please), you will be taken to a copy of your form, please check it to be sure it's OK, if not email us with the correct info. Thanks :)


***   In the event that your new Dog does not work out for you and your family, the Dog must be returned to the KT Sanctuary, or adopted into a new home with the approval of KT Sanctuary. Filling out an application does not guarantee a Dog to anyone. We have the right to refuse any application without an explanation. Filling out and sending in this form signifies that the above information is correct and you have read and agree with our rules.   ***


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