Your full name:

Your mailing address:

City

State             Zip Code
                   

Phone               Email
     

How would you prefer to be contacted?
Check all that apply.
Phone    Email    USPS
               

What is the name of the dog/puppy you are interested in?

What is the name of your veterinarian?

They will be contacted for a reference.
Your vet phone number:

I hereby give permission to call my vet for a reference.
Yes       No
       

Is your yard fenced?
Yes       No
       

Do you have children that live in or visit your home?
Yes       No
       

If so, what are their ages?

Do you have any other pets?
Yes       No
       

If so, please list the type, breed, and ages.

Do you own or rent?
Own       Rent
       

If you rent, does your landlord welcome pets?
Yes       No
       

What is your landlords' phone number?

Please read, sign and submit.

Thank you for filling out K Nine Angels adoption application. Pet ownership is a serious commitment that the entire household needs to consider and agree to before the animal is adopted. We want to ensure that each adoptive household is aware of and willing and able to accept the physical and financial responsibilities of pet ownership. Not everyone that desires a pet is ready to properly care for one.

Important Notice: K Nine Angels makes no guarantees in reference to the health and/or temperament of the dog. The dog is adopted "AS IS" and the adopter assumes responsibility for the treatment of and all existing conditions or any other conditions of physical or temperament changes that may occur. While K Nine Angels makes every effort to place only healthy animals; we cannot guarantee the health of any animal. K Nine Angles shall not be held responsible for any medical expenses, which may be incurred, hereby expressly excluding any implied or express warranties, merchantability, or fitness for any particular purpose, including without limitation and warranties regarding health, temperament or whether the animal is housebroken. Any liability for dog bites will be yours as soon as guardianship of the dog is transferred to you. K Nine Angels will not be held liable for any dog bite incidents after adoption. This is a legally binding contract.

Please type your full name.

This is an electronic signature making this form a legal document.

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