Kootenai Pets for Life - Dog Adoption Form
Pet ownership is a serious responsibility. This policy of Kootenai Pets for Life, Inc. is to assure that each person who adopts a pet is aware of the responsibility and that each is capable and willing to accept that responsibility morally, physically and financially. The pets that come into our care have been rescued once and our goal is to see that they are placed in caring life-long homes the second time around. The following questionnaire has been designed to aid both you and KPFL in deciding if you and/or your family is indeed at this moment adequately prepared to assume the type of responsible ownership which we are endeavoring to assure for our adoption animals. Please be sure to answer all questions and feel free to add your own comments. If a question does not apply write N/A.
City/State/Zip: Home Phone:
Work Phone: E-mail:
Do you Own or Rent a: house, condo, apartment, mobile home, other (describe)
Do You have your landlord's permission to adopt this dog? Yes No Don't know
Landlord's Name: Phone
Are all adult members of the household in favor of adopting a dog? Yes No Don't Know
Who will be primarily responsible for your new dog's: Training
Feeding General Care
Do all members of your household understand that it takes time for a dog to adjust to a new environment?
Yes, No, Don't Know
Which of the following characteristics are you looking for in your new dog? Watchdog, Family,
Companion, Hunter, Gift. If gift is recipent prepared for a dog?
Where will the dog be kept during the day? Indors, In and Out, At Work, In Yard
Where will the dog be kept during the night? Indors Outside
Will someone be home during the day? Yes No Sometimes
In order to ferify information, KPFL may want to inspect the premises where your pet will be kept. Is this
acceptable to you? Yes No Don't Know
Does anyone in your household smoke? Yes No
What pets do you currently have in your household?
Please list pets you have owned in the lst 10 years.
List Children in household and ages.
Veterinarians Name: Phone:
Personal Reference (non-relative): Phone:
Pet safety: A county wide leash law requires that dogs be kept on a leash or secured at all times. This helps protect your dog from running loose, chasing other animals and getting hit by a vehicle. How will you keep your dog on your property? Fence Trolley, Chain (not recommended), Training, Other (please describe)
If you plan to keep the dog outdoors, describe the outdoor shelter Porch, Garage, Dog House,
Other (please describe)
I certify that the above information is true and correct to the best of my knowledge. I understand that KPFL reserves the right to deny the adoption of any animal.
FOR OFFICE USE ONLY
Approved Denied Staff Signature
Reason for denial.
Date applicant may return for animal Good through