K9 Lifeline Rescue Application PLEASE FILL OUT THIS APPLICATION AND EMAIL THE COMPLETED APPLICATION TO k9llrapplications@yahoo.com ------------------------------------------------------------- First and Last Name: Full Address (Including City, State, Zip): Name of Pet you are Interested in: Are you looking for a dog that will live mainly as an indoor dog or as an outdoor dog? How soon will you be ready to adopt a new dog / puppy? What is your occupation and work hours Co-Adopters First and Last Name: Co-Adopters occupation and work hours: Home Phone & Cell Phone Numbers: Can you be reached during the day? If so, at what number? What is your Email Address? Please list all members that live in this household and their ages: Please tell us why you would like to adopt a new family member: Do you own or rent? If you rent, please provide landlords name and phone number: Do you have a fenced yard? If no, how will you exercise and potty the dog/puppy? List all current pets, including breed, age and sex: Please list the name, phone number and city of the veterinarian who has the most current records on your pets: Are all your pets Spayed and/or neutered? If no, why not? Are your pets current on their vaccinations? Do you know what heartworm is? Do you believe dogs should be given monthly heartworm pills? What brand of Heartworm pills do you use? Please list any previous pets you have had in the last 5 years and what happened to them: Have you ever surrendered a pet to an animal shelter? If so, why? What breed or specific breed listed are you interested in? Why do you like this breed? Do ALL members of the household want to adopt this pet? Who will be primarily responsible for the care of this pet? If you owned a dog before, what kind of dog food did you use, and were you happy with it? How much time are you willing to give this dog to adjust and fit into your home? It may take several weeks to a few months for your new dog to adjust to its new home and family. How will you handle this? How many hours per day on average will this dog be home alone? When the dog is left home alone, where will the dog stay? Where will this dog sleep at night when trained? In an average week, how many hours will the dog be left outside while no one is home? Do you have time, patience, love and physical ability to care for this dog? Did you know such dog foods as Science Diet, Iams and Purina have little to No nutritional value? Are you interested in knowing which dog foods, for the same price of the above foods ARE quality dog foods? What activities do you plan to do with your dog? Do you want this dog for: (list all that apply) ~ Family Pet ~ Hunting Dog ~ Guard Dog ~ Obedience Dog ~ Other (please explain) Are you prepared for chewing, digging, scratching, house training, and/or mischievous behavior? How will you reprimand your dog? How and where did you hear about this rescue and/or website? Are you willing to put down a $25.00 deposit in addition to the adoption fee indicated if the dog you want is too young or has a medical condition preventing spay / neuter? Are you available for a home visit? Have you applied with any other Rescue or Shelter in the past 6 months? If YES, please list which one/s and if you have you been approved by, along with their contact information or if you are still waiting for an answer. Has this Rescue or Shelter conducted a home visit? Please list anything else you would like us to know: I (type your name below) have read ALL of the above information and have answered each question completely and truthfully to the best of my ability. Name: By submitting this application, I, (type name below) AGREE to any and all terms listed on this application! Name: