Foster and Adoption Application

I am applying to (please check one)(required) Foster with no intention to adopt

Foster and possibly adopt

Foster and will probably adopt

Adopt

Name(required)

Email(required)

Phone(required)

Current Address(required)

City, State, Zip Code(required)

Previous Address(required)

City, State, Zip Code(required)

Drivers License Number & State (required)

Date of Birth(required)

Employer and work hours

Spouse Name (if applicable)

Spouse Date of Birth (if applicable)

Rent or Own? If Renting, provide landlord contact information(required)

Do you live in a (please check one)(required) Home

Mobile Home

Duplex

Apartment or Condo

Other

Please list all human household residents and their ages(required)

Please list all CURRENT animals in the household, include name, age and species or state "none"(required)

Are all current pets up to date on vaccinations?(required) Yes

Some of my current pets are up to date on vaccinations

No

I don't know

I don't currently have any pets

Are all current pets spayed/neutered?(required) Yes

Some of my current pets are spayed/neutered

No

I don't know

I don't currently have any pets

Current veterinarian, address and phone number, state none if you don't have a current veterinarian(required)

What pet name(s) are your records under at your veterinarian's office? If your vet records are under a different name other than your name, please include that here. (required)

Previous Veterinarian, address and phone number (if applicable)

Please list all previous animals in the household

Name of a relative or close friend not living with you

Relative/Friend Address, City and State

Relative/Friend Phone Number

Relative/Friend Email

Please state your opinion on Heartworm Preventative

Please state your opinion on Flea and Tick Preventative

Please state your opinion on Ear Cropping and Tail Docking

What is the most important quality you are looking for in a dog

Please tell us your experience with animals

If you are applying for a particular Missouri K9 Friends dog, which dog are you applying for?

Are you looking for specific breed(s)? Please list here *If you are applying for a cat or other animal, please specify here

If you are not looking at a particular MKF dog, what are you looking for? Please check all that apply Puppy

Adult

Senior

Male

Female

Special needs

Calm

Active

Quiet

Guard Dog

Housebroken

Crate Trained

Good with Kids

Good with other dogs

Good with cats

Good with Livestock

Small (under 25 pounds)

Medium (25-40 pounds)

Large (40-75 pounds)

Extra Large (over 75 pounds)

When was the last time you owned a dog? Do you currently own a dog?(required)

Do you have a fenced yard? What kind? If no fence, how do you plan to take your dog potty?(required)

How long will your dog be alone during the day?(required)

For exercise, my dog will: (Check all that apply)(required) Play in my fenced yard with other dogs

Play in a fenced yard with humans

Run loose

Run and/or walk on a leash with me

Go to a dog park

Attend a supervised Doggie Daycare

Agility

Obedience

Other

Inside the home, my dog will be housed: (Check all that apply)(required) Loose in the house

Baby gates will be used

Crate

Outside Only

Other

Do you have any concerns with an MKF representative doing a post adoption home visit? If so, please specify:(required)

I understand and accept the following:(required) I understand all adopted animals will have been vetted and spayed/neutered and that it will be the adopter's responsibility to take care of all future health needs including but not limited to vaccinations.

I understand that if for any reason after being approved for foster and/or adoption that I cannot keep my foster and/or adopted animal I will contact and relinquish possession back to Missouri K9 Friends.

I understand that if my foster and/or adopted animal is not properly cared for MKF can revoke my foster and/or adoption agreement and I will surrender my foster and/or adopted dog back to MKF.

I agree that if approved for foster and/or adoption I will not sell or give away my foster and/or adopted animal.

I understand and agree that an in person or virtual home visit is required by Missouri K9 Friends before this foster and/or adoption application can be approved.

I affirm that no member of my household has been convicted of an animal welfare law such as cruelty or neglect.

I agree that when a foster or adoptive animal is in my home I am responsible for the safety and well being of the foster/adopted animal in addition to the safety and well being of all animals and people in my home.

I hold harmless and indemnify Missouri K9 Friends against any and all claims and actions arising from having a Missouri K9 Friends animal in my home. I acknowledge and accept the risks associated with bringing a rescue animal into my home, including but not limited to property damage and/or personal injury.

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