Dog Application Form | Kauai Animal Welfare Society

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Kaua`i Animal Welfare Society Dog Application

Physical Address

A complete answer to the following questions will enable us to become more familiar with your request and requirements and will help us find the right dog to match your needs and expectations.

Age desired:

Is there a specific dog from our organization you are interested in? Why are you interested in this particular animal? Please specify.

Would you consider one with Special-Needs such as one who requires medication for a permanent but controlled condition?

Yes

No

Would you accept a mixed breed dog?

Yes

No

Desired Activity Level:

Sex:

Age of self and family members in home:

Do other family members visit you?

Does your immediate family share your interest in adopting a pet?

Who is the dog primarily for?

Who will care for, train, and exercise the dog?

Does anyone in your home have allergies? If yes, to what allergens?

May we visit your home as part of the application process?

Yes

No

If yes, when?

Please list all the pets you have had in the past ten years and include species, gender, and whether or not spayed/neutered.

Where are the pets now? If deceased, what was their age?

Please provide us with the name and full address of your current veterinarian.

Please explain what you know about heartworms and their prevention.

How long have you lived at your current address?

Do you rent or own?

Renters: Please provide us with your landlord's name and phone number.

Do you have permission from your landlord to have a dog? If yes, up to what size?

All KAWS pets must be inside pets. Are you okay with this?

Yes

No

How long daily will the dog be left alone (without humans)?

Who will stay with the dog when you are away from the home?

Is your yard fenced?

Yes

No

Type of fence (include height, width, and length)

If you do not have a fence, are you planning on installing one?

What is the approximate size of pet's yard area?

Will the dog be walked daily?

Will the dog be allowed to run freely without supervision?

Will your dog receive formal obedience training?

Have you ever sold a pet, given away a pet, or surrendered a pet to a shelter?

If yes, please explain why.

Please tell us why you want a dog.

Please tell us a little of your lifestyle, your family including any special activities in which your dog would be included. (If you have any special requirements or requests for a dog, please let us know so that we can more carefully match a dog to your lifestyle)

When you move, or evacuate due to a hurricane, what will you do with your dog?

Do you understand the state and local ordinances concerning licensing and/or leashing?

Have you, or any member of your family/household been cited for leash law violations or cruelty to animals in the past? If yes, please specify.

Please tell us how you became aware of Kaua`i Animal Welfare Society and its programs.

May we use photos of you and your animals adopted through KAWS on our website?

Yes

No

I/We attest that the Terms and Conditions of Adoption as stated below have been read in full by me/us and I/we understand that is part of the adoption process and will be enforced. I/we attest that the information provided on this application is true and accurate to the best of my/our knowledge. I/we attest that we have retained a copy of the Terms and Conditions of Adoption and also understand that completion and submission of this application does not guarantee adoption of a pet from Kaua`i Animal Welfare Society.

Applicant's signature:

Co-Applicant's signature

Thanks for submitting!

KAUA`I ANIMAL WELFARE SOCIETY
PO BOX 650
KAPA`A, HI 96746
TAX EIN: 47-3136926

KAWS IS REGISTERED AS A 501(C)(3) NON-PROFIT ORGANIZATION.
CONTRIBUTIONS TO KAWS ARE TAX-DEDUCTIBLE TO THE EXTENT PERMITTED BY LAW.

KAWS © 2015

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