Dog Adoption Application
First Name
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Last Name
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Spouse / Partner Name:
Address
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City
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County (NOT Country)
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State
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Zip Code
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Phone
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Email Address
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Drivers License Number & Issue State
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Are you at least 21 years of age?
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No
Yes
If renting, are you pre-approved to have a pet?
Landlord Phone:
How did you hear about us?
Name of dog(s) you are interested in: (indicate first & second choice)
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Adopting this canine means that the adopter agrees to provide food, water, safe harbor, kind treatment, routine veterinary care and seek prompt veterinary care in the event of illness or injury. All veterinary fees are the sole responsibility of the adopter.
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No
Yes
Adopting this canine means that the adopter agrees to allow adequate time for him/her to settle in to a new home. In some cases it does not happen overnight. Research ways to reduce anxiety in your new family pet if you are not familiar with them.
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No
Yes
Adopter understands that animals adopted from TNR A Better Chance dba Kitten Division / Puppy Division are rescued animals and most do not come with a background history.
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No
Yes
Adopter understands that Kitten Division / Puppy Division cannot guarantee the future health and temperament of the canine being adopted. The adopter assumes all responsibility for treatment for any and all conditions that may occur. Kitten Division / Puppy Division shall not be held liable to adopter or any other party for any losses, injuries, damages, costs, lawsuits, or judgements in connection with the adoption or ownership of said canine.
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No
Yes
Adopter understands that this canine is the adopter’s responsibility for its entire natural life.
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No
Yes
Adopter understands that failure to perform the foregoing agreement will constitute a breach of contract. In the event of any such breach of contract, adopter authorizes Kitten Division / Puppy Division to reclaim possession and ownership of any and all animals adopted by applicant from Kitten Division / Puppy Division.
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No
Yes
Type YES to indicate that you understand and agree that adoption fees are considered a donation and will NOT be refunded.
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Type your name exactly as shown on your drivers license or other government issued photo identification. You will need to provide same identification at time of finalizing adoption. By completing and submitting this legally binding contract, Adopter certifies that Adopter has read, understands, and fully agrees to same.
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