Adoption Application
Animal Rescue Klub!

Thank you for considering adoption of an ARK dog or cat. The following information will allow us to determine if the animal you have chosen is the most compatible with your family and lifestyle. The animal's welfare is our primary concern when completing an adoption.

You must meet the following criteria before your application will be considered:

  • Be 21 years of age or older with identification showing your present address.
  • Understand that ARK will not adopt puppies (dogs younger than one year) or kittens (cats six months old or younger) to families with children under six years of age.
  • Have the consent of the property owner (if it is someone other than you) and members of your household to adopt the pet that you are considering.
  • Be able and willing to spend the time and money necessary to provide medical treatment, proper care and training for a pet.
  • Accurately complete this application. Incomplete applications will not be considered.


Please note: ARK only accepts applications from the
DFW Metroplex.

ARK reserves the right to refuse adoption to anyone.
Please also note: Hitting ENTER will submit the form. Please use the TAB key.


ARK Adoption Application

Your full name:
Date of Birth:
DL#/State (May be supplied at time of interview):
Address:
City/Town: State/Prov.: Post./Zip Code:
Home phone number (with area code):

Work phone number (with area code):

Cell number:

Your email address: (e.g.: you@aol.com)

Employer Name and Address:
Spouse's Name:
Spouse's Employer:
Number of Adults (over age 18) in household:
Names and ages of adults and relationship to you (ie: brother, mother, roommate, significant other, etc)
Number of children who live in your home:

Names and Ages of children:



Please list the names and ages any children who don't live with you, but visit your home. Please list how often they visit:

 


Which pet are you interested in adopting from ARK?

Do you live in a
House   Apartment   Mobile Home   Townhouse   Military Housing   Other  

If other, please explain:

Do you have a fence?

Type of fence?
Height of fence:

How long at current address?

Do you own your home?

Do you have a pool?

Does pool area have security fence?

Do you have a pet door?

Do you plan to move in the next 12 months?

If you rent, does your landlord allow pets?

Is a pet deposit required?


How much is the pet deposit?

Per pet

Per Household

Size/weight limit?

What is the limit?

Does your landlord require cats be declawed?


Can proof of deposit be obtained from your landlord?


Name of Apartment Complex or landlord

Do all of the adults in the house consent to this adoption?


Does anyone in the house have allergies?


If yes, please list person and type of allergy (including asthma).


Have you applied to other rescue groups or shelters?


If yes, please list who and when and the outcome

This pet will be kept:?


Who will be the primary caretaker of this pet?

Where will the pet be kept during the day?

Where will the pet be kept during the night?

How many hours a day will the pet be home alone?

Why do you want to adopt this pet?
Companion for child     Protection    Gift   Companion for other pet    House Pet Working dog/Cat mouser Other

If other, please explain:


Do you have any preferences to breed,age,sex,coat length, etc? Please specify:

Under what circumstances would you give up an animal?
Excessive veterinarian expenses     Size (too big)    Not enough time for pet
Move to another home     Medical Expenses    Size (too big)    Too energetic/hyper
Jumps on people    Housetraining/Litterbox problems     Aggression towards an animal Aggression towards a person Jumps on people   Barking   Chewing   Digging/clawing
Fence jumper/gets out of yard   Children no longer living at home   N/A
When you move, what arrangements will you make for your pet?


Name of your veterinarian or animal clinic (required)

Phone number, address of your vet (required)

May we contact your vet for a reference check?


Will you authorize a visit to your home before or after adopting a pet?



If no, why not?

***********************************
DOG ADOPTERS ANSWER THE FOLLOWING QUESTIONS
***********************************



How will you teach house breaking?

If no fence, how will you provide your dog's exercise/bathroom needs?

If you do not have a securely fenced yard,how will you ensure that your dog does not escape?

Do you plan to alter your pet's appearance (tail docking/ear croppping)?


What will you do if the dog soils the floor or chews the furniture?

How will you ensure your dog stays on your property when you are not there?
In house     Kennel/dog run outside    Fenced Yard
On chain/rope    Garage    Patio
On leash in house    In crate in house    Other
If other, please explain:

Are you willing to get obedience training if recommended?


Are you willing to use a crate if recommended?



If no, why not?


***********************************
CAT ADOPTERS ANSWER THE FOLLOWING QUESTIONS
***********************************


Do you want your cat to go outside?


Do you plan to declaw your cat?


***********************************
ALL ADOPTERS PREVIOUS/CURRENT PET HISTORY
***********************************


Please list all pets now owned or owned in the past 5 years.
Pet 1:
Dog  dog
Cat  
Name/ Male or Female?  
Breed  
Age  
Length of ownership   
Was it spayed/neutered?


If not spayed/neutered, why not?

Do you own the pet now?


If no, what happened to it?  
Date of last vaccinations?   
Is/Was your pet on heartworm preventative?


What kind of heartworm preventative?  
This pet is/was kept:


Pet 2:
Dog  dog
Cat  
Name/ Male or Female? 
Breed  
Age  
Length of ownership   
Was it spayed/neutered?


If not spayed/neutered, why not?

Do you own the pet now?


If no, what happened to it?  
Date of last vaccinations?   
Is/Was your pet on heartworm preventative?


What kind of heartworm preventative?  
This pet is/was kept:


Pet 3:
Dog  dog
Cat  
Name/ Male or Female?  
Breed  
Age  
Length of ownership   
Was it spayed/neutered?


If not spayed/neutered, why not?

Do you own the pet now?


If no, what happened to it?  
Date of last vaccinations?   
Is/Was your pet on heartworm preventative?


What kind of heartworm preventative?  
This pet is/was kept:


Pet 4:
Dog  dog
Cat  
Name/ Male or Female?  
Breed  
Age  
Length of ownership   
Was it spayed/neutered?


If not spayed/neutered, why not?

Do you own the pet now?


If no, what happened to it?  
Date of last vaccinations?   
Is/Was your pet on heartworm preventative?


What kind of heartworm preventative?  
This pet is/was kept:


Pet 5:
Dog  dog
Cat  
Name/ Male or Female?  
Breed  
Age  
Length of ownership   
Was it spayed/neutered?


If not spayed/neutered, why not?

Do you own the pet now?


If no, what happened to it?  
Date of last vaccinations?   
Is/Was your pet on heartworm preventative?


What kind of heartworm preventative?  
This pet is/was kept:


     

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