DK Adoption Application | Darbster Foundation

Applicant Name:

First Last

How did you hear about us?

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone

Cell Phone

Email

Enter Email Confirm Email

Employer:

Occupation:

What type of pet are you interested in?

Cat- Adult
Kitten

Age of pet interested in?

Baby <12 Months
Adult 1-6 Years old
Senior >6

Name of pet you are interested in:

Personality type:

Color:

Other Preferences:

How many people currently reside in your household?

Please enter a number from 1 to 50.

Any children in the household?

For Whom are you adopting the pet

Self
Gift

Does any member of of the family have allergies to animals?

If yes, explain:

Who will be responsible for the pet's care?

Where do you live?

Do you have a fenced yard?

Do you own or rent your residence?

If you rent, what is name of landlord and phone number?

Are pets allowed?

Where will the pet be kept?

If outdoors will pet be?

Will anyone be home during the day?

How many hours will the pet be left unattended?

Please enter a number from 0 to 24.

When no one is home, where will the pet be kept?

If you move, what will you do with the pet?

How far from the road/traffic is you home/farm located?

What is the volume of traffic?

Have you ever had a pet before?

Describe the pets you still care for or that are living in your household.

Name	Breed	Age	Neutered?	Kept where	Time in your care

Are your pets current on their vaccinations?

Please provide name of your veterinarian:

Veterinarian Phone number:

Personal References:

Name	Phone Number	Years known

Are you financially able and willing to provide annual checkups, vaccinations, and ANY medical care necessary? (Pets can live upwards of 15 years.)

What precautions would you take to properly introduce a new pet into your home if you have other animals (a dog, bird, rabbit, cat, etc.)?

What will you do if your new pet does not get along with your present pets?

If adopting a cat, are you planning on declawing?

Have you ever adopted an animal from a rescue/animal control agency?

Why do you want to adopt a pet?

Are you familiar with your local animal control laws?

Are you willing to sign legal pet adoption papers?

Do you agree to permit a visit to your home/farm by appointment?

By submitting this form, I/we acknowledge that all information on this form is true and correct. I/we understand that any misrepresentation of fact may result in Darbster Foundation refusing adoption privileges to me/us. If my/our request for adoption is approved and later Darbster Foundation discovers the above information is not true or correct, Darbster Foundation reserves the right to remove the adopted cat from my home. If you have exhausted all reasonable efforts to keep your pet, Darbster Foundation accepts the return of any animal adopted from our facility. Adoption returns must be scheduled in advance and are accepted by appointment only. Guardians who wish to return their adopted animal should call 603-856-9233 or email dk@darbster.com to schedule an appointment. Note- there will be an intake fee of $100 if returned after 14 days from the original adoption date.

Signature

Date

CAPTCHA

Phone

This field is for validation purposes and should be left unchanged.