Adoption Application and Contract
Please fill out the following form completely. You MUST fill out the application completely. Any N/A's are considered an incomplete and your application will not be considered for adoption of a pet .
Applicant must be a at least 18 years old and have a valid picture ID that matches the applicant.
**Renters, please provide lease agreement from property owner/landlord stating you are allowed to have pets and/or if there are any pet restrictions.
Tell us about your yard.
If yes, please list other pets:
Veterinarian Address/Phone #:
Reference In this section, please provide the following details about your character reference. A character reference is anyone who has good things to say about you and your ability to care for an animal.
Read each statement below and sign your initials at each one.
This lets us know that you have read, understood and accepted your responsibility with each statement.
I understand KK9 makes every effort to place only healthy animals, but that KK9 makes no guarantee regarding the nature, disposition, or health of this animal. Not all animals have been examined by a veterinarian. I will keep this animal separate from my current pets for 10 days to reduce the chance of spreading any contagious diseases the animal may be incubating. I understand my pets at home should be current on vaccinations before introducing a new pet.
2. ANYmedical bills for this animal incurred for any reason from this day
forward is the responsibility of the adopting party.
3. I will take this animal to the veterinarian for booster vaccinations (if
needed), and yearly examinations and immunizations. I will not
cosmetically alter this animal’s appearance (i.e. dock tail or crop ears).
4. I will always provide adequate food, water, and shelter.
5. I will not transport the animal in the bed of a truck.
6. I will not leave the animal in a vehicle when the outdoor temperature is
above 70 degrees Fahrenheit.
7. I will not, nor will I allow others to, use this animal for experimental
purposes.
8. If deemed necessary, I will allow a home visit by KK9 personnel. If they
deem conditions unsatisfactory I will surrender the animal.
9. I will not, nor will I allow others to, use aversive tools/techniques and/or
punishment for training. These include, but are not limited to, use of any of
the following: choke collars, prong collars, electronic collar (e-collar),
training collars, e-touch, stimulation, tingle, TENS unit collar, remote
trainers, e-prods, alpha rolls, squirt bottles, scat mats, pet correctors, bark
collars, citronella collars, and electronic fencing.
10. I understand and agree that the adoption fee, and any sum in addition to
that fee, I have given to KK9 is a donation to their rescue work and care
for dogs and cats, and this donation is not refundable.
11. If I need to return the pet AT ANY TIME, I agree to contact Kane's K9s
and Animal Rescue FIRST to discuss surrender options.
12. I assume all risk and responsibilities of ownership, and cannot indemnify
KK9 for any claims for damages, including property and personal injury.
13. I understand and agree that any breach of this contract will result in KK9
contacting local law enforcement to open an animal cruelty investigation.
MEDICAL RELEASE
Kane's K9s and Animal Rescue (KK9), a California non-profit corporation, takes commercially reasonable precautions to avoid placing sick dogs/cats or dogs/cats with medical issues with adopters. However, there is always a risk that an adopted dog/cat could develop symptoms once adopted, carry a virus, parasite, or other diseases that KK9 did not notice symptoms of prior to placement, may become ill once in the adopter’s care, and/or may transmit a disease to another animal in the adopter’s home. If you witness any symptoms from your adopted dog/cat (or from any of your other pets introduced to your adopted dog/cat), you agree to notify KK9 immediately and obtain appropriate medical care for the ill animal at your sole expense.
By signing the adoption contract, attached to this Medical Release, you hereby agree to release, indemnify, defend, protect, hold harmless KK9 financially, legally, or otherwise for any sickness the adopted dog/cat was not patently exhibiting symptoms of at the time of their adoption, including any sickness or injuries that might occur once the adopted dog/cat is in your care. You release, indemnify, defend, protect, hold harmless KK9 from any and all liability through the completion of the adoption contract for the adopted dog/cat.
It is your responsibility as the Adopter to provide the adopted dog/cat with medical care, at your sole cost, and ensure they remain up to date on all vaccines once adopted. Dogs/cats, including puppies/kittens, adopted from KK9 may have not yet received all of their vaccinations and will require follow-up vaccines to prevent serious viruses. Having been in a shelter environment, it is possible your adopted dog/cat (and other pets introduced to your adopted dog/cat) were exposed to diseases, viruses, and other medical conditions including, but not limited to: parvo, distemper, kennel cough, giardia, coccidia, roundworms, hookworms, tapeworm, and whipworms.
As the Adopter, it is solely your responsibility to follow up with your veterinarian if the adopted dog/cat (or other pets introduced to your adopted dog) shows any symptoms of the above, and for any other disease or injury. You are responsible as the adopter to obtain all vaccinations and medical care recommended by your veterinarian.
KK9 encourages Adopters to provide the adopted dog/cat with routine veterinary care to ensure that their new pet is, and remains, healthy. This Medical Release is hereby made part of the adoption contract to which it is attached, for the benefit of KK9 and its’ agents, contractors, directors, employees, and representatives. This Medical Release is construed in accordance with, and is governed by, the laws of the State of California. Any disputes arising from this Medical Release shall be brought and maintained in the Superior Court of California, in and for the County of San Diego.
Please sign your name below.
GIARDIA / COCCIDIA WAIVER & INFO SHEET
As a rescue, we assume all our puppies were exposed to Giardia/Coccidia and watch for symptoms. When definitive symptoms arise in our care, we treat our puppies for illness. Due to the nature of rescue, it is unfortunately too expensive to test and treat every puppy in our care if they are not presenting symptoms.
We highly recommend you take your new puppy to your vet and have them tested for Giardia/Coccidia, and they test positive, complete any necessary treatment.
Giardia intestinalis (aka Giardia duodenalis, Giardia lamblia) is a common, treatable, microscopic intestinal parasite that affects humans, dogs, and cats. Puppies contract Giardia when they eat, or even inhale, something with the parasite on it. Coccidiosis is a common, treatable, intestinal tract infection caused by one-celled organisms (protozoa) called coccidia.
Since Giardia and Coccidia are microscopic, it is not always obvious your puppy encountered grass/dirt/water/food previously contaminated. Since puppies are still developing their immune system, they are extremely susceptible to these common, yet treatable, parasites.
Common signs and symptoms of Giardia infection (in both humans and pets) are diarrhea, gas, abdominal discomfort, nausea, and vomiting. The most common sign of Coccidia is diarrhea. However, it is possible to be infected and have no signs or symptoms of illness.
» Avoid walking your pup outside where other animals go to the bathroom, whenever possible.
» Make sure your puppy has clean drinking water from indoors. Do not let your puppy drink from puddles, communal water bowls, or other outdoor sources.
I hereby acknowledge that KK9 staff provided me with this information sheet on Giardia/ Coccidia, understand that these are common and treatable parasites, and accept full responsibility for any medical costs and/or care associated with Giardia/Coccidia (in addition to the medical release above).
Please sign your name below.
BEHAVIOR WAIVER FORM
Kanes K9s and Animal Rescue (KK9) takes every precaution to not place aggressive dogs or dogs with extensive behavior issues. There is always a risk that an adopted dog could develop a behavior issue once in a home or could inflict a bite or scratch to the adopters, family members, other animals in the household or members of the public. If you witness any aggressive or other dangerous/concerning behavior from your pet (or from any members of your own family or pets toward the adopted pet), you agree to immediately notify KK9 for additional help and resources. By signing the adoption contract, you agree that you will not hold KK9 financially or otherwise legally responsible for any injuries or damage that might occur upon adopting a dog. You release KK9 from any and all liability through the completion of the adoption contract.
KK9 does not approve of the use of aversive tools/techniques and punishment for training or behavior modification of adopted dogs. Aversive tools/techniques and punishment include, but are not limited to, the use of any of the following: choke collars, prong
Aversive tools/techniques and punishment can cause aggressive and fearful behaviors to worsen. KK9 encourages all adopters to interview any trainer and/or pet professional you may hire to ensure that they do not use aversive tools/techniques and/ or punishment
Please sign your name below.
Applicant must be a minimum of 18 years of age. Valid picture ID must match applicant.
Please keep in mind that once you hit the Submit button below, it may take a minute or two for the "Application Submitted" confirmation to pop up. This is because the photo of your license is uploading at the same time. This typically takes time. Please be patient and stay on this page until you see the message.
We will reach out to schedule an appointment post application review Submit
