Pet Adoption Go backYour message has been sent Which animal are you interested in adopting? Name(required) Warning Contact Name(required) Warning Occupation Warning Address (City, State, ZIP)(required) Warning How long have you been at this address?(required) Warning Phone Number (Day)(required) Warning Phone Number (Night)(required) Warning When is the best time to call? Warning Email Warning Family & Housing How many adults are in your family (and what is their relationship to you)?(required) Warning How many children are in your family (age)?(required) Warning What type of home do you have (single family, townhouse, apartment, farm, etc.)?(required) Warning What best describes your household?(required) Active Noisy Quiet Average Warning If you rent, please give the rules governing pets with the landlord’s name and number Warning Does anyone in your home have a known allergy to animals?(required) Yes No Warning If so, what allergy? Warning Is everyone in agreement with the decision to adopt a pet?(required) Yes No Warning Do you have time to provide adequate love and attention?(required) Yes No Warning Other Pets What other pets do you have (type and number)?(required) Warning Are your pets up-to-date on vaccines? Yes No Warning Are your pets spayed/neutered? If not, why? Warning Have you ever had a pet euthanized? If so, why?(required) Warning Have you lost a pet to an accident?(required) Yes No Warning How do you discipline your pets and why?(required) Warning Veterinarian Do you have a regular veterinarian?(required) Yes No Warning Name Warning Clinic Warning Address Warning Phone Number Warning By providing King Vet Clinic with this information, you are allowing us to call your vet. Please, call your vet and ask them to authorize the release of information to our clinic. About the Pet to Adopt Sex No Preference Male Female Warning Where would the pet spend the day?(required) Warning Where would the pet spend the night?(required) Warning How many hours will the pet be alone on average?(required) Warning Who will have financial responsibility for the pet?(required) Warning Do you agree to provide regular health care by a licensed veterinarian?(required) Yes No Warning How do you plan to supervise the pet when it’s outside?(required) Warning References Please list two people who are familiar with you and your pets. Reference 1 (name, address, phone, relationship)(required) Warning Reference 2 (name, address, phone, relationship)(required) Warning All of the information I have given is true and complete. This animal will reside in my home as a pet. I will provide it with quality food, plenty of fresh water, indoor shelter, affection, annual physical examination and vaccinations under the supervision of a licensed veterinarian. I also agree to have the animal spayed or neutered prior to 1 year of age if the dog is not already altered. Full Name(required) Warning Warning. SubmitSubmitting form Δ
King Veterinary Clinic 