Dog Adoption Form: The Humane Society of Greater KC

Welcome! We request the following information and a consultation with an adoption counselor to help you find a dog with the qualities you’d like and who matches your lifestyle. 

To be considered as an adopter, you must: Be 21 years of age • Have the knowledge and consent of all adults living in your household • Have a valid ID with current address • Have the knowledge and consent of your landlord • Understand that The Humane Society of Greater Kansas City must approve your application (based on the policies set by the board of directors.)

Due to the large volume of applications we receive, we usually prefer to respond by email so that we can reply to everyone as quickly as possible. *
 
Where do you live? *
 
Do you: *
 
Are there any persons who regularly visit the home (grandchildren, family members, etc)? *
 
Are there any dogs or cats who visit regularly? *
 
Is anyone in your home allergic to dogs? *
 
Please provide the following info about your current pets:
 Pet's NameType/BreedInside or Outside PetAgeSexSpayed or Neutered?
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Please provide the following info about pets you have had in the past 10 years but no longer have:
 Pet's NameType/BreedInside or Outside PetAgeSpayed or Neutered?Reason no longer with you
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Do you vaccinate annually? *
 
Do you give your dogs heartworm preventative? (check all that apply) *
 
Are you interested in adopting a particular dog? *
 
What type of dog are you looking for? (check all that you may be interested in) *
 
Why would you like to adopt a dog? (check all that apply) *
 
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What energy level are you looking for in a dog? *
How do you exercise your current dog, or how do you plan on exercising your new dog? (check all that apply) *
 
Does your home have a dog or cat door? *
Describe the living environment for your new dog: *
 
When home alone, your dog will be: (check all that apply) *
 
What type of obedience training do you plan to do with your dog? (check all that apply) *
 
Would you allow our representative to visit your home before the adoption is completed? *
Are you prepared to make a commitment to care for your new dog for his/her entire lifetime, which could be 10 to 15 years or more? *
Have you made provisions for your pet if something should happen to you? *
 
It may take your new dog two or more weeks to adjust to your home, especially if other pets are involved. Are you prepared to allow this much time? *
Have you adopted a pet from us before? *
 
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By submitting this form, I certify that the information I have given is true and that I recognize that any misrepresentation of the facts may result in my losing privilege of adopting a pet. I authorize investigation of all statements on this application. I understand that this application is property of the Humane Society of Greater Kansas City. *