Thank you for choosing to give an animal a safe and loving home. To complete this application you are required to share information about your current and/or past animals, including their medical care, if applicable. You may wish to collect this informaiton before starting as you will not be able to save the application or re-start it at a later date. The following information is requested so that we can assist you in selecting an animal companion. When adopting an animal, it is important that your entire family knows what will be involved. All information on this application will be kept confidential unless disclosure is required by law. Once approved and matched with your new pet, there is an adoption contract to sign and an adoption fee to pay. All adult animals will come spayed or neutered, if appropriate for the species. If the animal(s) is not yet ready for spay/neuter, KAR will arrange for the procedure to be done at a later date (the cost of which is covered already by the adoption fee). If you do not cooperate with the future spay/neuter the animal(s) will be reclaimed by Kingston Animal Rescue. The adoption fee is non-refundable for any reason, even if you decide to return the animal to our care. We will not adopt out rabbits for Easter. In order to be considered as an adopter, you must: Be 21 years of age or older. Live within driving distance of Kingston and provide valid photo identification with your birth date and current address. We welcome out of town adoptions, but we will not ship animals. You must be able to come to Kingston, Ontario, Canada to complete the adoption. Allow a visit to your home to see the conditions the animal will be living in, if requested. Be able and willing to house your adopted animal indoors and with consent of all involved. Be financially stable and willing to provide any necessary medical care. Applicant/Primary Caregiver Information First Name * Last Name * Street Address * City * Province/State * Postal/Zip Code * Email Address * Phone Number * Date of Birth * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year1939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026 Are you a student? * Yes No If yes, what level of schooling? If yes, what will you do with the animal after you finish school? Are you employed? * Yes No Employer Name, if applicable Place of Residence * House Apartment Condo Other Own/Rent * Own Rent Live with family If renting, does your lease allow pets? Yes No Please note, KAR may request a signed letter from your landlord. Number of Adults in Home * Number of Children in Home Type of animal you would like to adopt * Rabbit Guinea Pig Cat Dog Other Small Animal