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Adoption Application

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Steps

1. Please read carefully(current) This section is complete This section is incomplete
2. Applicant Information This section is complete This section is incomplete
3. Current Pets & Vet Information This section is complete This section is incomplete
4. Home Environment This section is complete This section is incomplete

Please read carefully

Thank you for choosing to adopt from an animal shelter! This application is designed to determine the best possible placement for each animal in our care, so we ask for your patience as we go through the process.
Please note: this application does not place a "hold" of any kind on the pet you are interested in. We try to contact every online application as quickly as possible, but due to the volume of applications received, there may be some delay. It is highly recommended to call our Adoption Center at (859) 356-7400 after submission, or to come to the shelter in person during business hours.
Date of Application*
Date of Application
Animal ID/Name*
Animal*
1. Cat
2. Dog
Continue

Applicant Information

First Name*
Last Name*
M.I.
Primary Phone*
Secondary Phone
Address*
City*
State*
Zip Code*
Date of Birth*
Date of Birth
Email Address*
Emergency Contact Name*
Emergency Contact Phone Number*
How did you hear about the shelter or pet?*
1. Petfinder
2. Facebook
3. Paper/Ad
1. Friend/Family
2. Walk-in
1. County Website
2. Previous Adoption
1. Veterinarian - Dr.
2. Other
Continue |Go Back

Current Pets & Vet Information

Home Environment

Current pets are...
1. Indoors
2. Outdoors
3. Both
4. Kennel
5. Chained
6. Barn
New pet will be...*
1. Indoors
2. Outdoors
3. Both
4. Kennel
5. Chained
6. Barn
You currently live in a...*
1. House
2. Apartment
3. Condo
4. Duplex
5. Mobile Home
Do you...?*
1. Rent
2. Own
3. Rent to own
4. Live with parents
If you rent, are pets allowed?*
1. Yes
2. No
Landlord's name*
Landlord's phone number*
Are your parents aware that you are adopting a pet?*
1. Yes
2. No
Parents' Name(s)*
Parents' Phone Number*
May we do a home visit?*
1. Yes
2. No
What kind of fence do you have?
1. None
2. Partial
3. Electric
1. Privacy
2. Chain Link
If you do have a fence, how high is it?
How many people are there in your household?*
If children are in your household, list their ages.
How many hours a day will the pet be alone?*
Are you:
1. Employed
2. Retired
3. Other
Have you or anyone in your household ever been convicted of any animal related offenses?*
1. Yes
2. No
If yes, please explain.
Any additional information that you would like to provide:
Any falsification of information on this application will result in immediate denial of an adoption.

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1. Receive an email copy of this form.
Email address

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Covington, KY 41011
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