Matchmaker Application: Connect with Your Perfect Canine Companion

Breed Interests
Age
- Puppy
- Adult
- No Preference
Dog Size/Weight Requirements
Small, medium, large, under 50lbs, under 20 pounds, doesn’t matter, etc.
Gender
- Male
- Female
- No Preference
What kind of animals do you currently have?
What activities will the dog be a part of?
Hiking, beach, dog parks, travel, etc.
Any special requests or deal breakers?
Not interested in certain breeds, no grooming please, little-non shedding dog, potty trained, crate trained, etc.

Name of Applicant*
First Last
Occupation
Age
Email Address*
Mobile Phone*
Work Phone
Home Phone
Name of Spouse/Significant Other
First Last
Occupation
Names (and ages) of children, if any
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Allergies...
Does anyone in your household have pet allergies?
- Yes
- No
What kind of allergies?
Training Your Pets...
How would you train your pet? (Check all that apply)
- Obedience school
- Hit with newspaper
- Clicker/Hand signals
- Firm verbal commands
Other ways you'd train?
Dog Hair...
Will you be able to live with hair on your furniture, stains on your rugs, a warm body on your bed, and an animal that might be destructive at times?
- Yes
- No

Pet Care & Commitment...
Remember, pets are an investment of your time and money.
Can you afford to provide medical care, grooming, proper diet, proper shelter and exercise for your new pet?
- Yes
- No
Are you able to make long term commitments to care for your pet for its entire life span, which could be as much as 10-20 years?
- Yes
- No
Under what circumstances would you not be able to keep this pet?

Adoption Requirements
A 20-year commitment to the animal, you must be a U.S. Citizen or permanent resident, you must allow a home visit (a Kate’s Rescue for Animals representative to visit your home prior to adoption.)
Do you understand and agree to the adoption requirements?*
- Yes
- No
Consent*
I agree that all information provided is true and accurate.
Adoption Photos*
Can Kate's Furreka Rescue use photos of your adoption in marketing pieces? (i.e. email, social media, website)
- Yes
- No
Phone
This field is for validation purposes and should be left unchanged.

Matchmaker Application

Dogs	Cats	Other