K9 Lifeline Rescue, Inc. Application:

Please be detailed with your answers and answer each question to the best of your ability. The more information we can gather the better we can match you with a dog or puppy.

First and Last Name
Full Address (Including City, State, Zip)
Email Address *
Confirm *
Name of DOG you are Interested in
I am looking to adopt a dog that lives mainly as an
How soon will you be ready to adopt a new dog / puppy?
What is your occupation and work hours
Co-Adopters First and Last Name
Co-Adopters occupation and work hours
Home Phone & Cell Phone Numbers
Can you be reached during the day? If so, at what number?
You must be 21 years old to adopt a dog from us.

Please list ALL members that live in this household and their AGES, including yourself.
Please tell us why you would like to adopt a new family member?
Do you own or rent? If you rent, please provide landlords name and phone number
Do you have a fenced yard? If YES what type & how tall?

If NO, how will you exercise and potty the dog/puppy?
List all current pets, including breed, age and sex
Please list the name, phone number and city of the veterinarian who has the most current records on your pets
Are all your pets Spayed and/or neutered? If no, why not?
Are your pets current on their vaccinations?
Do you know what heartworm is?
Do you believe dogs should be given monthly heartworm pills?
What brand of Heartworm pills do you use?
Please list any previous pets you have had in the last 5 years and what happened to them
What activities do you plan to do with your new dog or puppy?

Obedience training is a good way to bond with a new dog- would you be interested in training with your new dog?
What breed mix of dog are you looking for?

Why do you like this breed?
Do ALL members of the household want to adopt this pet?
Who will be primarily responsible for the care and well being of this pet?
If you owned a dog before, what kind of dog food did you use, and were you happy with the quality of the food?
How much time are you willing to give this dog to adjust and fit into your home?
It may take several weeks to a few months for your new dog to adjust to its new home and family. How will you handle this?
How many hours per day on average will this dog be home alone?

When the dog is left home alone, where will the dog stay?
Where will this dog sleep at night when trained?
In an average week, how many hours will the dog be left outside while no one is home?
Do you have time, patience and physical ability to care for this dog for his entire life? (10+ years)
If something were to happen and you could no longer care for this dog, what is your plan?
Did you know such dog foods as Science Diet, Iams, Purina & other foods found at grocery stores have little to No nutritional value & are very Low quality foods?
Are you interested in knowing which dog foods, for the same price of the above foods ARE quality dog foods?
What are some reasons that you would have to return a dog after adoption?
Do you want this dog for: (list all that apply) ~ Family Pet ~ Hunting Dog ~ Guard Dog ~ Obedience Dog ~ Other (please explain)
Are you prepared for chewing, digging, scratching, house training, and/or mischievous behavior? How will you reprimand your dog?
How and where did you hear about this rescue and/or website?
Are you willing to put down a $25.00 deposit in addition to the adoption fee indicated if the dog you want is too young or has a medical condition preventing spay / neuter?
Are you available for a home visit?
Have you applied with any other Rescue or Shelter in the past 6 months?
If YES, please list which one/s and if you have you been approved by, along with their contact information or if you are still waiting for an answer.
Has this Rescue or Shelter conducted a home visit?
Please list anything else you would like us to know so we can best match you with one of our dogs:
I (type your name in box on right) have read ALL of the above information and have answered each question completely and truthfully to the best of my ability.
I (type your name in box on right) am aware K9 Lifeline Rescue, Inc. is licensed by the State of Wisconsin #266969 & 501(c)3 Approved.

K9LLR CANNOT hold dogs or puppies. If you need to reach us please E-mail ApplicationK9LLR@aol.com
Re enter E-Mail address: