Animal Kingdom Foundation
   
About AKFCCC
In Your Life
In the Life of Your Pet
In Your Family
In Your Community
Adoption as an Option
In Memoriam

 

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For Pet Owners, Families & the Community

Adoption Application

The first step in adopting one of our animals is to complete our adoption application. Once submitted to us, your application will be fully reviewed and we will contact you with more information on the adoption process.

All fields marked with * are required.

Contact Information
First Name*:
Last Name*:
Age*:
Street*:
Suite Number:
City*:
State*:
Zipcode*:
Home Phone*:
Employer*:
Position*:
Work/Alternate Phone*:
Primary Email Address*:
Animal Adoption

Adoption Preferences
What energy levels are you comfortable with in an animal*?
Do you prefer a male or female*?
Is shedding a concern*?
Is noise a concern*?
Does anyone in your household have pet allergies*?
Please describe your ideal pet*:
Animal Adoption

General Information

Have you previously owned a dog or cat*?

Do you currently have any other pets*?

Select all that apply


Dogs (under 30 lbs)
Dogs (30-50 lbs)
Dogs (over 50 lbs)
Other Small Animals
Other
If Other, please describe
How many adults live in your household*?
How many children live in your household*?
Ages of children in household*:
Do you live in*:

Do you rent or own*?

Do you have a fenced yard*?
Do you or will you have a pet door*?
Where would this animal be kept during the day*?
Where would this animal be kept during the night*?

Does anyone in your family have allergies*?
Have you ever had a pet die at an early age or due to an accident*?
How and where will you exercise the animal*?
Name of your Vet*:
Phone # of your Vet*:
Animal Adoption

Pet History

Please list your pets, starting with the present and including the past:
Pet 1 Breed/Type
Gender:
Age:
Spayed/Neutered?
Status:
Animal Adoption
Pet 2 Breed/Type
Gender:
Age:
Spayed/Neutered?
Status:
Animal Adoption
Pet 3 Breed/Type
Gender:
Age:
Spayed/Neutered?
Status:
Animal Adoption
Pet 4 Breed/Type
Gender:
Age:
Spayed/Neutered?
Status:
Animal Adoption
Pet 5 Breed/Type
Gender:
Age:
Spayed/Neutered?
Status:
Animal Adoption
Pet 6 Breed/Type
Gender:
Age:
Spayed/Neutered?
Status:
Animal Adoption
Is there anything else we should know about you, your pets, or your preferences*?
Animal Adoption

References

Please list the names and telephone numbers of 3 references not living with you. All fields are required.
 
Reference 1*
Reference 2*
Reference 3*
Name*:
Phone*:
Can be reached*:
How did you hear about the Animal Kingdom Foundation*?

 

 

 

 

 

 

Animal Kingdom Foundation of Compassion, Care, and Concern
100 Elden Street Suite 11, Herndon, VA 20170

Cherrydale Veterinary Clinic