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Adoption Application

"Adopt don't shop"

Kuttawaala - Dedicated to Saving Street Dogs

1. Adopter Information

Full Name:

Occupation:

Email Address:

Date of Birth:

Phone Number:

NID Number:

Full Address:

Type of Residence:

Apartment

House

Other

Do you own or rent?

Own

Rent

If renting, does your landlord allow pets?

Yes

Unsure

Who else lives in the household? (Adults/Children)

Does anyone in the household have allergies to dogs?

Yes

Have you owned a dog before?

Yes

Do you currently have other pets? (If yes, please list type/age/gender)

Are your current pets vaccinated and spayed/neutered?

Yes

Not Applicable

Why do you want to adopt this specific dog?

I understand that I am adopting a living creature that requires love, care, medical attention, and commitment for its entire life (10-15 years).
I agree to spay/neuter the dog when it reaches the appropriate age (if not already done).
I will provide regular veterinary care, including annual vaccinations.
I agree to never abandon the dog. If I can no longer care for it, I will return it to Kuttawaala.
I consent to occasional home visits or updates (photos/videos) by Kuttawaala volunteers.

Signature of Adopter

Date: _________________

Signature of the Owner

Date: _________________