Apply to Adopt - Kona Platform

Adoption Application

Please complete this application as thoroughly as possible. We will contact you within 48 hours of submission.

Your Information

First Name

Last Name

Phone

Address

City

State

ZIP

Housing

Housing Type

Own or Rent?

Landlord Name (if renting)

Landlord Phone

Fenced Yard?

Fence?

Fence Height (if applicable)

Household

Adults in Home

Children in Home

Ages of Children (if any)

Do all household members agree to the adoption?

Pet History

Current Pets

Previous Pets

Pets Spayed/Neutered?

Pets Up-to-Date on Vaccines?

Pets on Heartworm Prevention?

Veterinarian

Vet Clinic Name

Vet Name

Vet Phone

About You

Breed Experience

Why do you want to adopt?

Activity Level

Hours dog would be alone per day

Exercise Plan

Training Plan

I'd like to hear from Kona Platform about my application and related rescue communication. Send me occasional updates about new dogs, events, and rescue activities.

We will never sell, rent, or share your information with outside organizations. See our privacy policy.