Please complete this application as thoroughly as possible. We will review it and be in touch soon.
Select one or more dogs, or leave unchecked for a general application.
To verify the care history of your current pets, Kona Demo Rescue needs your permission to contact the veterinary clinic you named above. This authorization is limited to that clinic and this application, expires in 90 days, and you may revoke it at any time by contacting us. We do not contact any other provider.
We will never sell, rent, or share your information with outside organizations. See our privacy policy.