Land of Lakes Dog Rescue
Application Form
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Name of the pet you are applying for
Description of the pet you are applying for
What is the main reason or reasons for wanting a dog?
How many total hours during a workday will the dog be home alone?
Where will your pet be kept during the day?
Where will they sleep at night?
How do you plan on providing exercise for your dog? Are you looking for a running partner/walking partner/play in yard etc please describe.
Do you own your home? what type?(single family/townhome etc)
How long have you lived in your current home?
Any plans to move in the future?
Number of adults in household and ages
Number of children in household and ages
Do you have a fenced yard? If fenced, please provide height, type, and dimensions
Is anyone in your home allergic to animals?
Would you be willing to allow a home visit by appointment?
Have you ever given up a pet? If so, why and where did you take the pet?
Please list your current pets, their ages, how long you've had them and approximate sizes
Please list any pets you've had in the last 10 years and what happened to them, include approximate dates of when they passed or were re-homed.
Who is your veterinarian for your current pets and recent previous pets? Include city and phone number
Who is the vet you plan to use for your new pet?
It may take your new pet several weeks to adjust to the new home and other pets. Are you prepared to allow this much time?
When will you be ready to bring your new pet home if approved?
How do you plan to housetrain your new dog?
What types of training methods do you prefer for general obedience?
Please tell us why you feel this pet might be a great addition to your family
By initialing below, I certify that the information I have given is true, and I also give Land of Lakes Dog Rescue permission to call my vet for a reference.
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