Adoption Application
Once your application is received you will be contacted by a representative of Rescue Rehome Repeat of South Louisiana. If you are not contacted after 48 hours the pet you applied for may no longer be available. You may call 225-788-6940 after 48 hours for further assistance.
NOTE: We are unable to adopt dogs to residents living outside of the state of Louisiana.
Full Name
*
First Name
Last Name
E-mail
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
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Germany
Ghana
Gibraltar
Greece
Greenland
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Guadeloupe
Guam
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Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Home Phone Number
*
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Area Code
Phone Number
Cell Number
-
Area Code
Phone Number
How do you want us to contact you?
Email
Text Message
Phone Call
Are you 21 or older? You must be 21 to adopt through Rescue Rehome Repeat.
Yes
No
Birthdate
*
-
Month
-
Day
Year
Date
What is the name of the pet you want to adopt (please write the name of the pet you saw on our PetFinder pages, Facebook or on our website. If you don't have a specific pet in mind please let us know the date of the event you will be attending.
*
Why do you want to adopt a pet?
*
Have you ever been turned down for a pet adoption by any animal welfare group, shelter or other adoption agency?
*
Yes
No
Who are you adopting this pet for?
*
How many people live in your home?
*
Please tell us what previous experience, if any, you have with dogs.
*
Are there any children in your home? (Note: Depending on which pet you are applying, you may not be able to adopt with children under five years of age living in your home.)
*
Yes
No
Ages of Children
Will you be be willing to buy a wire crate, if necessary?
*
Yes
No
List veterinarian/animal clinic where your current pet receives care. If you do not have a pet currently, list your previous veterinarian/animal clinic you used. A veterinarian reference is mandatory to adopt from our organization through our online application process. If this is your very first pet and you have never had a veterinarian before, some restrictions may apply.
*
Enter phone or contact information for vets/animal hospitals you have used. (Enter NONE if not applicable.)
*
What are the names, breeds, and sex of your current pet(s)?
*
What name are your vet records under?
*
Do we have your permission to inquire/receive your veterinary records?
*
Yes
No
If you give us permission to reach out to your vet, we need you to contact your vet now to release records to us.
*
I have contacted my vet and given them permission.
If you have not called and released your records, your application will automatically be denied.
*
I understand.
What type of home do you live in?
*
Home
Apartment
Trailer
Condo
Other
Do you Rent or Own?
*
Rent
Own
Do you have a fenced yard? This means a secure, fully fenced area, in some cases 5-6 feet tall minimum depending on pet, may be required.)
*
Yes
No
Would you leave your pet unattended in the yard?
*
Yes
No
Do you plan to move in the near future?
*
Yes
No
How many hours per day will the pet be left alone?
*
Where will the pet sleep?
What provisions will you make for this pet when you go on vacation?
Are you aware that we require all pets in your home be spayed or neutered?
*
Yes
No
Are all your current pets spayed or neutered?
*
Yes
No
Do you have any allergies or medical conditions that would make it difficult to own or care for this pet?
*
Do you consent to a home visit if needed?
*
Yes
No
Are you aware the adoption fees for dogs can range from $150-500 for canines? and that all adoption fees are considered non-refundable donations?
*
Yes
No
Please use this area to make any comments you feel will help us process your adoption application.
How did you find Rescue Rehome Repeat?
*
Petfinder.com
Facebook
Tik Tok
Twitter
Instagram
Friend or Family
WAFB
WBRZ
Other
*
By checking this box I agree to all the above terms.
Please verify that you are human
*
If you are applying for a “groom dog” such as a Poodle, Doodle, Maltese, bichon, schnauzer, etc. please list your groomer’s name and number.
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