Love of Littles Dog Adoption Form

Love of Littles Dog Rescue

Dog Adoption Form
Please complete the application in full...any missing information may delay processing the application. Completion of the application form does not guarantee you an animal. The completion of this application authorizes Love of Littles Dog Rescue to verify all information contained herein; including all medical records of present or prior pets treated at the Veterinarians listed. All adoptions are at the sole discretion of Love of Littles Dog Rescue.

ALL PETS WILL BE VACCINATED, SPAYED/NEUTERED, FREE OF PARASITES AND MICROCHIPPED BEFORE GOING HOME. WE DO ADOPT OUT OF STATE...TRANSPORT CAN BE ARRANGED(ADDITIONAL CHARGE).

PLEASE GIVE CAREFUL CONSIDERATION TO ADOPTING AN ANIMAL...THEY ARE A LIFETIME COMMITMENT.

PLEASE MAKE SURE YOUR LIFESTYLE ALLOWS TIME, PATIENCE AND THE EXPENSES THIS ANIMAL WILL NEED.
YOU MUST BE 21 YEARS OLD TO ADOPT.
Name of the dog you want to adopt*
Adopters Name*

First NameLast Name
Co Adopters Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Co Adopters Email*
example@example.com
Phone Number*

Area CodePhone Number
Phone Type*

CellHomeWork
Name and ages of all permanent residents of your home(adults/children)MUST LIST AGES*
EMPLOYER(Name, Address and Phone Number)*
Are you a college student? If so, name of college*
Will this be your first dog*

YesNo
Do you currently have any pets*

YesNo
If you currently have pets, please list breed(s) and ages below*
Are your current pets spayed and/or neutered*

YesNo
Are they current on vaccinations and monthly preventions(Heartworm, flea/tick)*

YesNo
All animals in the home MUST be spayed/neutered, UTD on shots, and on monthly preventions. We do NOT adopt to anyone who has unaltered animals.
Have you ever turned your animal into a shelter? If yes, please explain*
Have you ever had a pet euthanized? If yes, please explain*
Vet Reference(Please call your vet and give them permission to speak with us)*
Name, Address and Phone Number
Have you ever adopted from a Rescue? If yes, please list the name and contact info*
Where are your pets kept?*
Have you had other animals in the past? If yes, please list*
If you have pets, will they adjust to a new dog entering the home*

YesNo
Where will the dog sleep (Please be specific)*
I/We live in a*

HouseCondo/TownhomeAptOther
Do you rent or own this property*
Renters, Have you contacted your landlord to find out if there's any restrictions on the kind or size of dog you can have? (we will call to verify)*

YesNoNot yet, but I willIt's written in our lease
Landlords Name and Phone Number*
Do you have a yard*

Yard with fenceYard no fenceNo yard
If fenced, height of fence(Type of fence, please specify)*
Do you have a dog door/gate? If so, please explain*
Are you familiar with dog regulations in your area?*

YesNo
If you answered no to the question above, please contact your town/county/condo assoc and ask them what the regulations are.
If yes, please describe local dog regulations and restrictions:*
Do you work outside the home?*

YesNoOne applicant is home/works from homeWe work different shifts
If you both work outside the home, how many hours per day are you away?*
How many hours per day will this dog be alone? Please explain.*
Have you discussed this adoption with all members of your household?*

YesNoYes, Adults have discussed but kids don't know
We will be speaking to all adult residents to confirm everyone is aware of this application process and wants to have a dog added to the family. Please do not submit this application if you are "trying to talk someone into" adopting this dog or think "once they meet the dog, they will want one" or "I'm getting this dog as a surprise birthday present for them." In those scenarios, you are welcome to email us to discuss the dog, but we would like all adults in the home to be involved in that email discussion.
Where will you keep the dog (please be specific)*
Are there times when the dog will be tied up? If yes, please explain*
Would you be willing and able to exercise the dog on a regular basis? (please explain)*
If you go away for a few days or on vacation, who will take care of the dog? *
Are you willing to have a representative of LOLDR come to see where the dog will be living?*

YesNo
What provisions will you make for the dog should you become unable to care for the dog?*
How much are you willing to spend on medical bills for your dog?

Up to $500Up to $1000Up to $5000Whatever it takes
What would you do if the vet bills went over that amount?*
What activity/energy level do you prefer?*

Wild and crazy is coolLeash trained daily jogging partner would be excellentMedium energy, plays a bit then hangs out with youLow energy, walks slowly on leash, a total couch potato
Please check all that apply. I want to adopt this dog...*

As a family petTo breed with my dogTo train/use for huntingTo train/use for agilityTo train/use as a therapy dogTo train/use as an assistance dog for the disabledTo use as a guard dogFor a jogging/hiking partnerTo interact with lots of friends/familyAs a gift for a friend, partner, or family memberAs a companion for my dog(s)As a companion for my cat(s)As a companion for my child/children
Please check all that apply. My adopted dog will..*

Be kept outside most of the timeBe kept indoors most of the timeBe left outside during the work day while we are awayBe kept inside while we are awayBe crated when we are not homeHave free reign of the house when we are not homeBe taken to formal obedience classesBe trained by me/usTake frequent car rides with usBe kept on a lead line/cable in the yardBe mostly interacting with adultsBe interacting frequently with children under 8Be interacting frequently with older childrenMust be housebroken prior to adoptionWill be housetrained by usWill be walked more than one mile per day every dayWill be walked occasionallyBe attending formal group obedience classes with usBe trained by us without the advice of a trainerHave private sessions with a trainer as neededBe attending agility classesBe boarded when we go on vacationStay with family when we go on vacationBe given away to someone else if we feel it's not a good match for usBe turned in to a shelter if we can't keep itBe going camping with usBe outside with a dog house in a fenced areaBe outside chained/tethered to a dog houseBe free roaming on the farm (unfenced)
Please take time to think, be honest with yourself and us when answering this question. What are you absolutely NOT willing to deal with at the time of adoption or at any time during the life of the dog?

HousebreakingChewingJumpingPulling on leashCounter SurfingObedience TrainingFear of menFear of womenFear of childrenMouthiness (may sometimes snag your hand or arm instead of the toy in play and will need redirection/training)GrowlingBarkingRough play with my dogHigh Activity levelFood/toy aggression/not willing to share with other dogsFood/toy aggression with peopleWhining/cryingBlindness/Limited SightDeafnessSeparation AnxietyDiabetesSpecial Diet/Food AllergiesLong Term MedicationIncontinence / Leaking UrineTaking classes with the dogGets stressed/carsick when riding in vehicleDoesn't know how to climb stairsCan't climb stairs due to age/arthritis/health issuesHeart ConditionSkin ConditionTrimming NailsYeast on coat or in earsEar MitesFleas and/or TicksHeartworm PreventionAnnual heartworm/lyme combo testingI will do whatever it takes to help this dog adjust and work with a trainer to help resolve any training needs.
What would cause you to return a dog?*
What do you feel is a reasonable amount of time for a dog to adjust to life with you/your family?*
How do you plan to integrate this dog into your family?*
What would you do if you discovered after adoption (at any time during the life of the dog) if your vet diagnosed an expensive health condition?*
Do you plan to get pet health insurance?*

YesNoI wasn't aware this was available. Will look into it
What brand of dog food do you plan to feed? *
Grooming (please check all that apply)*

We use a professional groomerWe trim dog nails ourselves at homeWe bathe our dogs at home once a weekWe bathe our dogs at home once a monthWe bathe our dogs at home once every few months or whenever their coat feels dirtyWe bathe our dog twice a yearWe don't bathe our dogWe check ears weekly for infection/yeast/mitesWe check coat daily for ticks in spring/summer/fallWe clean teeth using home methodsWe take our dogs to the vet for dentals whenever the vet recommends this is neededPrefer a dog that doesn't shedDon't care about shedding
How long have you been looking for a dog?*
Do you plan to take formal obedience classes?*

YesNo
Additional reference (if desired)*
Do you have any additional comments, questions or concerns? Anything else you would like us to know to help match you up to a dog? *
I understand that completing this application does not guarantee I will be allowed to adopt a dog, and that the application is a tool to help Love of Littles Dog Rescue determine if this dog and my family are a good fit for each other. I acknowledge that all information provided on this form is true and correct. I understand that any misrepresentations may result in my not being approved and/or removal of the adopted dog from my possession. I also certify that I have never been convicted of animal cruelty or neglect.

I agree to allow a representative from Love of Littles Dog Rescue to contact my vet for a reference and also agree to allowing a home visit prior to adopting this dog. If I am approved to adopt a dog, I agree to pay a non-refundable adoption fee and hand sign an adoption contract at the time of adoption.

I understand that all dogs adopted from Love of Littles Dog Rescue will be spayed/neutered, heartworm tested, fecal tested, and vaccinated prior to adoption.
BY SIGNING THIS FORM AND SUBMITTING, YOU HAVE AGREED TO A BACKGROUND CHECK.
Please read the above, check this box, sign, and click Submit.*

I/We have read and understand all of the above
Applicant's Signature*
Co-Applicant's Signature*
Signature date*
Renters: Please send a copy of the pet section of your lease or a landlord pet permission letter to our email address: loveoflittlesrescue@gmail.com

Love of Littles Dog Rescue reserves the right to reject any application based on information obtained during this screening process. Please understand that our primary goal is the health, happiness, and safety of our rescued dogs.
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Love of Littles Dog Rescue