Adoption Application

Adoption Application

Lucky Paws Dog Rescue
Adoption Details

Page 1/6
Name dog are you interested in adopting
Name of second choice dog
Optional
What date are you available to adopt?*

MonthDay Year
Date

Your Personal Details

Page 2/6
Name*

First Name Last Name
Email
example@example.com
Address*

Street Address

Street Address Line 2

City Province

Postal code
Phone Number*
Occupation*

Job Title Hours work/day

Home/Family Details

Page 3/6
Please list household members including yourself
Name, age
Who will be the primary caregiver for the dog?*

MyselfEnter name
Do you own or rent your house?*

OwnRent
Landlord information*

Landlord Name Landlord Phone number
Is the yard fully fenced?*

YesNo
How high is the fence?*

Furfamily Details

Page 4/6
Do you have pets already?*

YesNo
Please provide details on your current pets. Including if they are spayed/neutered.
Breed, age, sex, spayed/neutered
How do you think your current pets will respond to a new dog?

A new dog's life

Page 5/6
Where will your new dog spend the day?*
Where will your new dog spend the night?*
How many hours/day will the dog spend with you/family?*
How many hours/day will the dog spend alone?*
How frequent will someone be home to let the dog out?
E.g lunch hours, after work, etc
How will you handle the dog's behavioural issues, if any?*
Describe your idea of a great dog.*
Where will your dog go when you are on vacation?*

Your reasons for adoption

Page 6/6
Why do you want to adopt a dog?*
How many dogs have you owned in the last 5 years?*
Have you ever surrendered or rehomed a pet?*

NoYes
Reason for surrendering/rehoming*
Please provide reference 1*

Reference 1 First Name Reference 1 Phone
Please provide reference 2*

Reference 2 First Name Reference 2 Phone
Should be Empty: