Dog Adoption Application
Lulu's Locker Rescue
Please check to acknowledge the following adoption requirements:
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I am at least 25 years old.
I understand that I will have a phone interview to discuss this application as part of the adoption process.
I have read through the adoption process at https://www.luluslockerrescue.org/adoption-process-application so I have an idea of what to expect.
Name
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First Name
Last Name
Email
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After you have entered a valid Email address you can click the "Save" button at the bottom of this application. This will email you a link to complete this application at a later time, if needed.
Primary Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Is the provided phone number a cell phone?
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Yes
No
Address
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Street Address
Street Address Line 2
City
State
Zip Code
Date of Birth
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Please use the following format: MM/DD/YYYY
Is there a Co-Adopter?
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Please Select
Yes
No
A Co-Adopter is someone who intends to remain living with the applicant and the adopted dog indefinitely and will be equally responsible for the dog's wellbeing. This is often a spouse, partner, or close family member. Friends or roommates should not be considered a co-adopter.
Co-Adopter Information:
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Please list the dog(s) you are interested in meeting, and why.
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Are there any additional adults in your home?
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Yes
No
Additional adults in your home excluding yourself and any co-adopter:
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Are all adults in the home aware and in agreement of adopting a new dog?
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Yes
No
Would you consider yourself a head of the household/decision maker?
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Yes
No
Who would you consider the head of the household/decision maker?
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Are there any children in the home?
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Yes
No
Information about the children in the home:
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How long have you been looking to adopt a dog?
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Why are you looking to adopt a dog? Select all that apply.
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Companion for self
Companion for a child
Companion for another household member
Companion for another pet
Gift
Guard Dog / Protection
To breed
Hunting
Other
Who will be responsible for the general care of this adopted dog? (Including feeding, walking, grooming, clean up.) Select all that apply.
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Myself
Household Member
Child
Roommate
Other
Do you live in a:
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Single Family Residence
Multi-Family Residence (Apartment, Condo, Townhome)
Do you:
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Rent
Own
Please provide your landlord's name, email, and phone number.
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Do the rules for your City, Rental Agreement (if applicable), and/or HOA (if applicable) allow you to have additional animals in your residence?
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Yes
No
Unsure
How long have you lived at this address?
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More than 2 years
Less than 2 years
Please provide the address for your previous residence.
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Finding housing can be challenging if you have pets. Not all moves are expected/planned. Are you aware that there can be challenges when searching for housing when you have pets.
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Yes
No
Do any household members have any allergies to any animals?
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Yes
No
Please provide more information about your household member's allergies:
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Are you currently employed?
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Yes
No
Retired
Employment Information:
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Lulu's Locker is unable to financially support animals after adoption. Do you have the financial means to support a new dog including daily expenses (food/routine vet care) and unexpected expenses (emergency vet care)?
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Have you ever applied to adopt or foster a pet from any rescue or shelter including Lulu's Locker Rescue?
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Yes
No
Please share more about those applications:
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Have you ever had to rehome, relinquish, return, or give away any animal in the past?
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Yes
No
Please provide information about the circumstances that required you to find a new home for your pet(s):
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Which of the following situations would cause you to consider returning your adopted dog
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Job Loss, Financial Change
New Children
Relationship Changes
Changes in Adopter/Co-Adopter Health
Moving
Allergies
Shedding
Housetraining Issues
Does not get along with other pets
Vet Expenses or Medical Needs
Behavioral Issues
None of the Above
Other
Dogs regularly have a lifespan of 15 years. Considering the age of the dog(s) you are interested in adopting, have you considered how your life/living situation may change over the dog's lifespan? Are you able to commit to care for this animal throughout its entire life?
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Life is unpredictable. If your health were to fail or you were to become unable to care for your animal(s) for any reason what plans are in place to care for your pets both temporarily and permanently?
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What expenses are you anticipating and prepared to provide for?
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Rows
Yes
No
Unsure
Food
Treats
Routine Veterinary Care (Yearly Exams, Vaccinations)
Emergency Veterinary Care (Expect $1000, minimum)
Ongoing Veterinary Care (Allergies, Joint Problems, Ear Infections, etc)
Toys & Bedding
Boarding/Vacation Care
Grooming
Monthly Heartworm Preventative
What reading/research/steps have you taken to prepare for a new dog?
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What characteristics are important to you?
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Good with all dogs
Good with some dogs
Good with all cats
Good with some cats
Good with children
Good with strangers
Housebroken
Mellow/Calm
Energetic/Playful
Other
Have you owned or been primarily/financially responsible for any pets in the past 10 years?
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Yes
No
Please provide the details for those pets including those living with you, deceased, or living elsewhere.
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Have there ever been any pets that you lived with or helped care for? If yes, feel welcome to provide details.
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Please list any Veterinarians your pets have seen in the past 5 years:
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What expectations, if any, do you have of your newly adopted dog?
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What do you think are the most important responsibilities of being a dog/pet owner?
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How many hours will your adopted dog be left alone each day? (ie: Workday)
When no one is home, where will your adopted dog be kept?
Do you plan to crate train?
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Yes
No
If Necesary/Helpful
Other
How do you plan to introduce your new dog to any current pets?
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How do you anticipate caring for your dog while you are traveling?
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How much time will your adopted dog spend:
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What outside space will be available for your adopted dog:
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Fully Fenced Yard
Unfenced Yard
Outdoor Kennel
Chain or Tie-Out
Leash Walking
Off Leash Walking
Dog Park
Dog will not go outside
Other
Please describe the fence material and height of your fence:
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The adoption process and changing of a dog's environment can cause a dog to have accidents or personality/behavior changes. What steps are you prepared to take to deal with any behavioral issues that arise?
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Are you willing to hire a trainer at your own expense to deal with any behavioral issues whether they were known or unknown at the time of adoption?
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Please list two personal references that you are NOT related to, and do NOT live with you.
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How did you hear about Lulu's Locker Rescue?
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Petfinder.com
AdoptAPet.com
Facebook
Instagram
Friend or Family Member
Lulu's Locker Rescue Website
Other
Feel free to provide any additional information you care to share in this optional field:
Please check that you understand and agree to each of the following
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The information provided in this application is true to the best of my knowledge.
Lying or omitting information are grounds for immediate denial.
I understand that Lulu's Locker rescue reserves the right to refuse any adoption for any reason.
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