Lucky Day Adoption Application
This form consists of eight sections. We appreciate your time and detailed answers in filling out this important application!
Statement on Applying:
Lucky Day Animal Rescue is committed to an anti-discrimination policy in all of its programs and services. Lucky Day Animal Rescue is consciously and proactively inclusive of all areas of diversity including, but not limited to, race, ethnicity, color, national origin, ancestry, gender, sexual orientation, religion, age, socioeconomic status, marital status, language, disability, or immigration status.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Age
*
Occupation
*
Please enter your most recent occupation. If multiple, separate occupations using commas.
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Personal Information
Physical Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is your mailing address different from your physical address entered above?
*
Yes
No
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you own or rent your home?
*
Own
Rent
Other
Please list the name and contact information of your landlord.
*
Name
Primary Contact
How many other people currently live full-time in your house?
*
Please Select
Just me!
1
2
3
4
5
6
(1) Please complete the rows below for occupant one of your house including their name, age, and relationship to you.
(2) Please complete the rows below for occupant two of your house including their name, age, and relationship to you.
(3) Please complete the rows below for occupant three of your house including their name, age, and relationship to you.
(4) Please complete the rows below for occupant four of your house including their name, age, and relationship to you.
(5) Please complete the rows below for occupant five of your house including their name, age, and relationship to you.
(6) Please complete the rows below for occupant six of your house including their name, age, and relationship to you.
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Pet History
1/3
How many dogs do you CURRENTLY own?
*
Please Select
None
1
2
3
4
5
(1) Please complete the rows below pertaining to your first dog.
(2) Please complete the rows below pertaining to your second dog.
(3) Please complete the rows below pertaining to your third dog.
(4) Please complete the rows below pertaining to your fourth dog.
(5) Please complete the rows below pertaining to your fifth dog.
Please enter the name and contact information of your vet.
*
Name
Phone number
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Pet History
2/3
Have you previously owned any dogs?
*
Yes
No
Please list the breed and age range of past dog(s) in your care?
*
Have you ever had to re-home a pet?
*
Yes
No
Other
Please briefly explain the circumstance in which you had to re-home a pet.
*
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Pet History
3/3
Do you CURRENTLY own any cats?
*
Yes
No
How many cats do you currently own?
*
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Adoption Inquiry
Please answer the questions below to the best of your ability.
Name of animal you're interested in.
*
If multiple, separate with commas.
Why do you want to adopt?
*
What personality traits are you looking for in a pet?
*
What activities would you like to do with your pet?
*
How will you provide proper exercise for your pet? How often?
*
How will you keep you pet confined to your property?
*
In house
Crate/ Kennel
Fenced yard
Electric fence
Chain or rope
Garage
Other
Approximately how tall is your fence?
*
Approximately how many hours each day will your pet be left alone at home?
*
Where will your pet be while you are away (running errands, working, etc)?
*
Where will your pet sleep at night?
*
Where will your pet be when you go on vacation or out of town?
*
What do you estimate to be the annual routine expenses of dog ownership? What do you consider to be included in those annual routine expenses?
*
Please list the behaviors you would NOT be willing to work with pertaining to the dog you are applying for (i.e. leash pulling, housetraining, shyness, aggression, destructive behavior, socialization issues with other dogs, separation anxiety, etc.).
*
Do you understand that there is an adjustment period for your adopted dog to settle into their new home?
*
Yes
No
Unsure
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Pet Safety
Are you prepared to house train a puppy or dog?
*
Yes
No
Other
What will you do if your new pet shows destructive behavior?
*
Are you familiar with crate training?
*
Yes
No
Other
What are your feelings regarding crate training?
*
What type of food will you feed your animal?
*
Do you plan on taking your dog to obedience or training classes?
*
Yes
No
Unsure
Other
What provisions do you have (or will have) for your animal in the event you can no longer care for him/her? Do you have a family member or trusted person willing to take over care if needed?
*
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Form Submission
How did you hear about Lucky Day?
*
Please list any further questions, comments, or concerns regarding the adoption application or process.
Submit
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