LPAS Adoption Inquiry

Lafourche Parish Animal Shelter

Adoption Inquiry
Applicant Information:
Your Name (First & Last)*
Date of Birth*
Driver's License or ID #*
Street Address*
City, State, Zip*
Phone Number*

Area CodePhone Number
Alternate Phone*

Area CodePhone Number
E-mail*
About Applicant:
Please provide the ID# or name of the pet you are interested in*
Please list all current pets in the household: (Breed, age, spayed/neutered)*
Choose which best describes your level of dog owning experience:*

Advanced (Dog behavior & training background)Intermediate (Always owned dogs)First Time (Never had a dog)Not applying for a dog
Preferred activity level:*

High Energy/Jogging buddyModerate ActivityLow ActivityCouch Potato
What qualities are you looking for in a companion?*
Household Information:
Are all members of your household in agreement with this adoption?*

YesNoI Don't Know
Do you live in a*

HouseApartmentCondoOther
Do you own or rent?*

OwnRent
How many adults are in your household?*
How many children are in your household?*
Household Activity Level:

QuietActiveVery ActiveJust MeOther
Do you have a vet you use, currently?*

YesNoI would like help finding one
- I agree that the information I have provided is true
- I understand that applying does not guaruntee adoption
- I understand that a meet & greet with an animal does not guarantee adoption
- I understand that the adoption fees for dogs is $100 and for cats is $25 to be paid by check or money order upon completion of adoption process
Applications are considered in the order that we receive them. We will call you if the animal is still available.

Thank You for considering a Lafourche pet!
Should be Empty:

Lafourche Parish Animal Shelter

Applicant Information:

About Applicant:

Household Information: