Animal Shelter Adoption Application Form

Loving Paws Adoption Application
Applicant Information:
Your Name (First & Last):*
Street Address:*
City, State, Zip*
Phone Number:*
Alternate Phone:
E-mail:
Employer:*
Employer reference & phone number:*
How do you prefer to be contacted?*

PhoneTextEmail
About Applicant:
Please provide the name of the pet you are interested in, or "No Preference"*
Please list all current pets in the household: (Breed, age, spayed/neutered)*
Please list previous pets from the last 5 years & where they are now:*
Are you considering adopting more pets in the future?*

YesNo
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
What qualities are you looking for in a companion?*
Are you concerned with any of the following behaviors?*

JumpingBarkingPulling on leashRefusal to be handledMouthingFear/AnxietyI am not concerned with any of these behaviorsOther
Which of these behaviors are you willing to work through, with training & support from Loving Paws?*
What activities would you like to do with your new pet?*
Briefly describe your average day:*
Are there any specific preferences or personality traits you are looking for?*
What kind of food do you plan on feeding your new pet?*
Would you consider adopting a pet with existing medical needs, that are currently being treated?*

YesNoMaybe
If Loving Paws is unable to board your animal, who will care for the animal during times you are away?*
What do you plan to do with the animal if you move? What if there are restrictions pertaining to your pet?*
Who will inherit the animal in the event of a death? (Please list two references with phone numbers)*
Household Information:
Do you consent to a brief home visit, prior to finalizing the adoption of your new pet?*

YesNo
Are all members of your household in agreement with this adoption?*

YesNoI Don't Know
Who will be the pet's primary caregiver?*
Do you live in a*

HouseApartmentCondoOther
Do you own or rent?*

OwnRent
If renting, please provide name and contact number for landlord/property management:*
Does your landlord/property management/HOA allow dogs at your residence?*

YesNo
Are there any restrictions from your landlord/property management/HOA?*

Number of petsSize or weight restrictionsBreed restrictionsNone
Size of your backyard:*

SmallAverageLargeExtra Large (Corner lot)Patio (No Yard)
Do you have a fully fenced yard?*

YesNo
Height & type of fence: (N/A if not applicable or no fence)*
Where will the pet be kept when you are not home?*
Does your yard include a pool?*

YesNo
How many adults are in your household?*
How many children are in your household?*
Please list children's ages:(N/A if no children)*
Have children in the home been around animals, before?*

YesNo
Does anyone in your home have asthma or pet related allergies?*

YesNo
Household Activity Level:

QuietActiveVery ActiveJust MeOther
Please list 2 personal references with phone numbers: *
Current/Previous Pet Information:
Do you currently have pets?*

YesNo
Please list all current pets: (Breed & Age included) (N/A if no pets)*
Are your pets up to date on vaccines & preventatives? If not, briefly explain why:*
How many of these pets are spayed/neutered?*
Have you adopted from a rescue group or shelter, previously?*

YesNo
If yes, which rescue/shelter?*
Have you ever had to surrender an animal?*

YesNo
If yes, please briefly explain the circumstances?
Please list any pets you have owned in the last five years & where they are now: (N/A if not applicable):*
Which of the following would you like more information on?*

VaccinesParasitesHeartworm/PreventionFlea/TickSpay/NeuterSocializationTrainingNone
Do you have a vet you use, currently?*

YesNoI would like help finding one
If so, please provide the name, address, & phone number of your vet:
Adoption Information:
Briefly explain why you are interested in adopting? (N/A for Fosters)*
Preferred activity level:*

High Energy/Jogging buddyModerate ActivityLow ActivityCouch Potato
Do you plan on crate training your new pet?*

YesNo
Have you ever potty-trained an animal before?*

YesNo
How do you plan on exercising your new pet & how many days per week?*
How many hours each day will your new pet be home alone?*
Where will your pet stay when your are not home?*
Where will your new pet sleep at night?*
How do you plan on helping your new pet best adjust to their new home?*
What will you do if bad habits form?*
Are you willing to utilize Loving Paws support & training tools, if any behaviors of concern arise?*

YesNo
Under what circumstances would you have to give up your pet?*
How hear about Loving Paws?*

GooglePetfinder.comFacebookPetharbor.comInstagramFriend/FamilyOther
- 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 a dog does not guaruntee adoption
- I understand that Loving Paws spends a minimum of $250 in vetting costs per intake, & adoption fees are donations towards care & medical needs to continue to help each rescue dog who takes the place of an adopted one.
Loving Paws requires all current pets in the home to be spayed/neutered and up to date on vaccines. Adopters must be at least 25 years old. If not ready to adopt or foster immediately, applications can be kept on file for up to 6 months.
Please allow Loving Paws team 2-3 business days to process your application. You will be contacted by phone or email, provided.

Thank You for considering an Loving Paws pup!
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Loving Paws Adoption Application

Applicant Information:

About Applicant:

Household Information:

Current/Previous Pet Information:

Adoption Information: