Adoption Application

Adoption Application

Help us get to know you, and what you're looking for!
Full Name*

First NameLast Name
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone Number

Area CodePhone Number
E-mail*
Name of Employer & Phone Number:
Are you 18 years of age or older?*

YesNo
Birth Date*

MonthDayYear
Do you own your own home?*

YesNo
If no, name and phone # of landlord:
Type of Dwelling:*
Name and age of ALL occupants in household (including yourself):*
If no children, do you plan on having children or will children be visiting the household frequently?*

YesNo
How many total hours, on average, will your new pet be left alone during the day?*
What type of lifestyle do you live? Activities, hobbies, etc.*
Do you have a fenced yard?*

YesNo
If yes, how tall is your fence?:*
Who will have chief responsibility for the care of your new pet?*
List each pet including name, breed (species), age, etc,
Have you ever lost or given away a pet?*

YesNo
If so, please describe circumstance:
Are your present pets up-to-date on their annual vaccines & preventatives?*

YesNoN/A
If no, please explain:
Are your present pets spayed or neutered?*

YesNoN/A
If no, please explain.
How much are you financially prepared to spend for routine/emergency medical care, licensing, etc?*
What plans do you have for your new pet when you are on vacation?*
Which dog(s) are you interested in?*
Who is your current or most recent veterinarian? Please provide their NAME and PHONE NUMBER:*
Is your entire immediate family in agreement with the decision to bring a new pet into your home?*

YesNo
If anyone is NOT, please explain:
Are you prepared to commit to a pet for 8 - 12 years (average life span)?*

YesNo
Have you or any member of your household ever been charged with cruelty to animals or negligence in animal care?*

YesNo
Have you ever adopted or tried to adopt a pet from us before? If yes, fill out info below.*

YesNo
Pet’s Information

Pet’s NameCurrent AgeAdoption Date
Please provide 2 personal references (only 1 can be a relative) that can testify to your responsibility and ability to care for your animals. This is required or your application cannot be approved.
Reference #1*
First and Last Name & Relationship to Self
Reference # 1 Phone Number*

Area CodePhone Number
Reference #2*
First and Last Name & Relationship to Self
Reference #2 Phone Number*

Area CodePhone Number
If there is anything else you think we should know, please note it here.
Please remember, it may take approximately 2 to 3 business days for us to get back to you.
Thank you so much for considering a LK9RR pup!
Should be Empty:

Adoption Application

Please provide 2 personal references (only 1 can be a relative) that can testify to your responsibility and ability to care for your animals. This is required or your application cannot be approved.

Please remember, it may take approximately 2 to 3 business days for us to get back to you.

Thank you so much for considering a LK9RR pup!