Adoption Application
Apply to adopt a pet. This form is quick and easy to fill out on your phone.
Name of the dog you are interested in adopting
*
Full Name
*
First Name
Last Name
How old are you?
*
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Are you interested in adopting or fostering?
*
Adoption
Foster
Do you currently have any pets?
*
Yes
No
How many adults live in your household?
*
Does anyone in the house have allergies?
Yes
No
Not Applicable
How many children live in your household?
*
Do you rent or own?
*
Rent
Own
Is everyone in the home in agreeance to bring in a new pet?
*
Yes
No
Please describe your experience with pets
Where do your current pets sleep?
Why do you want to adopt or foster?
What vet do you currently use for your animals?
How many hours will the pet be outside?
Where will the pet stay when you are not home?
I am aware and agree that if, at any time, I can no longer care for this pet, I may not sell or give the pet away, but agree to return it to The Lucky Spot Dog Rescue and I may be subject to an owner surrender fee.
Initial Here
How many hours a day will your pet be alone?
I understand that pets can live 15 years or longer and can cost up to $500 each year for basic nutrition and veterinary care. I understand that my new pet requires yearly checkups just like people do, so it is important that I establish a relationship with a veterinarian for my pet’s care. I agree and understand that any fees charged by my veterinarian for the care of my adopted animal will be my sole responsibility as the new pet owner. I am willing to accept this financial responsibility.
Initial Here
Applicant Initials (Please initial to confirm your agreement regarding financial responsibility for pet care)
Are your other pets spayed/neutered?
Yes
No
Are your pets current on vaccinations?
Yes
No
I understand that TLSDR does not guarantee the health or temperament of my new pet. It is likely that TLSDR has no medical or behavioral history on this pet before it arrived at the rescue. I understand if my pet gets sick after I bring it home I am responsible for taking it to my veterinarian and providing medical treatments, which may be costly. I am prepared to provide this for my pet.
Initial Here
I understand that my new pet may require some behavioral training. I agree to provide that training and give my pet time to adjust to its new home. I understand that if I return my pet for behavioral issues, I may exchange for another pet, but I will not receive a refund. I understand that TLSDR also has a right to deny an exchange for any reason.
Initial Here
Please initial here to confirm your agreement regarding behavioral training
I agree and understand that if I am currently a tenant living in rental housing, I will comply with any lease requirements, including but not limited to payment of a pet deposit my landlord may require in order to have my adopted pet(s) on the premises. I understand that I will not be entitled to a refund of the adoption fee from TLSDR if I do not comply with any lease requirements or if my landlord does not allow me to have my adopted pet(s) on the premises.
Initial Here
I agree to be a responsible pet owner, give my pet time to adjust to their new home and provide unconditional love and patience.
Initial Here
Submit Application
Should be Empty: