Little Dogs Big Hearts Rescue Adoption Application

Little Dogs Big Hearts Rescue Adoption Application

Thank you for your interest in adopting an LDBHR animal! You must be 21 years of age or older and live within the North Texas to far South Oklahoma area to be considered for adoption. ALL POTENTIAL ADOPTERS ARE REQUIRED TO FILL OUT EVERY QUESTION ON THE APPLICATION COMPLETELY, so please read the questions carefully and if a question does not apply to you, please answer n/a or something similar. By submitting this application, you give permission for LDBHR to contact the references you provide. Please call ahead to your vet's office to give them permission to release medical information about your current and previous pets. If your application submits properly, you will be taken to a page thanking you and giving you further information. If you are not taken to this page, scroll up to make sure all questions have been answered or try submitting through a different browser.
Full Name*

First NameLast Name
Birth Date*

MonthDayYear
E-mail Address*
Home Address*

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Home Phone *

Area CodePhone Number
Cell or Other Phone *

Area CodePhone Number
Which phone should we contact?*

HomeCell / Other
When is a good time to call?*
Are you a student?*

YesNo
What are the occupations of the adults in the home?*
Employer Name*
Why do you want to adopt?*
What are you looking for in a pet you would like to adopt?*
Will this be your first experience with your own pet?*

YesNo
Have you ever adopted an animal before?*

YesNo
If so, from which group or shelter?*
Are you applying with more than one rescue group at this time?*

YesNo
In what type of residence do you live?*

HouseApartmentCondoTownhomeDuplexMobile HomeOther
Do you own or rent?*

OwnRentOther
If renting or living with someone rent-free, name and phone number of landlord / property owner / apartment complex*
If renting, what is the required pet deposit?*
If renting, please list rules and restrictions involving pets, including (but not limited to) number of pets allowed, weight restrictions, breed restrictions, etc.*
If your neighborhood is HOA controlled, please list all rules involving pets, including (but not limited to) number of pets allowed, weight restrictions, breed restrictions, etc.:*
If you have a fenced yard, is your entire yard fenced?*

YesNoDoesn't Apply
If you have a fence, what type of fence is it? (select all that apply)*

Wood PrivacyOpen RailChain LinkWrought IronElectronicOther
How many feet high is the fence?*
Do you have a swimming pool?*

YesNo
If so, is it fenced?*

YesNoDoesn't Apply
Do you have a dog door?*

YesNo
How long have you lived at your current address?*
Do you plan to move soon?*

YesNo
If you have to move, what will you do with your adopted pet?*
Please list the name, gender, age, and relationship to you of each person living in the household*
If there are children in the household, do they live there part-time or full-time?*

Part-timeFull-timeDoesn't Apply
Does everyone in the household want this adoption?*

YesNo
Does anyone in the household have animal allergies?*

YesNo
Does anyone in the household have asthma?*

YesNo
Who will be primarily responsible for the care of your LDBHR pet?*
Who will be responsible for your LDBHR pet if you are unable to care for it due to illness or death?*
How many times a year do you travel?*
Where will your pet stay when you go out of town?*
How will your pet ride in the car?*

CratedLoosePet SeatbeltOther
How much time will your pet spend outside daily?*
How many hours at a time will your pet typically spend per day without people (during work hours, hobbies, etc.)?*

0-33-66-9Over 9 hrs
Please list the name, breed, age, and sex (including if they have been spayed or neutered) of every animal living in the household and where they are kept*
What is the name and telephone number of your current veterinarian? If your pets see more than one veterinarian, including spay/neuter and/or vaccination clinics, include the name and number of each.*
Under what name are each pet's records at your veterinarian's office?*
Please list the name, breed, age, and sex (including if they have been spayed or neutered) of all the animals you have owned in the past 10 years and where they are now (do not include the current animals you have already listed)*
What is the name and telephone number of the veterinarian who treated your previous animals?*
Under what name are each previous pet's records at your veterinarian's office?*
What are you currently feeding your pets (brand and amount)?*
Are your pets current on vaccinations?*

YesNoI don't have pets
If you have pets, what was the specific date of their last vaccinations and heartworm test? *
If you have dogs, are they currently on heartworm preventative?*

YesNoI don't have a dog
If so, which heartworm preventative do you use and from where do you get it?*
Have any pets in your care been diagnosed with the following conditions? (check all that apply)*

HeartwormsDistemperParvovirusParasitesNone
If you answered yes to any of these, when was the pet diagnosed and what was the outcome?*
Describe your housetraining routine*
Are you willing to help your pet adjust to your housetraining routine?*

YesNoDepends on time
Are you willing to give your pet all the time he/she needs to adjust to your home and family?*

YesNoDepends on time
What age pet interests you? (check all that apply)*

Under a year1-3 yrs3-6 yrs7-10 yrs10+ yrs
What energy level interests you? (check all that apply)*

lowlow-mediummediummedium-highhighvery high
All pets have quirks! Please check any behaviors you are unwilling / unable to work through*

Potty accidents insideDiggingDestructive chewingEscaping / boltingBarking / whiningJumping upDog aggressionCat aggressionKid aggressionRowdy behaviorSeparation anxietyStorm anxietySheddingNippingExcessive lickingDoesn't Apply
What is the name of the pet you are interested in adopting?*
How did you hear about us?
Additional Comments
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