Lucky Paws Adoption App

Please be sure to answer each question. Part A & B must be filled out completely, Part C must be complete if applying for dogs, Part D must be complete if applying for cats. An incomplete application may not be considered. Thank you.

PART A:

Full Name*

First NameLast Name

Partner/Spouse's Name

First NameLast Name

Phone Number*

Area CodePhone Number

Partner/Spouse's Phone Number

Area CodePhone Number

E-mail*

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Are you interested in foster or adoption?*

AdoptionFoster

Animal you are interested in:

Do you work?

YesNoRetired/Other

Profession

Employer

Employer Phone Number

Area CodePhone Number

Employer Contact

We do not contact employers without permission first. This is for information only.

Employer E-mail

Number of Adults in Home*

Partner/Spouse's Employer Information

Number of Children in Home*

List Ages of ALL Children*

List Ages of ALL Adults*

Do you rent or own?*

Type of home:*

If you rent, please provide proof of landlord permission and their contact info:

PART B:

If you are not applying for a specific animal, please list what type of animal you are looking for; breed, gender, age, color and temperament:*

Please list all animals, breeds ages and temperaments in the home and on the property:*

Are all of the animals spayed and/or neutered? If not, please explain.*

Do you have a doggy door installed? *

If your pet develops a medical problem that becomes expensive, what would you do?*

If "other" explain:

What circumstances, if any, would justify giving an animal up? Check all that apply:*

If "other" explain:

Do you have a plan in place for your pets in the unexpected event of your demise? If yes, please briefly explain.*

How many consecutive hours are you away from home?*

How will you handle pet care if you are gone a lot during the day? And who will care for the pet while you are on vacation?*

What type of activities to you do with your animals?*

What types of food do you feed? *

What BRAND of pet food do you feed?*

Does anyone smoke in the home?*

Have you ever given an animal up? If so, please explain the circumstances and how you handled it.*

Veterinarian Name

Vet Phone Number

Area CodePhone Number

Do we have your permission to contact your vet as a reference?*

YesNo

Tell us anything you would like us to know

PART C: (dogs only)

Please answer all questions in Part C if you are applying to foster or adopt a DOG. Skip to Part D for cats.

Do you have a fenced yard?

What type of fencing?

If not, will you fence before adopting?

Plans for safety if no fencing:

How would you describe your lifestyle and activity level?

Where will the animal sleep?

Will they spend more time indoors or out?

IndoorsOutIn and out with us as a family

Do you plan to use a crate?

YesNo

Where will the dog stay while you are at work or gone during the day?

PART D: (cats only)

Please answer all questions in Part D if you are applying to foster or adopt a CAT.

If you are wanting to foser cats, tell us what you are interested in fostering (adults, kittens, moms, bottlefeeding, etc.)

If adopting, what type of cat are you wanting to adopt?

Indoor OnlyIndoor / OutdoorOutdoor OnlyBarn / Feral

Tell us why you chose the response above (indoor, indoor/outdoor, etc)

Where will the animal sleep?

***Terms of Adoption/Foster

Please note - Final signage of this page is your contract and will be hand signed for file at the point of adoption.

Please note that the language included in the contract is specific.

We have had many great homes and we believe yours is one.

Others who have failed to be good home is why this language unfortunately is necessary.

I/We Commit:

1) To keep this animal in my personal possession and provide proper and sufficient food, water, shelter, grooming, tooth and gum care, and humane treatment at all times.

2) To procure veterinary care at once if this animal becomes sick or injured, and to keep current all vaccinations as recommended by law and my veterinarian.

3) To have the pet spayed or neutered within two weeks of adoption, with proof to LPR when applicable.

4) To install and activate a microchip within two weeks of adoption, with proof to LPR.

5) To obey any and all animal control regulations governing the area in which I live, and to license this dog(s) according to such regulations within two weeks of adoption (i.e. rabies tag, pet license).

6) To never sell, trade ownership, abandon, or dispose of this animal in any way, but to notify Lucky Paws Rescue if I must relinquish custody and why. This includes release to family members. I will work with LPR, knowing it is not a shelter, by holding the animal until a suitable home or foster is found, with the understanding they are working on it quickly. I understand taking the animal to a shelter is a legal breach of this contract, and can result in legal action as well as being added to the national Do Not Adopt registry.

7) To allow Lucky Paw Rescue to examine the animal and its living conditions and to surrender it to said person for return if the conditions are found unsatisfactory.

8) To assume full responsibility for this animals actions, including any damage done by this animal.

9) To immediately pay the adoption fee unless prior arrangements have been made. Failure to do so means the animal belongs to LPR and can be relinquished at any time. I also understand failure to pay means I will be added to the national Do Not Adopt registry.

I understand the temperament; health, habits and physical condition can’t be guaranteed.

I am in full agreement with these terms of adoption.

Lucky Paws Rescue is in no way liable or responsible for any damage, accident or injury resulting from the placement of an animal into my household.

Proof of all requirements outlined above will be sent to Lucky Paws Rescue at

luckydog115@gmail.com

Lucky Paws Rescue Adoption Application