Adoption Application

Full Name*

First NameLast Name

Email Address*

Phone Number*

Area CodePhone Number

Alternate Phone Number

Area CodePhone Number

Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

What dog are you interested in adopting?*

Please list names & ages of other adults in household: *

Are there any children that live in the home? If yes, list names and ages:

Have you applied to any other animal rescue organization(s) within the past year?*

YesNo

If so, when and which animal rescue organization(s)?

Name of employer: *

Name of personal reference and how acquainted: *

Phone Number for your personal reference:*

Area CodePhone Number

Years acquainted with personal reference?*

Do you have pets currently?*

YesNo

If yes, please list breed, sex, name and age of each:

Are all of you current pets spayed or neutered?*

YesNo

If your current pets are not spayed or neutered, why?

Does your current dog(s) have aggressive or territorial behaviors?*

YesNo

In the past 5 years, have you had any other pets that are no longer with you? *

YesNo

If yes, please explain what happened to them:

Why do you want to adopt a dog?*

What research have you done on the specific breed(s) you’re applying for?*

What would you do if your dog was a chewer?*

What would you do if your dog wasn't fully potty trained?*

What would you do if your dog was an excessive barker when outside?*

What reasons do you think it would be necessary to give up your dog?*

Describe the dog that you are looking for (age, sex, color, etc): *

Would you consider a special needs dog (blind, deaf or on medication) or a senior dog? *

What are your plans for this dog? *

Have you ever given up a dog? If yes, explain why: *

If you have dogs currently, what are you feeding them (if kibble, what brand)?

If you don't have a dog, what do you intend to feed when you adopt (if kibble, what brand)? *

Who will feed, exercise, and train the dog? *

How do you plan to train the dog? *

Where will the dog sleep at night? *

How many hours will the dog be alone each day? *

Where will the dog be kept when no one is at home?*

Who will take care of the dog in your absence (vacations or emergencies)? *

Are you willing to attend an obedience class? *

YesNo

Please list your veterinarian (veterinarian’s name, address and phone number): *

If you do not have a veterinarian, how do you plan to find one?*

Do you live in: *

Single family homeApartment/CondoMobile homeOther

If "other" type of home, please describe:

How long have you lived at this address? *

Do you own or rent?*

OwnRent

If you rent, do you have permission to have a dog?

YesNo

Landlord’s name, address, and phone number:

Describe your yard: *

Is your yard fenced?*

YesNo

If yes, describe fencing (material made of, height, etc):

If you do not have a fence, how will exercise and potty breaks be handled?

Do you have a pool? *

YesNo

Is the pool fenced?

YesNo

May we visit your home before and after you adopt a dog?*

YesNo

Is anyone in your home allergic to animals? *

How much money would you consider to be a major medical expense? *

Is your entire household supportive of this adoption? If not, why? *

How did you hear about Luv of Dogz Fund, Inc? *

If you are approved and we do not have a dog that fits your family, would you be interested in fostering until your ‘perfect’ dog came along? *

YesNo

Any additional comments that may help us process your application?

By submitting this application, I give permission to my veterinarian, my personal reference, and landlord (if applicable) to disclose information to Luv of Dogz Fund, Inc. I agree that all of the information provided above is true and correct. I understand this application does not guarantee I will be selected to adopt this dog. If for any reason I am not selected to adopt this dog, I agree I will not slander or harass Luv of Dogz Fund, Inc or any of its representatives or affiliates.

Each application is reviewed to determine the best match for the dog and the applicant(s). We will contact you via email or phone within 72 hours. Thank you for your interest in adopting a dog from Luv of Dogz Fund, Inc!