Life Animal Rescue Dog Adoption Application

Life Animal Rescue Dog Adoption Application

Thank you so much for your time and interest. We try to get back to everyone in a timely manner and make the best match possible for your family and the dog you are interested in.
Date

MonthDayYear
Date
I would like to Adopt (Dog's name and type):*
Your Name*

First NameLast Name
Cell or Home Number*

Area CodePhone Number
Work Number*

Area CodePhone Number
Email*
example@example.com
Address*

Street Address

Street Address Line 2

City

Postal / Zip Code
Have you ever adopted from us or filled out an application before?*

YesNo
Name of animal you adopted:
Who shares your home?*

SpouseRoomateChildrenLive AloneWith parentsSignificant Other
What are the ages of your children, if any?
Is this your child's first Pet?

YesNo
Do you live in a*
Do you own or rent?*

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

YesNo
Is anyone in your household allergic to dogs?*

YesNoSlight allergies
What type of dog are you looking for?*
Do you have a doggy door?*

YesNo
If no, would you consider installing a doggy door?

YesNo
If yes, does your doggy door have access from:
Is your dog allowed on the couch?*

YesNo
Is your dog allowed on the bed?*

YesNo
Where would your dog sleep at night as a Puppy?*
Where would your dog sleep at night as an Adult?*
If you have a dog now or had a dog previously, where do they (or did they) sleep at night? Please be specific about the room or area inside or outside of your house*
Do you plan on using crate training at any time?*

YesNo
If so, when?
Is anyone home during the weekday?*

Almost all the timePart of the timeOnly evenings and weekends
Who is home?*
How many hours will the dog be left alone on a normal weekday?*
When you are home, will the dog have?*
When you are not home, will the dog be put?*
Is your yard securely fenced?*

YesNo
Height of fence?*
Type of fencing?*
Do you have grass in your yard?*

YesNo
Do you have a pool?*

YesNo
Is it fenced off?

YesNo
Do you have a dog run area on the side of your house?*

YesNo
If yes, is your dog
What type of exercise do you plan on doing with your dog and how often?*
Have you ever had a dog before any current dogs you have now?*

YesNo
If yes, what happened to your previous dog(s)?
Do you have any other dogs now?*

YesNo
If yes, how many, their age(s) and what type?
Do you have any other type of animals?*

YesNo
What kind?
Are all your pets spayed/neutered?*

YesNo
If no, why not?
Where will your pet stay when you go on vacation?*
What type of dog food do you feed or have fed in the past?*
If something was to ever happen to you, what provisions do you have in place for your dog?*
Under what circumstances would you give up your dog?*

I would never give up my dogDivorceMovingNew BabyHouse-training issuesDigs or destructiveOut of control or Un-trainableLarge Vet billsBarks too muchNips/bites
Comments or Questions
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