Loved Again Pet Foster.Adoption Application

To help us find the best possible homes for our animals, we require all foster and adoptive families to fill out the following application and contract.

The adoption fee is used to pay for medical costs. If the adoption fee is waived on the animal you are adopting, please consider giving a small donation to help us with medical costs for our senior and hospice animals.

Adopters must be 18 years of age or older. A representative will do a home visit and meet & greet with all family members before the animal is released to their new family.

If this is an adoption, the adoption fee is required at the time you start the “foster to adopt” process. At the end of the trial period, your check will be deposited and your finalized paperwork (including medical history) will be mailed. Your check will be returned, if an adoption isn’t finalized.

Name of the dog you are interested in: *

You Full Name *

First Name Last Name

Second Applicant: *

Street Address: *

City, State, Zip *

Home Phone:

Work Phone:

Cell Phone: *

E-mail: *

Employer:

Character Reference: *

Their Phone # *

Are all members of your household in agreement with this adoption? *

Yes No Don't Know

Who will be the pet's primary caregiver? *

Do you live in a *

House Apartment Condo Mobile Home

Do you own or rent? *

Own Rent

If rent, provide name and phone number of landlord:

Does your landlord allow dogs?

Yes No

Are there any restrictions from your landlord or subdivision? *

Number of pets Size or weight restrictions Breed restrictions None

Do you have a fully fenced yard? *

Yes No

Height and type of fence

Do you have any of the following?

Underground fence Kennel Dog Run

How many adults are in your household? *

How many children are in your household? *

If children, what are their ages?

Have your children been around animals before?

Yes No

Does anyone in your home have allergies to dogs or have asthma? *

Yes No

List any pets you own, age & size *

How many of these pets are spayed/neutered?

Previous Pets and where are they now?

Have you adopted from an animal welfare group before? *

Yes No

If yes, what group?

Have you ever given up a pet? *

Yes No

If yes, what were the circumstances?

Please provide the name and phone number of your current and/or previous veterinarian or clinic:

What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato) *

Are you aware of crate training? *

Yes No

Have you ever house-broken a dog or puppy before? *

Yes No

If the dog has an "accident" in your home, what type of correction do you plan to use? *

How many hours each day will your new pet be home alone? *

Where will your new pet sleep at night? *

How will you supervise the dog's outdoor activity? *

Where will your new dog stay when nobody is home? *

What length of time will you allow your new pet to adjust to his new home? *

Are you willing to work through your new pet's issues, if any? *

Yes No

Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior? *

Yes No

Do you understand that a dog can be an 18 year commitment, and can cost $300 - $500 per year to care for? *

Yes No

Do you plan to take an obedience class with your dog? *

Yes No Not sure

If yes, where?

Are you aware that a large breed dog takes about two years to mature? Is this something you're prepared for? *

Yes No

What circumstances would lead you to give up your new dog? *

How did you find out about Loved Again Pets? *

Adoptapet.com Petfinder.com Facebook Friend/Family Member Other website PetSmart

LOVED AGAIN PETS RESERVES THE RIGHT TO REFUSE ANY APPLICATION FOR ANY REASON OR NO REASON. OUR MISSION IS TO MATCH UP ADOPTERS AND ANIMALS TO THE BEST OF OUR ABILITY.

By submitting this application, I confirm that all information in this application is correct and complete. I acknowledge that I have read, understand and agree to all the terms and condition of the adoption contract. I authorize my landlord, veterinarian and any other parties contacted to release information confirming information contained in this application. Failure to provide accurate information will cause forfeiture of any adoption fee and ownership of the animal. Your signature will be required at the time of your meeting with a Loved Again Pets representative.*

Potential adopters are screened for suitability. Loved Again Pets reserves the right to refuse placement of an animal for any reason. Animals may be removed from the home if it is found unsuitable or if the contract is broken in any way at any time based on the discretion of the Loved Again Pets Board of Directors.

*I have read and agree to terms. *

Name

The adopter agrees that the dog will be returned to Loved Again Pets if the adopter can no longer care for the dog at any time. Please initial below.

Please Initial

Loved Again Pet Foster/Adoption Application

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information