Application to Adopt a Dog
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Which pet are you interested in adopting?
If you are not sure, please describe the animal you seek: gender, training level, size, etc.
How did you hear about us?
Facebook
Instagram
Google search
Adopt-a-pet
RescueMe
Other
Tell us about your home situation. Do you live in a house, condo, apartment, townhome? Urban, suburban or rural?
Do you rent your home or own it?
If you rent, please provide the contact information for your landlord. By providing this information, you are agreeing to allow us to call your landlord and ask about any pet limitations he/she may have.
Please list the adult members of your household, their ages and occupations. Please include yourself.
List the children in your household, including partial custody and their ages
Have you adopted with us before? If yes, tell us the Lee Shore name of your pet! If you have applied before, but not adopted, tell us why not and the approximate date of your previous application.
NOTE: If you've been approved within the last year, you don't need to reapply. Simply send an email to contact@leeshorerescue.com, remind us who you are, the approximate date you were approved, and which pet you're interested in.
Please list any current pets, their species, their gender, their ages, and whether they are spayed/neutered.
Have any of your current pets been in major fights or experienced any aggression issues?
Why do you want to adopt a dog?
What do you do for a living, and how do you plan to care for your dog while you are at work?
Do you have the time to provide adequate attention and love? How many hours per day will the dog be left alone?
How do you plan to give your dog ample outdoor walk/play time?
My home has a fenced yard.
I plan to use my community's dog park.
I plan to walk my dog on a leash several times every day.
I live in a rural area where it is fine to let my dog run free.
Other (please tell us your plan below)
Other
If you have a fenced in yard, please describe your fence. Is it completed (four attached sides), what materials, how high, approximate fenced area, etc)
Where will your pet be when you are out of the house
Where will your pet sleep at night?
Where will your pet spend the day?
Please provide the contact information for your regular veterinarian. Be aware that LSR requires other pets to be neutered and up-to-date with their vaccinations. List name of veterinarian, clinic name, town, state and phone. By providing this information you are agreeing to have LSR contact your veterinarian. Please tell them of this call so that they will speak to us.
If you fail to provide a phone number for your veterinarian, your application will not be processed.
Have you ever surrendered a pet? Put one to sleep? Lost a pet to an accident? Please tell us about the circumstances.
Please include the names and phone numbers for two personal references who are not related to you. They should be able to speak to your ability to care for a pet. NOTE: If you are under 25, please include a parent or other trusted adult over 25 as one of your references. We want to be sure that in case of a sudden move or other emergency, you'll have someone in your and your dog's corner to back you up!
Is everyone in your home in agreement about adopting a dog?
Does anyone in your home have an allergy to dogs?
Is there anything else you would like to tell us?
Submit
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