Adoption Application

  • ADOPTION APPLICATION

    Texas residents

  • Please complete this application so Cypress Lucky Mutt Rescue may assist you in finding a special, compatible companion to join your family. Please understand that not all families and pets are compatible, and we want to ensure the welfare of the animal by placing pets in the best possible home.

    WE RESERVE THE RIGHT TO DECLINE ANY APPLICATION FOR ANY REASON.

    The adoption fee includes the cost of spaying/neutering, heartworm testing if over 6 months, age appropriate vaccines and microchips for all of our pets. It rarely, if ever, covers all expenses, so therefore additional tax deductible contributions are welcomed. 

    YOU MUST BE AT LEAST 21 YEARS OF AGE TO ADOPT.

    This application is FOR THE RESIDENTS OF THE STATE OF TEXAS. If you live in a state OTHER THAN Texas, please use the out of state app below: https://form.jotform.com/CLMR/oos-adoptionapplication

  • Adopter Information

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  • Type of dwelling*

  • Do you own or rent?*
  • If renting, does your lease allow pets?
  • Is a pet deposit required?
  • Has a pet deposit been paid?

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  • Does every adult in the household agree to adopting this pet?*
  • Does anyone in the household have allergies to animal dander?*
  • Have you adopted a rescue animal before?*

  • Current Animal Information

  • Rows
  • How do you currently feed or how will you feed your dog?*

  • Do you consent to Cypress Lucky Mutt Rescue contacting your veterinarian for a reference?*
  • Are your animals current on all vaccines?*
  • Is your current dog or was your previous dog on heartworm preventatives?*
  • Have you had any other pets in the last 5 years?*
  • Have you ever given up a pet?*

  • Adopting Animal Information

  • Where will the pet be kept during the DAY as a PUPPY?*

  • Where will the pet be kept during the NIGHT as a PUPPY?*

  • Where will the pet be kept during the DAY as an ADULT?*

  • Where will the pet be kept during the NIGHT as an ADULT?*

  • Do you or your spouse/partner travel frequently?
  • When outdoors, how will the dog be confined to your property?*

  • What equipment do you use or plan to use on your dog? (Check all that apply)*

  • Do you understand that puppies go through a chewing stage and in some breeds this can last up to 2 years?*
  • During the chewing phase, it is VERY important to have plenty of toys on hand and secure your shoes, children's toys, electrical cords, etc. Are you willing to commit to doing this?*
  • Do you have any sago palms in your yard?*
  • Dogs often live 10+ years. Are you prepared to make this commitment?*
  • Is this dog for someone else?*

  • Terms & Conditions

  • I certify that the above information is true and correct. I understand that false information may result in nullifying this adoption. Cypress Lucky Mutt Rescue reserves the right to deny any adoption application.

  • Date
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  • (By typing your name in this box you understand it is to be used as a legal signature)

  • Should be Empty: