About You
Your Name:
Name of Pet you want to Adopt:
Your Address and Zip Code:
Home Phone:
Cell Number:
Name of other Adult in the Home:
Relationship to You:
Your Email Address:
Occupation:
Work Number
About Your Home
Do You Own or Rent your home?:
House / Condo/ Apt/ Other:
If Rent, does Lease allow Pets:
If Yes, what Type and Size Allowed:
Has Deposit Been Met?
If Yes, can we contact Landlord:
(Include name /number:
Where will the dog Live:
(Indoor/Outdoor/Both)
If Both, how much time will be
spent outdoors?
Do you have a fenced Yard? if yes, what
type and how high is the fence?
If there is no fence, How do you plan to
restrain your new pet outdoors?
Where will your dog stay when you are not
home?
Where will the dog sleep?
Is an adult home during the day, if so, who?
About Your Pets
Do you have pets now?
Name:
Age:
Species, breed, sex:
Name:
Age:
Species, breed, sex:
Name:
Age:
Species, breed, sex:
Others not listed:
Vaccinated?
Are all Spayed/Neutered?
If you answered no, please explain why?
Veterinarian Name and Address and
phone number::
Other Veterinarian:
List all other pets you have had in the last 10 yrs, not already listed above, how long did you have and where are they now:
About Your Family
Is anyone in your home allergic to pets?
If yes, How will you cope with them?
Have you adopted from a
Shelter/Rescue before? If yes, please
list group
Where is that pet now?
Number of Children in the household
and ages:
Are you planning on moving in the next
two years? if so, what will you do with
your pet then?
Personal References: Please list 3 people not related to you that we can contact
NAME, RELATION TO YOU AND PHONE NUMBER:
Would you agree to a Love For Paws Rescue representative visiting your home to see how and where the animal would be living and to
inspect prior to and after adoption for safety issues and guidance for possible pet problems?

I hereby certify that the information I have provided is true and correct and that I have not omitted details that would be prudent to the decision making process of the Love For Paws Rescue
Adoption committee. I understand that there is no guarantee that my application will be approved.  In addition, I understand that Love For Paws Rescue and it’s representative have the right to
remove the adopted animal from my home if it is determined that I have failed to provide proper and reasonable care including but not limited to food, water, shelter, and veterinary care.
Yes, I agree
No, I do not agree
ANYTHING ELSE YOU'D LIKE US TO KNOW?
ADOPTION APPLICATION
Please answer all question. Any question that do not apply to you, please enter N/A