Adoption Applications

Dog Adoption Applications
Cat Adoption Applications

There was an error trying to submit your form. Please try again.

Please select the type of application *

This field is required.

Located pet at/on *

This field is required.

Pet Name *

This field is required.

Name of Applicant *

This field is required.

Name of Co-Applicant *

This field is required.

Applicant Address *

This field is required.

City *

This field is required.

State *

This field is required.

Zip *

This field is required.

Primary Phone *

This field is required.

Secondary Phone

This field is required.

Email *

This field is required.

Best time of day to contact *

This field is required.

Applicant Occupation & Work Schedule *

This field is required.

Are you aware that routine costs to maintain a pet average $500 to $800 dollars a year? *

This field is required.

Please list all members of the household (excluding pets), first name and age

Please list all pets in household

Are all dogs in your household on year-around heartworm preventative? *

This field is required.

What is the name of the Heartworm preventative used? *

This field is required.

If you have a dog, do you have a dog door? *

This field is required.

Will your pet come in contact with other children under the age of 5? *

This field is required.

Do any elderly or physically challenged people live with you or visit frequently? *

This field is required.

Do you own or rent your home? *

This field is required.

If you rent, do you have your landlord’s permission to have a pet? *

This field is required.

May we contact your landlord to verify permission?

Name of your Landlord

This field is required.

Landlord Phone Number

This field is required.

Do you have a fenced yard? *

This field is required.

Describe fence height and condition:
*

This field is required.

Do you have a dog door? *

This field is required.

What breeds of dogs have you been companion to? *

This field is required.

Will this be your first pet?
*

This field is required.

Have you ever bred a pet?
*

This field is required.

Have you ever sold a pet?
*

This field is required.

Do all family members want a pet? *

This field is required.

Have you ever given a pet away?
*

This field is required.

Have you ever surrendered a pet to a shelter? *

This field is required.

If you answered yes to any of the preceding questions, please explain the circumstances: *

This field is required.

Please tell us the reason you want a pet *

This field is required.

Why do you think you would be a good caregiver to a pet? *

This field is required.

What age pet fits your lifestyle and expectations? *

This field is required.

Are you aware that some pets are very active? *

This field is required.

Do you have time and are physically able to give active pets adequate exercise? *

This field is required.

Is anyone home during the day?

*

This field is required.

How long will the pet normally be left alone during the day? *

This field is required.

Are you aware that all pets shed year around?
*

This field is required.

Pet will be primarily kept *

Inside

Outside

This field is required.

Is anyone in your home prone to allergies or may be adversely affected by a pet?

Describe activities that your pet would be included

Where will the pet be kept during the day when no one is home? *

This field is required.

When you travel with your pet, will they:

If you said “in a truck bed,” how will you restrain your pet to prevent accidents? *

This field is required.

If you become sick or hospitalized, what provisions can you make for your pet?

What brand of pet food do you currently use?

This field is required.

What will happen to the pet if you get married, divorced or have children?

If you move, what will you do with your pet?

Are you familiar with the use of a dog crate to confine the pet during any absence, for their safety, as an aid in housebreaking or to provide them a safe haven? *

This field is required.

Where will your pet sleep at night?

This field is required.

Please check all that apply to pet:

Have the run of the house

Be blocked off parts of the house

Be crated

Be tied outside

Live in a fenced backyard

Live in a dog run

Roam loose in the neighborhood

Are you familiar with your local, county and state laws? *

This field is required.

May we visit your home prior to application approval? *

This field is required.

Indicate best time/day for home visit: *

This field is required.

May we contact your veterinarian? *

This field is required.

Veterinarian Contact Information

(Clinic Name, Address, Phone Number)

How would you discipline your pet? *

This field is required.

Have you ever had a pet with behavior issues? *

This field is required.

Check all viable reasons to give a pet up: *

Moving

Pet has fleas

Shy/Not friendly

Vet bills too expensive

Got too big

Having a baby

Digging/chewing

This field is required.

How many years will you keep your pet?

This field is required.

Who is primarily responsible for pet?

This field is required.

How would you try to find a lost pet? *

This field is required.

How would you deal with destructive behavior by your pet? *

This field is required.

How would you know if your pet became ill? What type of symptoms would you expect? *

This field is required.

Check if you agree that Answers are expected to be complete and truthful, as they will enable us to better comply with your requests and requirements. Failure to provide accurate information can result in revocation of the adoption at any time by Loving Arms Pet Placement. By completing this form the undersigned expressly give permission to Loving Arms Pet Placement to verify information contained in this application, and further release Loving Arms Pet Placement from any and all liability associated with this application or the adoption process. *

This field is required.

Check if you agree: I/We attest that the Terms and Conditions of Adoption, as stated above, have been read in full by Me/Us and I/We understand that these terms constitute a part of the adoption agreement between Me/Us and Loving Arms Pet Placement and will be enforced. *

This field is required.

Check box if you agree: I/We attest that information provided on this application is true and accurate to the best of My/Our knowledge. I/We understand that completion and submission of this application does not guarantee adoption of a pet. If application is submitted electronically, I/We further attest that no changes have been made to the content of this document and understand that my approval by signature is assumed and agree to transmit a signed original or facsimile prior to any decision by Loving Arms Pet Placement on my Adoption application. *

This field is required.

Our volunteers may take up to two weeks to complete the application process; are you willing to wait?
*

This field is required.

Loving Arms Pet Placement will require a $250 donation if application is approved; are you willing to pay this amount? *

This field is required.

Comments or Suggestions

There was an error trying to submit your form. Please try again.

Please select the type of application *

This field is required.

Located pet at/on *

This field is required.

Pet Name *

This field is required.

Name of Applicant *

This field is required.

Name of Co-Applicant *

This field is required.

Applicant Address *

This field is required.

City *

This field is required.

State *

This field is required.

Zip *

This field is required.

Primary Phone *

This field is required.

Secondary Phone

This field is required.

Email *

This field is required.

Best time of day to contact *

This field is required.

Applicant Occupation & Work Schedule *

This field is required.

Are you aware that routine costs to maintain a pet average $500 to $800 dollars a year? *

This field is required.

Please list all members of the household (excluding pets), first name and age

Please list all pets in household

Are all household pets spayed/neutered? *

This field is required.

If “no,” please indicate status of pet

This field is required.

If you have a dog, do you have a dog door? *

This field is required.

Will your pet come in contact with other children under the age of 5? *

This field is required.

Do any elderly or physically challenged people live with you or visit frequently? *

This field is required.

Do you own or rent your home? *

This field is required.

If you rent, do you have your landlord’s permission to have a pet? *

This field is required.

May we contact your landlord to verify permission?

Name of your Landlord

This field is required.

Landlord Phone Number

This field is required.

Do you have a fenced yard? *

This field is required.

Describe fence height and condition:
*

This field is required.

Will this be your first pet?
*

This field is required.

Have you ever bred a pet?
*

This field is required.

Have you ever sold a pet?
*

This field is required.

Do all family members want a pet? *

This field is required.

Have you ever given a pet away?
*

This field is required.

Have you ever surrendered a pet to a shelter? *

This field is required.

If you answered yes to any of the preceding questions, please explain the circumstances: *

This field is required.

Please tell us the reason you want a pet *

This field is required.

Why do you think you would be a good caregiver to a pet? *

This field is required.

What age pet fits your lifestyle and expectations? *

This field is required.

Are you aware that some pets are very active? *

This field is required.

Do you have time and are physically able to give active pets adequate exercise? *

This field is required.

Is anyone home during the day?

*

This field is required.

How long will the pet normally be left alone during the day? *

This field is required.

Are you aware that all pets shed year around?
*

This field is required.

Pet will be primarily kept *

Inside

Outside

This field is required.

Is anyone in your home prone to allergies or may be adversely affected by a pet?

If you become sick or hospitalized, what provisions can you make for your pet?

What brand of pet food do you currently use?

This field is required.

What will happen to the pet if you get married, divorced or have children?

If you move, what will you do with your pet?

Where will your pet sleep at night?

This field is required.

Will the litter box be kept inside? *

This field is required.

Please check all that apply to pet:
*

Have the run of the house

Be blocked off parts of the house

This field is required.

Will the cat be declawed?

Will the cat be allowed outside?

Are you familiar with your local, county and state laws? *

This field is required.

May we visit your home prior to application approval? *

This field is required.

Indicate best time/day for home visit: *

This field is required.

May we contact your veterinarian? *

This field is required.

Veterinarian Contact Information

(Clinic Name, Address, Phone Number)

How would you discipline your pet? *

This field is required.

Have you ever had a pet with behavior issues? *

This field is required.

Check all viable reasons to give a pet up: *

Moving

Pet has fleas

Not using litter box

Shy/Not friendly

Vet bills too expensive

Got too big

Having a baby

Clawing/biting

This field is required.

How many years will you keep your pet?

This field is required.

Who is primarily responsible for pet?

This field is required.

How would you try to find a lost pet? *

This field is required.

How would you deal with destructive behavior by your pet? *

This field is required.

How would you know if your pet became ill? What type of symptoms would you expect? *

This field is required.

Our volunteers may take up to two weeks to complete the application process; are you willing to wait?
*

This field is required.

Loving Arms Pet Placement will require a $250 donation if application is approved; are you willing to pay this amount? *

This field is required.

Comments or Suggestions

There was an error trying to submit your form. Please try again.

Loving Arms Pet Placement

Welcome

Available Animals

Adoption Center

Adoption Applications

Adoption Applications

Loving Arms Pet Placement

Welcome

Available Animals

Adoption Center

Adoption Applications

Adoption Applications

Likes

Comments

Post Visibility

Create New Post

You need to be logged in to access this page.

Edit Post