Dog Adoption Application And Contract
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1
2
3
4Interested in:
Dog Name/ID #
___________________________
DOG ADOPTION
APPLICATION
Dog Adopted:
AND CONTRACT
___________________________
PLEASE NOTE: Completing this application is merely the first step towards adopting a dog. By submitting this
completed application, you are neither guaranteed nor obligated to adopt. This is merely the beginning of a process
that will include vet references, phone interviews and on occasion home visits. This application is designed to help
us make the best placement possible. The adoption process takes time because we are committed to giving you all
the information and support you need to have a successful adoption experience. We ask you for your patience and
cooperation in the joyful process of bringing people and animals together.
Date:
First Name:
Last Name:
Spouse's Name:
Home Phone:
E-mail Address:
Street Address:
Mailing Address:
Employer:
Occupation:
Work Phone:
Spouse Employer:
Spouse Occupation:
Spouse Work Phone:
Best Time To Call:
Do you live in a (circle one):
House
Apartment
Mobile Home
Condo
With Parent/Relative
How long have you lived at your present address:
(years / months)
Do you rent or own your home:
OWN OWN
or RENT
If renting, Landlord's Name:
Landlord's Phone:
* Please note that renters must include written documentation from the renter that dogs are allowed to live in this dwelling.
Do you have a fenced-in yard?
YES
YES
or
NO
Describe Fence:
(height, wood, chain, etc.)
If you move what will you do with this pet:
Where will the pet be kept:
During the day:
During the night:
When no one is home:
When on vacation:
v1 (6/10/2010)
LPC Dog Application and Contract
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