Adoption Application

If you do not want to fill out the form at this time, click here to return to Li'L Dog Rescue main page.

>>>PLEASE MAKE SURE YOU HAVE READ OUR ENTIRE HOMEPAGE AT:<<< 
 >>>http://www.lildogrescue.petfinder.org <<<
>>>BEFORE SUBMITTING AN APPLICATION<<<

Just complete this form. Click on Submit when ready to send
*** NOTE: Do not hit the Enter key.  You can use the Tab key to move between questions.  If you hit the Enter key it will send the application before you have filled it out completely. 

When you have completely filled out the form, click on Submit at the bottom of page to send.  Thank you.

 

Your name:

Spouse:

Address:

City:

State:

Zip:

 Phone:

Email address:

Your Age

 

Name of pet you are applying for:

Why do you want a pet?

 

What are your preferences as to breed, sex, age, hair length, etc.?

What led you to the decision of this particular breed/dog? 

How long have you been looking for a new dog?

Where else have you looked besides Petfinder?

I understand there will most likely be an adoption fee of between $150.00 to $200.00 to adopt a dog from Li'l Dog Rescue: Yes No

Is this your first experience with a pet? Yes  No

List pets you currently have in your household:

Name

Type & Breed

Altered?

Kept Where?

Age

YN

YN

YN

YN

List pets owned in the last five years not listed above:

Name

Type & Breed

Altered?

Kept where

Age

What happened to pet?

YN

YN

YN

YN

 

Who is your Veterinarian? Phone:

Who is your groomer? Phone:

Who is your Kennel/Pet sitter? Phone:

Do you currently live in a ?

Do you? Own Rent

If you rent, does your lease allow pets?

If yes, what is the name of you landlord? Phone:

How long have you lived at you present address?

Do you have a pool? Yes No

How many people live in your household?

Do all the adults know you plan to adopt a pet? Yes No

Number of children and their ages?

Does anyone have any pet allergies? Yes No

If yes, what type?

Who will be responsible for care of the pet?

Where will it be kept during the day?

Where will it be kept at night?

How many hours will the pet be left alone?

Do you plan on spay/neutering? Yes No

Do you have a fenced yard? Yes No

Type of fence? How high?

Do you realize you will probably have to house train your new dog/puppy? Yes No

Are you familiar with leash/licensing laws in your area? Yes No

What would you do if your dog:
Chews on an item its not supposed to?

Has a potty accident in the house? 

Are you familiar with crating? Yes No

If yes, what are your feelings about crates? 

Do you plan on attending obedience classes? Yes No

Are you familiar with heartworm disease? Yes No

How will your dog be confined to your property? (check all that apply)
House Kennel Fenced yard Chain Garage Patio Leash Above ground trolly

How will your pet be cared for while on vacation?

Do you plan on adding another dog to your household after this adoption? Yes No

Please explain: 

How did you hear about us?

Please list three personal references, not family members:

Name

Phone

Relationship

Employer's name: Phone:
City: Normal amount of hours worked (per day):

Comments:  If you have any comments or explanations about any of your information, insert here:

 

I HAVE READ THE ENTIRE HOMEPAGE OF LI'L DOG RESCUE AND UNDERSTAND THE ADOPTION PROCEDURES

Yes No

When you are done filling out the form, click Submit only once.
Thank You

 

  After you click on Submit, you will be returned to our home page, and your application will be sent to us...that's it.