LIFELINE FOR PETS
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Adoption Procedures
Cat Adoption Application: REVISED
Dog Adoption Application
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If you'd like to adopt a dog, please fill out this form or pick one up at one of our adoption events.
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Indicates required field
Name
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First
Last
Email
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Home Phone
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Work Phone
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Cell Phone
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How did you hear about us (Facebook, our website, Adopt a Pet, Petfinder, etc.)?
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1. What type of dog are you interested in?
Gender
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Male
Female
Any gender
Age
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Puppy (under 5 months)
Adult
Any age
Hair length
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Long Hair
Short Hair
Any hair length
Personality type
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Color
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Name of dog you are interested in
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2. How many people currently reside in your household?
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3. Any children in the household?
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Yes
No
Children's Ages?
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4. Does any member of the family have any allergies to animals?
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Yes
No
If yes, explain
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5. Who will be responsible for the dog’s care?
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6. Where do you live?
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Apartment
Condo
Motor Home
Townhouse
House
7. Do you own or rent your residence?
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Own
Rent
If you rent:
Landlord's name
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Landlord's Phone Number
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8. Are animals allowed?
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Yes
No
Not sure
9. Will the dog be indoor, outdoor, or both?
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Indoor
Outdoor
Both
10. Will anyone be home during the day?
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Yes
No
11. How many hours will the dog be left alone?
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12. When no one is home, where will the dog be kept?
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13. Where will the dog sleep?
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14. If you move, what will you do with the dog?
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15. Have you ever had an animal before?
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Yes
No
16. Describe those animals you still care for or that are living in your household.
Name
*
Breed
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Age
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Spayed/Neutered?
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Kept where?
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Time in your care
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Name
*
Breed
*
Age
*
Spayed/Neutered?
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Kept where?
*
Time in your care
*
Name
*
Breed
*
Age
*
Spayed/Neutered?
*
Kept where?
*
Time in your care
*
If you live with or care for more than three animals, describe the rest here.
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Please enter the name, breed, age, etc. for each animal
17. Describe those animals you no longer care for.
Name
*
Breed
*
Age
*
Spayed/Neutered?
*
Time in your care?
*
Reason no longer with you
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Name
*
Breed
*
Age
*
Spayed/Neutered?
*
Time in your care?
*
Reason no longer with you
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Name
*
Breed
*
Age
*
Spayed/Neutered?
*
Time in your care?
*
Reason no longer with you
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18. Are your animals current on their vaccinations?
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Yes
No
19. Please provide your current veterinarian's name
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Veterinarian's phone
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20. Are you financially able and willing to provide annual checkups, vaccinations, and ANY medical care necessary?
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Yes
No
21. What precautions would you take to properly introduce a new dog into your home if you have other animals (dog, bird, rabbit, another cat, etc.)
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22. What will you do if your new dog does not get along with your present animals?
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23. Are you planning on debarking or docking ears or tail??
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Yes
No
Not sure
24. Why do you want to adopt a dog?
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25. If a disciplinary or behavior problem arises, what steps will you take to work on it?
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26. Are you familiar with your local animal control laws?
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Yes
No
27. Are you willing to sign legal pet adoption papers?
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Yes
No
28. Do you agree to permit a visit to your home at time of delivery by appointment?
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Yes
No
Do you agree to the following: By signing this form, I/we acknowledge that all information on this form is true and correct. I/we understand that any misrepresentation of fact may result in Lifeline for Pets refusing adoption privileges to me/us. If my/our request for adoption is approved and later Lifeline for Pets discovers the above information is not true or correct, Lifeline for Pets reserves the right to remove the adopted dog from my home.
*
Yes, I agree.
No, I do not agree.
Do you have any additional questions or comments?
*
Submit
Home
Adoptable Age Cats
Very Young
Young & Teen Cats
Adult Cats
Seniors & Sp. Needs
MORE CATS-ALL AGES
Shy/Semi-Feral Cats
>
Black Cats Info
Adoption Procedures
Cat Adoption Application: REVISED
Dog Adoption Application
Foster Application
Helpful Info
Pooch Place
About Us
Testimonials
Donate and Help
Foster A Cat
Foster Application
Sponsor A Cat
Giving Grid!
Fun Fundraisers!
AmazonSmile
Ralphs & Food for Less
Happy Stories
Emergency Plans