Lola's Lucky Day Adoption Application
**Please Note: Applications with incomplete information will not be processed.
**In order to proceed with the processing, all current dogs in the home must be spayed or neutered, up to date on rabies vaccination, up to date on DHLPP, up to date on Heartworm testing and preventative. All cats in the home must be spayed or neutered and up to date on a rabies vaccination and a wellness exam.

Our goal is to place our rescued dogs in permanent, loving homes. By completing this form you will assist us in determining if the dog listed below or another best suits you and your lifestyle. After the application has been approved, a home visit will be scheduled. For this reason we only accept applications within 50 miles radius of Madison. All family members and other animals residing in the home must attend a meet and greet with our rescue animal to ensure compatibility. All adopters and co-adopters must be at least 21 years of age.

The purpose of the home visit is to sit down with you and learn about what you are looking for in a family member. Because we are 100% volunteer based, we have to work with the schedules of our volunteers and do the best we can to have the home visit scheduled as quickly as possible.

The adoption fee is $350.00 and up for dogs. Unaltered puppies must be spay/neutered by 6 months of age and proof of surgery sent to the rescue. If proof of spay or neuter is not provided, the rescue has the right to revoke ownership and the dog will be returned to the rescue.

Once an application is submitted, the materials are reviewed by the Application Review and Collaboration Team.

By submitting this application, you agree to the Terms of Adoption above.
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Name of dog interested in (write "preapproval" if undecided): *
Full Name (first and last) *
Complete Date of Birth *
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Drivers License Number *
Cell Phone Number *
Home Phone Number *
Email Address *
Occupation *
Where Employed *
Co-Adopter's Name (First and Last) *
If none please indicate none below.
Co-Adopter's Complete Date of Birth
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DD
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Co-Adopter's Drivers License Number
Co-Adopter's Cell Phone Number
Co-Adopter Email Address
Co-Adopter's Occupation
Co-Adopter's Employer
Please list any other adults who live in the home and their birth dates: (write "NONE" if there are no other adults in the home besides the applicant and co-applicant) *
Street Address *
Address Line 2 (Apt /Unit #)
City *
State *
Zip Code *
Length of time at current residence: *
Do you own your home or rent? *
If you renting...
Name of Property: This is a requirement for processing
Name and Phone Number of Landlord *
Type of Home *
Do you have a fenced yard? *
If you answered YES to above:
Type of Fence & Height:
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