Foster/Adoption Application
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Name of Dog
Name *
Phone *
Date *
MM
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DD
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YYYY
Spouse/Partner Name
Spouse/Partner Phone
Address *
City *
State *
Zip *
County *
Current Employer *
Email Address *
Residence Information
Ownership *
Landlord Name
Only required if you lease your residence
Landlord Phone
Only required if you lease your residence
Do you have the landlord's approval to have pets?
Only required if you lease your residence
What is the pet deposit?
Only required if you lease your residence
Type of Residence *
How long have you lived at this address? *
Are you planning on moving in the next 6 months? *
Veterinary Information (for owned and previously owned pets)
If you do not have a veterinarian, you will be asked to obtain one before the adoption is finalized.
Clinic Name
Clinic Phone
Pet Information
Please list both CURRENT PETS and pets you've owned IN THE PAST 5 YEARS.
Enter pet information below
Species, Breed, Name, Age, Neutered?, Still own?
Are the pets you own current on vaccinations?
Are the records listed under the name on the application?
If you no longer own one of the pets listed above, what happened to it?
How do you plan to introduce your new dog/puppy to the other pets in your household?
Have you ever surrendered an animal to a shelter?
When?
Why?
Information about your experience with dogs
What is your experience with dogs? *
Required
How will you correct behavior problems with the dog if they occur? *
How much money do you plan to spend a year on care for your dog? *
How many hours a day will your dog be without human companionship? *
Are you a frequent traveler? *
Who will care for your dog during vacations, business trips, etc? *
Where will you keep the dog during the day when you are home? *
Where will you keep the dog during the day when you are gone? *
Do you have a fenced-in yard? *
If so, how high is your fence?
Where will you keep the dog during the night? *
What type/brand of food do you plan to feed your dog? *
Will you commit to caring for your new dog for the next 10 to 15 years? *
If you must move from your current place of residence, what will you do with your dog? *
How long will you allow your dog time to adjust to a new home? *
Have you ever had a situation where you had to find your pet another home because of a move, new baby, or behavior problem, etc? Please explain: *
Under what circumstances do you find it acceptable to find your dog another home? *
Check all that apply
Required
Please explain:
Have you ever had a serious behavioral problem with a pet? *
If so, what did you do?
If your pet comes down with a serious medical problem in the future that is very expensive, what would you be willing to do? *
What will you do if your pet has behavioral problems in the future? *
What will you do if you decide to move to a place that does not allow pets? *
Are you aware of the annual routine vaccinations recommended and those required by law for the health and protection  of your dog? And do you plan to take you pet to the vet for yearly checkups and vaccinations? *
Household Information
What is the activity level of your household? *
Number of children living in the home?
Their ages?
Number of adults in the home? *
Visiting children?
Their ages?
Who will be the primary caregiver? *
This dog/puppy is being adopted as: *
check all that apply
Required
Do you know about monthly heartworm prevention for dogs and do you plan to use it? *
Does anyone residing in the house have any known pet allergies? *
Are you familiar with the pet responsibility and liability laws in your area? *
Do you understand that all adopted dogs must be spayed/neutered? *
Do you plan to allow your pet outdoors unattended? *
Do you expect any major life changes in the next 10 years – marriage, children, etc? *
Explain:
Would you agree to an in-home visit with a volunteer before, during or after the adoption is approved? *
References
Please provide two personal references that we may call and verify the information above
Reference 1 Name *
Reference 1 Phone *
Reference 2 Name *
Reference 2 Phone *
I'd like more information about:
check all that apply
Digital Signature
By signing below, you agree that you are applying for this pet for yourself and no one else and this pet will be living only at the above address listed above.
Applicant Signature
Type your name in the box to serve as your signature
Signature Date
MM
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DD
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YYYY
Co Applicant Signature
Type your name in the box to serve as your signature
Co Applicant Signature Date
MM
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DD
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YYYY
Foster Agreement
If I decide to foster an animal or take an animal on a trial basis into my home, Laskey’s Lucky Ones assumes no responsibility nor shall they be held liable for any damages caused by the adopted Animal to property, person or other pets.
Foster Signature
Type your name in the box to serve as your signature
Foster Signature Date
MM
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DD
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YYYY
Submit
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