Lucky Paws Pre-Adoption Application

LUCKY PAWS PRE-ADOPTION APPLICATION

Lucky Paws Animal Rescue believes pet ownership is a serious responsibility and a life long commitment. Our goal is to place animals in the best possible home where each adoptive person realizes the obligation to the animal. You must complete this application and be willing to answer specific questions about your lifestyle and personality. Lucky Paws Animal Rescue reserves the right to refuse any adoption.

PLEASE PRINT LEGIBLY. ALL QUESTIONS & PERSONAL INFORMATION MUST BE FILLED IN.

Name______Date ______

Address______Home Phone______

City ______State ______Zip Code ______Work Phone______

Email______

Name of animal you are interested in adopting: ______

1. Why do you want to adopt a pet today? ______

2. Is this pet going to be a gift? YES NO

3. Your age? ______

4. Do you rent your current place of residence? YES NO If yes, we will need a copy of the lease or the landlord’s phone number ______

5. Can you verify that you are permitted to have a pet where you live? YES NO

6. Do you have children? YES NO If yes, what are their ages? ______

7. Have your children been around pets before? YES NO N/A

8. Does anyone living in your household have an allergy to animals? YES NO If yes, please circle: CATS DOGS BOTH

9. How may pets have you had in the past 10 years? ______

10. Are they still with you? YES NO

If yes, how many & what kind? ______

If no, please explain why (specify reason) ______

______

11. Are your pets current on their inoculations? YES NO N/A

12. Are or were your pets spayed or neutered? YES NO N/A

13. Who is your current veterinarian? ______

14. Are these pets kept? Please circle applicable answer. INSIDE ONLY OUTSIDE BOTH N/A

Explain ______

15. Where will your new pet stay when you’re not home? Please circle applicable answer.

Crate Loose in house Basement Garage Outside Other

16. Who will provide care for you pet in your absence? (I.e. vacations)______

17. How will you correct inappropriate behavior problems? ______

______

18. If adopting a cat, will you have it declawed? YES NO N/A

I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND THAT ANY FALSE INFORMATION MAY RESULT IN NULLIFACATION OF THE ADOPTION.

Signature ______Date______

Adoption Counselor ______APPROVED DENIED

*A Lucky Paws Animal Rescue adoption counselor will contact you within 24 hours of application.