Adoption Application

Lost But Loved

Animal Rescue

Where will the potentially adopted pet be staying during the day and night? *

Name of pet(s) you are interested in adopting? *

Full name of person interested in adoptiong: *

Do you have children who live with you or visit often? If so, please list how many and their ages *

Signature and Permission to talk to landlord and Veterinarian if needed *

Are you familiar with the nutritional needs of your pet? What kind of food or brand would you feed? *

If you rent or live with family, have you discussed adopting a pet with your landlord and/or family and been approved to have this pet? *

Have you ever owned a pet(s) like the one you are wanting to adopt? Have you cared for any other animals? If so, please list the species, breed, age, and gender. *

Have you ever had to have an animal put to sleep, given an animal away to someone, sold one, or taken one to a shelter or humane society? If so, please expalin *

Occupation: *

Have you ever been convicted of animal abuse, cruelty, or had one taken away from you due to not being able to care for the animal? *

Are there any other pets that live in this household, on the premises, or visits often? If so, please list the species, breed, age, and gender *

Address *

Date of Birth *

Why did you choose this particular pet to want to adopt? *

Email: *

What if any, monthly preventatives will you have your pet on? *

Phone *

What are you wanting this pet for? (EX; companion, security, breeder, etc): *

Do you have a fence in your backyard or a fenced in area for your pet? Or a safe enclosure? If so, please describe it in height, width and material. *

How did you hear about this pet and our rescue? *

Please list your past or present Vet Clinics name and phone number, or city and state that your Vet Clinic is in *

Does anyone in the household have allergies that would be aggravated by the pet you are wanting to adopt? *

Are/were any of your pets spayed/neutered? *

Please type your FULL NAME here acknowledging that you understand that you and/or your family/friends (including pets) will be meeting an animal that may be one of our rescues or a courtesy post that is not one of ours. You understand that when meeting an animal, they can be unpredictable, scared, and may not be receptive to you or your family members (Including pets). You understand that you or any of the people or animals that you bring with you to meet this animal could be bitten or harmed during the introduction. This is a risk that you are taking anytime you meet an unknown animal, and you accept all the risks involved and will not hold Lost But Loved Animal Rescue Corporation or any other member of this organization responsible for anything that happens during the meeting and potential adoption process of this animal. *

Are you financially prepared and aware of the cost to be able to give your pet routine physical and or veterinary care? (Ex: Parasite preventions, treatments, vaccines, testing, etc) *

Will this pet be with someone during the day? *

Do you agree that all of the above information that you listed above is correct and true to the best of your knowledge? *

If you do not still have the previous pet(s), what happened to them? *

Date and time *

If you travel much, what do you plan to do with your pet while you are away? *

Would you take your pet in for behavior training or seek help if needed? *

Are/were any of your pets current on their annual vaccinations? *

If you rent, please list the name, phone number and email address of your landlord: *

This adoption application needs to be filled out by the person who is wanting to legally adopt the pet from us. Please make sure all fields are filled out fully and correctly. This form will not submit if you leave a field blank. We are all volunteers so we try to get to these applications as soon as we can. We will review your application once we receive it and will get back to you as soon as possible. Thank you for choosing to adopt your next best friend!