Dog Adoption Application

To be considered for adoption of one of our animals we require this form be filled out in its entirety.

***Please be informed, that adopters need to be at least 21 years of age. ***
***Current pets must be spayed or neutered and current on vaccinations.***
***LOAR will check with landlords for approval of pets in rental homes/apartments/condos, etc.***

If you are having trouble viewing or using the form please contact us.
Thank you.

Contact Information

First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
-

Email*

Home Phone*

*=required

Cell Phone*

DOB*

Which LOAR animal are you interested in?*

Please list the full names and birthdays of any other adults living in your home.

Do you own or rent your home?*

If you rent, please enter your landlord's name, the complex name, and phone number.*

Will the dog be kept inside or outside?* *

My experience with dogs includes (check all that apply)

had dog(s) growing up	currently own a dog
this will be my first dog

My dog needs to be friendly with children

All aged children in my home	Children under 7 in my home
Children over 7 in my home	No children living at home, but they visit
No children in the home

Is your yard fenced?*

Where will the dog be kept when you are home? Please describe this area.*

My new dog must get along with

Dogs	Cats
Livestock	Horses
Poultry

Please tell us about the pets you have now and in the past. Include name, breed, gender, spayed/neutered, vaccinations, still owned by you or where is the animal now?*

If your current or previous pets are or were NOT spayed or neutered, please explain the reason(s).*

Please provide the name and phone number of your current and/or previous Veterinarian(s).*

May we contact your Veterinarian as a reference?*

List at least two references (who are not family members) AND provide their phone numbers.*

Have you ever given up a pet? If yes, please explain*

*=required