App

Dog Foster / Adoption Application

Today’s Date

Applying to:

Foster Adopt

Name of Dog Applying for

Breed

Applicant Name

Address

Apt/Unit

City

State

Zip Code

Email

Home Phone

Mobile Phone

Work Phone

Questionaire

Are you currently employed?

1. Why do you want to adopt or foster a dog?

2. What do you think are the most important responsibilities in owning a dog?

3. Please list any preference ( age, sex, breed, personality )

4. Have you submitted an application to our organization before?

Yes No

5. Have you ever had an application declined for adoption of an animal from an animal welfare group/animal control facility?

Yes No

Explain.

6. Are you willing to take the time to housebreak a dog?

Yes No

**Changing a dog’s environment may cause the dog to have accidents**

7. If you are applying for a puppy or dog who is not house trained, how will you housetrain the dog?

8. Does any member of the family have any allergies to animals?

Yes No

9. How many people live in your home?

10. Are there any children in the household?

Yes No

What are their ages?

11. Who will be responsible for feeding and walking the dog?

12. Who will take care of the dog in the absence of the primary caretaker?

13. What have you done so far to prepare for a new dog?

14. Are you willing to take the dog to obedience training classes if necessary?

Yes No

15. Do you currently have any pets?

Yes No

Tell us about ALL current pets

Name, Breed, Sex, Fixed or Intact, Age, Year you aquired the pet

16. Tell us about ALL previous pets you’ve owned in the past 10 years

Name, Breed, Sex, Fixed or Intact, Age, Year you aquired the pet

17. Will your dog be primarily indoor or outdoor? Explain

18. List each vet/animal hospital where your animals received care over the last 10 years? (Name, City, State)

19. Name of the vet you will use for your new dog (include phone, city, and state)

20. Are you aware of and prepared for the extra expenses that will come with having a dog?

Yes No

i.e. Food, vet care, supplies, toys, training, boarding, grooming

21. What type of home do you live in?

22. Do you own or rent your residence?

Own Rent

23. Landlord’s Name and Contact information

25. Do you have a fenced yard?

Yes No

26. Tell us about your fence ( type, height, any holes or gaps, attached to your home )

27. Do you plan to install a fence? When?

28. Describe where you would walk/exercise your dog on a leash

29. Describe where you would walk/exercise your dog off leash

30. How often will you exercise your dog? For approximately how long?

31. How many hours a day will the dog be left alone (i.e. while you’re at work)?

32. When no one is home, where will the dog stay?

33. When you are home, where will the dog be kept?

34. Where will the dog sleep at night?

35. Do you have a dog door?

Yes No

36. How often do you travel ( on average )?

37. What will you do with the dog when you travel ( boarding, petsitter, take with you )?

38. Are you or your spouse in the military?

Yes No

39. Are you aware that LOPR requires all dogs to be spayed or neutered?

Yes No

40. Are you aware of the adoption fee?

Yes No

41. Are you familiar with your state and local Animal Welfare laws?

Yes No

42. Have ALL adult family members agreed upon getting the dog?

Yes No