Name
*
First Name
Last Name
Pet you are interested in
*
How did you hear about us?
Email/Phone Number/Address
We require ALL of these to process your application!
Are you willing to drive/fly to the Los Angeles area to pick up a new furry friend?
*
Yes
No
Birthday
*
MM
DD
YYYY
Home
*
Describe your home. Is it a house, apartment, condo, bungalow, mobile home, etc? Do you rent or own it?
*If you rent please submit the name and phone number of your landlord.
Pet Policy
If you RENT your home, what is the policy? (size of animal, breed, number of pets)
Name and Ages of Household Members (including pets*)
*
*Please be specific about breed and age
Outdoor Access
*
Describe your outdoor access. Please be as descriptive as possible. Is there grass? A pool? Shade? Is it properly fenced in, enclosed? Patio? Balcony? etc.
When will you be ready to welcome a new pet into your home?
*
Have you owned pets in the past?
*
If you no longer have pets, please list why, and what happened to them.
PETCARE SECTION: Vet
*
Do you currently have a vet? If yes, please provide name and phone number.
Who would care for your pet if you were no longer able to?
*
Who will be responsible for the dog's daily care? Where will he/she sleep?
*
Will your dog be left outside unattended for any reason?
*
How many hours a day will your dog be left unattended? And where will he/she stay when left unattended?
*
What arrangements will you make for your dog when you are out of town?
*
Do you or any household members have pet allergies?
*
Yes
No
Under what circumstances would you give up a pet?
*
Have you ever had to give up a pet? If yes, please explain.
*
How would you discipline your dog if they misbehaved? Example: Having an accident on the carpet.
*
How long are you willing to allow a new dog to settle into your home?
*
Do you have any concerns about adopting a rescue dog?
*
DISCLAIMER
*
PLEASE READ BEFORE SUBMITTING: All of the information I have provided on this application is accurate. I understand that completing this application does not guarantee that I will be approved to adopt the animal applied for. I understand that if there is more than one application on a particular dog, it is the policy of the Rescue to match the applicant that is the best fit for the dog.
