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LaPaw Rescue Adoption Application                                  Animals Name:

Name{First & Last}                                          Date of Birth:

Street Address:                                            City, State, Zip:

Home Phone:                            Cell:                            Work:

Email Address:                                                            DL#
________________________________________________________________________________________
 Do You:                             You Live In A: 



Length of time at residence:                          Landlords phone number:

Place of Employment/ Phone Number:

Length of Employment:

________________________________________________________________________________________
References

Vet reference/ phone number:

Please list 3 personal references that are not family:

1} Name:                                       Address:                                         Phone:

2} Name:                                       Address:                                         Phone:

3} Name:                                       Address:                                         Phone:

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Current Pets   Please list all:

    Pet's Names         Breed            Age/sex      Spayed or Neutered      Shots Current?
1}

2}

3}

4}

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Are your Pets on Heartworm Pervention? What kind?

Dog Experience:                                            Have you ever:



                    other:                                                             explain:

About Your New Animal:
Why do you want a dog:







Have you ever surrendered a dog to an animal control facility, law enforcement, or given a dog away? If yes, explain?

Where will your new pet be kept most of the time?

How many hours a day will your pet be left home alone?

Will you use a crate for training purposes?

If no crate, how will you confine your pet?

If your pet needs professional trainig, are you willing and financially able to enroll them in an obedience training program?

Are you aware the average yearly expense of owning a pet is $300 to $500?

Will you commit to keeping up with you pet's yearly vaccination schedule as well as yearly check ups?

Will you commit to providing heartworm preventative for your new pet?

In the event of a mandatory evacuation for hurricane or other, what are your plans for your pet?

Do you agree to provide heartworm pervention for you new pet on a monthly basis?
                                  What kind will you use?

                                                             ****Please submit form 
                                                                  and a LaPaw Rescue
                                                             Volunteer will be in touch.

LaPaw Rescue has provided the ease of on-line forms for Adoption and Fostering. Please fill out the form and remember to hit submit when finished. 

**Foster and Volunteer forms will be added soon!
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