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ABOUT
ABOUT LUCKY DOG RESCUE
MISSION
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LATEST NEWS
HAPPILY EVER AFTER
ADOPT
ADOPTABLE DOGS
ADOPTION PROCESS
ADOPTION APPLICATION
ADOPTION EVENTS
VOLUNTEER
PARTNERS
OUR PARTNERS
STATISTICS
MADDIES TREATABLE ASSISTANCE PROGRAM
CONTACT
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Adoption Application

If you’re interested in adopting a dog, please complete our Adoption Application below. When complete click the “SEND” button. We will contact you shortly.

    Your First & Last Name (required)

    Name of Dog

    Phone

    Your Email (required)

    Subject

    Your Street Address

    Your City, State and Zip Code

    Names & Ages of all Household Members

    Have you ever owned a dog?
    YesNo

    Anyone in your household have pet allergies?
    YesNo

    How much time can you allow your dog to adjust to your new home?

    Circumstances that could result in return of dog:
    Job LossDivorceRelocationNew BabyIllnessBehavioralUnlikely

    Household activity level:
    LowModerateActiveVery Active

    How often will you walk the dog?

    How long will the dog be left alone on a typical day?

    Who will take care of your dog when you are away on vacation/trips?

    Will the dog be left with unsupervised children?
    YesNo

    Are you willing and able to pay your pet’s veterinary costs?
    YesNo

    Your Home

    Type?
    HouseApartmentCondoOther

    Own?
    YesNo

    If rental, may we contact your landlord?
    YesNo

    Please provide landlord contact information

    If rental, does your lease contain dog breed restrictions?
    YesNo

    If rental, does your lease contain pet size restrictions?
    YesNo

    Does residence have a yard?
    YesNo

    How high is the fence?

    Do you agree to have your home and property checked?
    YesNo

    Other Pets In Your Household

    Pet Type/Name #1

    Spayed or Neutered?
    YesNo

    Indoor or Outdoor?
    IndoorOutdoor

    # of Years Owned

    Age

    Pet Type/Name #2

    Spayed or Neutered?
    YesNo

    Indoor or Outdoor?
    IndoorOutdoor

    # of Years Owned

    Age

    Pet Type/Name #3

    Spayed or Neutered?
    YesNo

    Indoor or Outdoor?
    IndoorOutdoor

    # of Years Owned

    Age

    Additional Information

    Name/address of your veterinarian

    May we contact as a reference?
    YesNo

    Veterinarian Phone Number

    Will the dog live
    InsideMostly InsideOutsideMostly OutsideOutside Only

    Will the dog spend nights
    InsideMostly InsideOutsideMostly OutsideOutside Only

    Where will dog stay when alone?
    InsideOutsideBoth

    Where did you hear about Lucky Dog Rescue?

    Any questions or comments, tell us more about yourself

    I am at least 21 years old. All of the provided information is true and complete. I understand Lucky Dog Rescue has the right to refuse my application. I understand the adoption fee of $250 is requested at the time of adoption to help us with veterinary, foster care and other expenses. A home visit will be required prior to adoption.

    I Agree

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