Adopt A Luv Dog Adoption or Volunteer Form

<<< Application To Adopt A Dog >>>
Please answer ALL Relevant questions, deleting (erasing) the question marks. Please leave the question marks on Irrelevant questions (pets names if you have none, etc.). Please do not put leading spaces, which confuse our Check-it program. We will NOT process applications that have not been completely filled-out.
http://adopt-aluv-rescue.petfinder.org

<<< PERSONAL INFORMATION >>>
Your Full Name:
Year You Were Born (Please Type In 4-digit year):
Please List the Names of All Persons in Your Home, Their Relationship to You, & Their Ages. NOTE: We do not adopt toy breed dogs to homes with children under age 5, or age 8 for puppies.	?
Your Full Street Address, City, State, and Zip Code:	?
Your Telephone Numbers Including Area Code --> Home:
--> Work:
--> Cell:
Your Email Address:
Your Occupation, Employer, and Length of Time Employed There:
Your Spouse's Occupation, Employer, and Length of Time Employed There:
If You Adopt A Dog From Adopt-A-Luv Rescue and We Find That You Are Not Meeting Our Standard In Caring For Him or Her, You Will Be Required To Return The Dog To Us At Your Expense Immediately. We Require Adopters to Keep Us Notified If Their Phone Number Or Address Changes. Due to The Failure Of Many Adopters To Do This, We Will Also Require Your Neighbor's Phone No. And Address, That of Your Best Friend, And That Of Your Closest Relative, After Your Adoption Is Approved, to Be Sure Not To Lose Contact. Do You Agree To This (yes or no)?
Excluding Death or Disability, What Other Circumstances Would Cause You To Dispose of A Dog That You Adopted From Us:
Are You Aware There Is An Adoption Donation For Each Dog In Our Rescue? Do You Know What It Is For? Would You Like Us To Explain:
<<< ABOUT YOUR HOME AND YARD >>>
What Type of Home Do You Live In:	House Apt Town-House Condo Mobile-Home
Do You Own or Rent Your Home (Please Type In: own or rent, deleting the ?):
If You Rent, Does Your Written Lease Allow Pets (Only If You Rent, Please Type In: yes or no):
Landlord Name and Phone Number:
If You Have a Yard, Is it Fenced? Is It Directly Accessible From Your Home? Please Describe Fence and Yard, If You Have One:	?
If You Don't Have a Fenced Yard, Please Describe How the Dog Is To Be Exercised:	?
<<< OTHER ANIMALS >>>
Have You Owned Any Dogs Or Cats That Are No Longer With You? How Many? Please explain the circumstances for each one:	Yes No ?
Do You Currently Own a Dog(s):	Yes No How Many?
Do You Currently Own a Cat(s) or Other Pets:	Yes No How Many? Type of Pet If Not Cat?
If You Currently Own Pets, Please Describe Pet No. One. Name, Age, Gender, Size, Weight: Spayed or Neutered? Up-To-Date On Shots? On Flea/Tick Preventative? Which Brand? On Heartworm Preventative? Which Brand? What Kind of Food Does This Pet Eat? Is This Pet Primarily An Inside Or Outside Pet? Is It Licensed? Please Describe This Pet's Personality:	Yes No Yes No Yes No Yes No Inside Outside Yes No
If You Currently Own 2 Pets, Please Describe Pet Two. Two's Name, Age, Gender, Size, Weight: Two is Spayed or Neutered? Two is Up-To-Date On Shots? Two is On Flea/Tick Preventative? Which Brand? Two is On Heartworm Preventative? Which Brand? What Kind of Food Does Pet Two Eat? Is Pet Two Primarily An Inside Or Outside Pet? Is Two Licensed? Please Describe Pet Two's Personality:	Yes No Yes No Yes No Yes No Inside Outside Yes No
A Vet Reference is REQUIRED To Process Your Application! Please enter your Vet's Phone Number, so We May Verify How Well Your Pet(s) Were Cared For.
Please Provide Your Vet's Name, Clinic/Business Name, City, and Address. Please Advise Your Vet That You Have Applied To Adopt A Rescue Dog And That Someone From Adopt-A-Luv Rescue Will Be Calling Them For A Reference. We Will Schedule A Home Visit After Receiving Recommendation From Your Vet. If You Do NOT Have a Vet Because You Have No Pets, You Must Obtain Contact Info For the Vet You Plan to Use For Your New Pet.	?
<<< Problems With Dog In New Home >>>
Have You Ever Adopted An Animal From A Dog Pound/Shelter Or Taken In A Stray:	Yes No
How Long Do You Feel A New Dog Should Be Given For An Adjustment Period:
Is Your Family Willing To Work With A New Dog On Any Issues That He Or She May Have:
In Which Dog(s) of Ours Are You Interested? If No Particular Dog, Please Note Your Preferences Below, So We Can Let You Know When Such a Dog Becomes Available.
You Desire a Pure-bred dog, Mixed breed, or No Preference:	Pure Mixed No Preference
You Desire a Male, Female, or Either:	Female Male Either Sex
You Desire a Dog in What Age Range:	1/2 Years 3/9 Years Over 9 Years
You Desire What Kind of Dog Personality:	Wary - Needs Patience friendly Kid-Safe Must Like Other Dogs No Preference
Would You Adopt A dog With Special Needs? If You Would, Please Check Which Special Need(s) You Would Accept:	Blind Deaf Diabetic Epileptic Arthritis Allergies Daily Meds Incontinent Cannot Climb Stairs Back Problems
Is There Anything Else Specific You Are Looking For In A Dog:
How Long Are You Willing To Wait For A Rescued Dog:
Please Allow Two Weeks To Process Your Application. If You Do Not Hear From Us By Then, Please Contact Us Again. Due To Bounced Checks, We Are Only Accepting Cash Or Money-Order Adoption Donations. Please click SUBMIT now. It will email your application to us, then return you to our home page. --->>>> (We Will Require You To Sign This Form After Your Application Is Approved.)
Your Printed Name:
My Signature and Date:
Spouse's Printed Name:
My Spouse's Signature and Date:

<<< PERSONAL INFORMATION >>>

Your Full Name:

Year You Were Born (Please Type In 4-digit year):

Please List the Names of All Persons in Your Home, Their Relationship to You, & Their Ages. NOTE: We do not adopt toy breed dogs to homes with children under age 5, or age 8 for puppies.

Your Full Street Address, City, State, and Zip Code:

Your Telephone Numbers Including Area Code --> Home:

--> Work:

--> Cell:

Your Email Address:

Your Occupation, Employer, and Length of Time Employed There:

Your Spouse's Occupation, Employer, and Length of Time Employed There:

If You Adopt A Dog From Adopt-A-Luv Rescue and We Find That You Are Not Meeting Our Standard In Caring For Him or Her, You Will Be Required To Return The Dog To Us At Your Expense Immediately. We Require Adopters to Keep Us Notified If Their Phone Number Or Address Changes. Due to The Failure Of Many Adopters To Do This, We Will Also Require Your Neighbor's Phone No. And Address, That of Your Best Friend, And That Of Your Closest Relative, After Your Adoption Is Approved, to Be Sure Not To Lose Contact. Do You Agree To This (yes or no)?

Excluding Death or Disability, What Other Circumstances Would Cause You To Dispose of A Dog That You Adopted From Us:

Are You Aware There Is An Adoption Donation For Each Dog In Our Rescue? Do You Know What It Is For? Would You Like Us To Explain:

<<< ABOUT YOUR HOME AND YARD >>>

What Type of Home Do You Live In:

House Apt Town-House
Condo Mobile-Home

Do You Own or Rent Your Home (Please Type In: own or rent, deleting the ?):

If You Rent, Does Your Written Lease Allow Pets (Only If You Rent, Please Type In: yes or no):

Landlord Name and Phone Number:

If You Have a Yard, Is it Fenced? Is It Directly Accessible From Your Home? Please Describe Fence and Yard, If You Have One:

If You Don't Have a Fenced Yard, Please Describe How the Dog Is To Be Exercised:

<<< OTHER ANIMALS >>>

Have You Owned Any Dogs Or Cats That Are No Longer With You? How Many? Please explain the circumstances for each one:

Yes No

Do You Currently Own a Dog(s):

Yes No How Many?

Do You Currently Own a Cat(s) or Other Pets:

Yes No How Many?
Type of Pet If Not Cat?

If You Currently Own Pets, Please Describe Pet No. One.
Name, Age, Gender, Size, Weight:
Spayed or Neutered?
Up-To-Date On Shots?
On Flea/Tick Preventative? Which Brand?
On Heartworm Preventative? Which Brand?
What Kind of Food Does This Pet Eat?
Is This Pet Primarily An Inside Or Outside Pet?
Is It Licensed?
Please Describe This Pet's Personality:

Yes No
Yes No
Yes No
Yes No

Inside Outside
Yes No

If You Currently Own 2 Pets, Please Describe Pet Two.
Two's Name, Age, Gender, Size, Weight:
Two is Spayed or Neutered?
Two is Up-To-Date On Shots?
Two is On Flea/Tick Preventative? Which Brand?
Two is On Heartworm Preventative? Which Brand?
What Kind of Food Does Pet Two Eat?
Is Pet Two Primarily An Inside Or Outside Pet?
Is Two Licensed?
Please Describe Pet Two's Personality:

Yes No
Yes No
Yes No
Yes No

Inside Outside
Yes No

A Vet Reference is REQUIRED To Process Your Application!
Please enter your Vet's Phone Number, so We May Verify How Well Your Pet(s) Were Cared For.

Please Provide Your Vet's Name, Clinic/Business Name, City, and Address. Please Advise Your Vet That You Have Applied To Adopt A Rescue Dog And That Someone From Adopt-A-Luv Rescue Will Be Calling Them For A Reference. We Will Schedule A Home Visit After Receiving Recommendation From Your Vet. If You Do NOT Have a Vet Because You Have No Pets, You Must Obtain Contact Info For the Vet You Plan to Use For Your New Pet.

<<< Problems With Dog In New Home >>>

Have You Ever Adopted An Animal From A Dog Pound/Shelter Or Taken In A Stray:

Yes No

How Long Do You Feel A New Dog Should Be Given For An Adjustment Period:

Is Your Family Willing To Work With A New Dog On Any Issues That He Or She May Have:

In Which Dog(s) of Ours Are You Interested?
If No Particular Dog, Please Note Your Preferences Below, So We Can Let You Know When Such a Dog Becomes Available.

You Desire a Pure-bred dog, Mixed breed, or No Preference:

Pure Mixed No Preference

You Desire a Male, Female, or Either:

Female Male Either Sex

You Desire a Dog in What Age Range:

1/2 Years
3/9 Years
Over 9 Years

You Desire What Kind of Dog Personality:

Wary - Needs Patience
friendly Kid-Safe
Must Like Other Dogs No Preference

Would You Adopt A dog With Special Needs?
If You Would, Please Check Which Special Need(s) You Would Accept:

Blind Deaf Diabetic
Epileptic Arthritis Allergies
Daily Meds Incontinent
Cannot Climb Stairs
Back Problems

Is There Anything Else Specific You Are Looking For In A Dog:

How Long Are You Willing To Wait For A Rescued Dog:

Please Allow Two Weeks To Process Your Application. If You Do Not Hear From Us By Then, Please Contact Us Again. Due To Bounced Checks, We Are Only Accepting Cash Or Money-Order Adoption Donations.
Please click SUBMIT now. It will email your application to us, then return you to our home page. --->>>>
(We Will Require You To Sign This Form After Your Application Is Approved.)

Your Printed Name:

My Signature and Date:

Spouse's Printed Name:

My Spouse's Signature and Date: