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Application |
| Adoption Application |
 Your
Contact Information |
| Name: Required |
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| Address1: |
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| Address2: |
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| City: Required |
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| State: Required |
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| Zip Code: |
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| Home Phone: Required |
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| Work Phone: |
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| Email 1: Required |
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| Alternate Email: |
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| Household
Information |
| Dog(s) you are interested in: Required |
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| Why this breed of dog? Required |
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| Do you have a preference for sex, color or age? If
so, what is it? Please note that this information is used as a guide only.
There is no guarantee we can find you a dog of your exact preference. |
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| Do you wish to be placed on a waiting list for a particular
breed of dog? |
YES
NO
No Response |
| Have you ever owned a rescued animal? |
YES
NO
No Response |
| If yes, please explain. |
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| Do you presently own any pets? |
YES
NO
No Response |
| If YES, please list the name and kind for each pet. (example:
Buster-dog; Molly-cat; Skip-parrot) |
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| Have you owned pets in the past? |
YES
NO
No Response |
| If YES, what kind and what happened to them? |
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| If you own dog(s) are they all spayed/neutered? |
YES
NO
No Response |
| If NO, why not? |
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| Where do you live? |
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| Do you own or rent your home? |
Own
Rent
No Response |
| If you RENT, do you have permission from your landlord to keep a dog? |
YES
NO
No Response |
| Does your home have a yard with a fence? |
YES
NO
No Response |
| If yes, type of fence and height? |
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| If no, how will the dog get exercise and relieve itself? |
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| Do you have a crate to keep a dog in? |
YES
NO
No Response |
| Do you work outside the home? |
YES
NO
No Response |
| How many hours will the dog be alone during the day? |
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| Will the dog be left alone at night? |
YES
NO
No Response |
| Where will you keep the dog while you are at work or out on errands? |
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| Where will you keep the dog while on vacation? |
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| How many adults presently in the house? |
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| Number of men? |
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| Number of women? |
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| Age range of applicant? |
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| Are there children presently living in the house? |
YES
NO
No Response |
| If yes, what are their ages? |
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| Please provide us with a veterinary reference (including
phone number): |
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| Please provide us with a personal reference, not related
to you (including phone number): |
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Transporting
Dogs placed through Little Angels are generally done so on the basis of
proximity of the dog to the adoptive home; however, we may transport dogs
interstate. |
Please tell us if you are willing to:
Pay airfare costs to transport a dog interstate to you. (approx. $120-170
US. NOT available during summer months) |
YES
NO
No Response |
| Drive interstate to pick up a dog. |
YES
NO
No Response |
| If YES, what states will you drive to? |
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| Cost
of Ownership |
Do you understand all of the expenses involved with caring for a dog,
especially as it ages? Including but not limited to ordinary and
emergency veterinary expenses, heartworm preventative, grooming, etc.
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YES
NO
No Response |
| Have you applied with another rescue organization in your
search for your new family member? It helps us to realize this
when trying to coordinate our volunteer efforts.
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| Do you agree to a Little Angels Rescue representative visiting
your home to inspect prior to and after adoption? |
YES
NO
No Response |
| Are you willing to enroll the dog in obedience class? |
YES
NO
No Response |
| Do you understand that the dog should never be allowed
off lead in open places? |
YES
NO
No Response |
| Adoptive homes must forward all paperwork to Little Angels
Rescue within five business days of completion. Are you able to
comply with this requirement? |
YES
NO
No Response |
| Do you understand that there are no guarantees about the
behaviors, temperment or health of a dog that is adopted and that the
adjustment period varies for each dog? |
YES
NO
No Response |
Donations
All "Little Angels" are spayed/neutered, vet checked, up to date with
shots and evaluated before they are placed. These expenses can vary
for each adoptable; however, donations begin at $150. |
| Do you understand the need for these donations and the
fact that all donations are NON-REFUNDABLE? |
YES
NO
No Response |
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*** ALL DONATIONS ARE
NON-REFUNDABLE ***
All applicants are
subject to a home visit.
Little Angels Rescue reserves the right to refuse any reject any application.
It may take several days for an application to be
reviewed, depending on the volume received. Please be patient. You
will be contacted as soon as possible. |
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