Please Answer All Questions Or Mark NA.Incomplete Information Is Reason for Denial

LUVFURMUTTS ADOPTION APPLICATION

Please answer all questions or mark NA.Incomplete information is reason for denial.

Date: ______

Name: ______Spouse Name: ______
Address: Street: ______
City: ______State:______Zip: ______

County: ______Home Phone: ______Cell Phone: ______
Email: ______Employment: ______
Work Phone: ______DOB: ______

Name and breed of the dog you want: ______
Have you had experience with this breed? ______
Name and phone number of your veterinarian: ______
What type of home do you have? __Apt? __House?
Own ____ Rent______If you rent please include landlords name and
phone number: ______Roommates:______
Do you have a fenced yard? ______Is so how big is it?______
Does it attach to your house? ______
If you do not have a fence explain how you plan to provide for potty
breaks and exercise for your new family member.______
______

Please list all persons living in the home with you and their relationship to you

______
Where will the dog spend it’s time when you are not home? ______
Where will the dog stay when you are home?______

Are you prepared to get training for behavior issues should they develop? ______
If not, how will you deal with behavior problems? ______

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Has anyone in your home been allergic to dogs before?______
Have you ever re-homed, lost or euthanized a dog? _ If so please explain why._____

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Why do you feel that this dog will be a good fit for your family? ______
On a scale of 1 to 10 how active is your home? ______
Anyone who jogs? ______

If you lose your home or move what will happen to the dog?
______
Please list all pets living in the home now:Type, age and breed:
______

Are you animal’s current on vaccinations? ____
OnHeartguard Monthly? ______

Spay/Neutered? ______

If not pleaseexplain why.______
Can you afford to keep the dog current on vaccines and on heartguard? ___

Is this is a breed of dog that requires regular grooming are you aware of
this and prepared to keep it groomed______

Please list three personal references:No family members. Please donot list work numbers unless you have checked with the references and received permission.

Reference 1:Name______Phone number: ______
Reference 2:Name______Phone number: ______
Reference 3:Name ______Phone number:______

Where did you get your last pet? Breeder, rescue, etc? ______

How did you hear about Luvfurmutts?______

Please initial here ______that you understand that submission of this application gives
Luvfurmutts the right to contact your references and your vet to verify that all information
is accurate as submitted.

Please list anything here that you feel would help us in making the decision if this dog is
right for your home.Anything that we have not asked that feel like we need to know
about you, your home or your family members that will help us with this decision.
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